Biliary complications following liver transplantation
被引:1
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作者:
Gursimran Kochhar
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机构:
Department of Internal Medicine,Cleveland Clinic,Cleveland,OH 44195,United StatesDepartment of Internal Medicine,Cleveland Clinic,Cleveland,OH 44195,United States
Gursimran Kochhar
[1
]
Jose Mari Parungao
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机构:
Department of Internal Medicine,Cleveland Clinic,Cleveland,OH 44195,United StatesDepartment of Internal Medicine,Cleveland Clinic,Cleveland,OH 44195,United States
Jose Mari Parungao
[1
]
Ibrahim A Hanouneh
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机构:
Department of Gastroenterology and Hepatology,Digestive Disease Institute,Cleveland Clinic,Cleveland,OH 44195,United StatesDepartment of Internal Medicine,Cleveland Clinic,Cleveland,OH 44195,United States
Ibrahim A Hanouneh
[2
]
Mansour A Parsi
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机构:
Department of Gastroenterology and Hepatology,Digestive Disease Institute,Cleveland Clinic,Cleveland,OH 44195,United StatesDepartment of Internal Medicine,Cleveland Clinic,Cleveland,OH 44195,United States
Mansour A Parsi
[2
]
机构:
[1] Department of Internal Medicine,Cleveland Clinic,Cleveland,OH 44195,United States
[2] Department of Gastroenterology and Hepatology,Digestive Disease Institute,Cleveland Clinic,Cleveland,OH 44195,United States
Biliary tract complications are the most common complications after liver transplantation.These complications are encountered more commonly as a result of increased number of liver transplantations and the prolonged survival of transplant patients.Biliary complications remain a major source of morbidity in liver transplant patients,with an incidence of 5%-32%.Post liver transplantation biliary complications include strictures(anastomotic and non-anastomotic),leaks,stones,sphincter of Oddi dysfunction,and recurrence of primary biliary disease such as primary sclerosing cholangitis and primary biliary cirrhosis.The risk of occurrence of a specific biliary complication is related to the type of biliary reconstruction performed at the time of liver transplantation.In this article we seek to review the major biliary complications and their relation to the type of biliary reconstruction performed at the time of liver tranplantation.