Discusses endoscopic interventions in the management of biliary complications after cadaveric liver transplantation.
Written in 2009; 5,265 words; 18 sources; APA; $ 130.95
Paper Summary:
This paper reports the findings of an investigation into the role of endoscopic retrograde cholangiopancreatogram (ERCP) in the management of biliary complications, which occur among patients who had undergone cadaveric liver transplantation. The author describe the the biliary system and the factors causing biliary complications. The paper concludes that ERCP is an effective treatment modality to manage biliary leaks and anastomotic strictures. However, the effectiveness of ERCP relies on the earliest diagnosis and the nature of leaks and strictures. The author indicates the need to standardize these complications using ERCP treatments requires more randomized studies, as findings still remain controversial.
Table of Contents:
Factors Causing Biliary Complications
Diagnosis of Biliary Complications
Biliary Strictures
Biliary Leaks
Conclusion
From the Paper:
"Late appearing strictures result from vascular insufficiency and problems from healing and fibrosis. They may develop several months to years after grafting. In the study, the mean time of diagnosis was 153 days, and the duration of time it took to diagnose ranged from 13 to 824 days. Fifty-six percent of those with biliary strictures were detected within the first three months, 30.4% between three months to a year, and 13% thereafter. Therefore, majority of the diagnosed strictures were early strictures which may have resulted from technical errors."
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