1995
DOI: 10.1016/s0016-5107(95)70005-6
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Diagnostic and therapeutic endoscopic retrograde cholangiography after liver transplantation

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Cited by 73 publications
(69 citation statements)
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“…It constituted 28 (40%) of biliary complications in our patient group and half of these presented between 4-12 mo post OLT. Use of ERC for treating anastomotic stricture in older studies had been disappointing [36,37] , however newer studies have reported the efficacy of endoscopic and percutaneous approaches in managing these complications [5,36,[38][39][40] . 2 failures of endoscopic treatment for anastomotic stricture in the present study had to undergo hepaticojejunostomy after 7 and 8 mo of OLT.…”
Section: Discussionmentioning
confidence: 99%
“…It constituted 28 (40%) of biliary complications in our patient group and half of these presented between 4-12 mo post OLT. Use of ERC for treating anastomotic stricture in older studies had been disappointing [36,37] , however newer studies have reported the efficacy of endoscopic and percutaneous approaches in managing these complications [5,36,[38][39][40] . 2 failures of endoscopic treatment for anastomotic stricture in the present study had to undergo hepaticojejunostomy after 7 and 8 mo of OLT.…”
Section: Discussionmentioning
confidence: 99%
“…Although strictures can present at any time, the overwhelming majority occur within the first year after OLT [1,23] . The mean interval at the time of presentation is 5-8 mo after OLT [3,7,23,34,35] . Recent studies suggest that their prevalence continues to increase with time [36] .…”
Section: Incidence Of Biliary Stricturesmentioning
confidence: 99%
“…Bile leak is an independent risk factor for the development of anastomotic strictures [17] . Later onset anastomotic strictures, most likely indicate fibrotic healing arising from ischemia at the end of the donor or recipient bile duct [34,36,38,40,[43][44][45][46] . Anastomotic strictures are reported to be more common after hepaticojejunostomy than after direct duct-to-duct anastomosis [1,14] .…”
Section: Anastomotic Stricturesmentioning
confidence: 99%
“…[24][25][26][27] Post-transplant calculi and sludge formation are most likely the result of mechanical obstruction mainly strictures, bacterial infection, 6,24 ischemia, biliary reflux, and biliary mucosal inflammation. The ERCP with sphincterotomy is very successful in removing 90-100% of stones or debris in almost all cases.…”
mentioning
confidence: 99%
“…The ERCP with sphincterotomy is very successful in removing 90-100% of stones or debris in almost all cases. 6,16,24,25 Theories as to the etiology of biliary casts include sloughed biliary epithelium due to prolonged cold storage time or transient or ongoing ischemia, chronic rejection, infection, bile stasis, and alteration of the bile milieu. 16 Biliary cast syndrome describes the cholangiographic findings of multiple fixed filling defects in the intrahepatic or extrahepatic biliary tree that conform to the luminal dimensions of the segment of BD.…”
mentioning
confidence: 99%