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2020, Number 3

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Invest Medicoquir 2020; 12 (3)

Biliary complications in liver transplantation

Moret VS, Samada SM, Hernández PJC, Chao GL, Bressler HN, Valenzuela AKY, Roque VA, Barroso ML

Language: Spanish
References: 17
Page: 1-17
PDF size: 375.03 Kb.


ABSTRACT

Introduction. Biliary anastomosis is the "Achilles heel" of liver transplantation (HT) and different biliary complications are responsible for significant morbidity. The objective of this study was to characterize these complications in patients with liver transplantation. Methods. A descriptive, retrospective and longitudinal study was carried out in patients with post-transplant biliary complications of the Surgical Medical Research Center, in the period between 1999-2018. Of 175 patients with liver transplants who had a survival longer than 96 hours, the sample consisted of 73 patients who met the inclusion and exclusion criteria. The variables analyzed were: age, sex, cause of the transplant, surgical technique of the biliary anastomosis, distribution of the biliary complication according to time of appearance, presentation and therapeutic methods used. The data was processed in the statistical package SSPS version 19.0 on Windows. Results. Biliary complication occurred in 42% of patients, the mean age was 42.2 ± 14.9 years and similar behavior between the sexes, the most frequent pre-transplant etiology was liver cirrhosis due to hepatitis C virus and the Surgical technique used in the anastomosis of the terminal-terminal choledochostomy-choleostostomy in 37 (51%) patients, the precocious complication prevailed in 34 patients (69.4%). The most frequent form of presentation was anastomotic stenosis in 34 patients (22.4). The most commonly used therapy was performed through endoscopic retrograde cholangiopancreatography in 33 patients. Conclusions. post-transplant biliary complications were frequent, according to the time of presentation the 3 precocious predominated and according to the form of presentation the stenosis.


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