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7.

Manejo endoscópio de las complicaciones biliares post-transplante hepático experiencia en Venezuela / Biliary complications are present in 13% to 35% of patients who undergo liver transplantation. ERCP has been used as the endoscopic method to solve these problems. Objective: To show Venezuela's  experience, using endoscopic therapy in biliary complications post orthotopic liver transplantation (OLT) including anastomotic stricture, fistula and anatomic distortion. Patients and methods: Since 2003, (16) orthotopic liver transplantations have been performed, 7 patients (43,75%) had biliary complications. ERCP was performed in all patients. Results: 3 of them presented biliary fistulas, 1 supra- anastomotic stricture, 1 anastomotic stricture and 2 cases with biliary anatomic distortion. Endoscopic sphincterotomy with biliary stenting was performed in 5 patients, sphincterotomy with balloon dilation and stenting in 1 patient and only sphincterotomy in 1 patient. There were no complications for the procedure and all the patients had good clinical outcome. Conclusions: Early diagnosis and early endoscopic therapy through ERCP are the most important tools to solve biliary complications following liver transplantation.

GEN ; 61(2): 108-110, jun. 2007. ilus, tab
Artículo en Español | LILACS | ID: lil-664262
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