Can I read Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography in Patients with Post-Liver Transplant Biliary Complications: Results of a Cohort Study with Long-Term Follow-Up on EtoBox?

Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography in Patients with Post-Liver Transplant Biliary Complications: Results of a Cohort Study with Long-Term Follow-Up by Claudia Sanna; Chiara Giordanino; Ilaria Giono; Claudio Barletti; Arnaldo Ferrari; Serafino Recchia; Dario Reggio; Alessandro Repici; Alessandro Ricchiuti; Mauro Salizzoni; Ileana Baldi; Giovannino Ciccone; Mario Rizzetto; Giorgio Saracco is a Medicine article available to read on EtoBox.

What is Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography in Patients with Post-Liver Transplant Biliary Complications: Results of a Cohort Study with Long-Term Follow-Up about?

## Background/Aims Endoscopic retrograde cholangiopancreatography (ERCP) is the standard approach for the management of biliary complications in liver transplant patients; however, its safety and efficacy have not been established in this setting. This study was performed to evaluate the safety and long-term efficacy of ERCP in transplant patients. ## Methods The case reports of 1,500 liver transplant patients were reviewed. Orthotopic liver transplantation (OLT) patients were matched 1:2 with non-OLT patients and followed-up for long-term outcome (median, 7.4 years). ## Results Of the 1,500 liver transplant patients, 94 (6.3%) underwent 150 ERCPs after OLT. Anastomotic strictures were present in 45 patients, biliary stones in 24, biliary leaks in 7, papillary stenosis in 2, and primary sclerosing cholangitis in 1. An ERCP success rate of 90.7% was achieved; biliary stenting led to resolution of the bile leak in 7/7 (100%) patients, and biliary stones were removed in 21/24 (87.5%) patients. In addition, 34 of 45 patients with anastomotic stricture underwent endoscopic dilation. We obtained complete resolution in 22/34 (64.7%) patients. OLT patients did not show a higher probability

Who reads Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography in Patients with Post-Liver Transplant Biliary Complications: Results of a Cohort Study with Long-Term Follow-Up?

Author

Claudia Sanna; Chiara Giordanino; Ilaria Giono; Claudio Barletti; Arnaldo Ferrari; Serafino Recchia; Dario Reggio; Alessandro Repici; Alessandro Ricchiuti; Mauro Salizzoni; Ileana Baldi; Giovannino Ciccone; Mario Rizzetto; Giorgio Saracco

Publisher

The Editorial Office of Gut and Liver

Published

2011

Language

EN

Field

Medicine (Health Sciences)