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PubMed · 14611980

Do biliary endoprostheses decrease biliary complications after liver transplantation?

J S Barkun·G N Tzimas·M Cantarovich·P P Metrakos·M Deschênes·E Alpert·S Paraskevas·J I Tchervenkov
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Abstract

AIM: Most technical complications after orthotopic liver transplantation (OLT) are related to the biliary tree. This report reviews the role of routine intraoperative placement of stents to reduce biliary complications. METHODS: We retrospectively analyzed 396 consecutive OLTs. We reviewed rates of biliary complications after hepaticojejunostomy (HJA) as well as following choledochocholedochostomy (CCA) groups: "experimental" group (routine intraoperative biliary stenting, last 10 months), "recent" control group (nonstented, previous 10 months), "historical" control group (prior to that period of time). RESULTS: All groups were matched for donor/recipient characteristics and for graft cold/warm ischemia time. The overall prevalence of biliary complications was 30.7% after CCA versus 35% after HJA. In the experimental group 21 patients had a 4.8% biliary complication rate compared to the recent control and historical groups, where biliary complication rates were 30% and 32.6%, respectively (P <.05). CONCLUSIONS: The intraoperative use of biliary stents is feasible and appears to decrease the rate of biliary complications. These results support the need for a prospective randomized trial.

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CholedochostomyFollow-Up StudiesGallbladderGallbladder DiseasesHumansJejunumLiverLiver TransplantationPostoperative ComplicationsRetrospective StudiesTime FactorsJournal Article

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J S Barkun, G N Tzimas, M Cantarovich, P P Metrakos, M Deschênes, E Alpert, S Paraskevas, J I Tchervenkov. 2003. Do biliary endoprostheses decrease biliary complications after liver transplantation?. https://doi.org/10.1016/j.transproceed.2003.08.017

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