Detailed Abstract
[E-poster]
[EP049] Biliary Complications following Liver Transplantation within three years' experience
Chaw Phyu Phyu THAN1, Tin Tin MAR*2
1Registrar,Hepatobiliary and Pancreatic Surgery Department (HBPS), University of Medicine 1, Yangon Specialty Hospital, Myanmar
2Professor & Head,Hepatobiliary and Pancreatic Surgery Department (HBPS), University of Medicine 1, Yangon Specialty Hospital, Myanmar
Introduction : The aim of this study was to review the major biliary tract complications after liver transplantation.
Methods : Medical records of 30 liver transplant recipients during 2016 October to 2019 December period at Hepatobiliary and Pancreatic Surgery department, Yangon Specialty Hospital have been evaluated retrospectively. Among the post-transplant complications, biliary tract complications including biliary leakage and biliary stricture are common. Number of bile duct openings of graft, the type of biliary reconstruction performed at the time of liver transplant, type of biliary complications and their managements were reviewed in this study
Results : In this three years’ retrospective study, biliary complications were the most frequent post-op complications of liver transplant patients. 8 out of 30 patients faced with biliary complications range from early anastomotic leak to late stricture and obstruction in the extra hepatic or intrahepatic biliary system. 6 cases with biliary complications treated with Endoscopic Retrograde Cholangio (ERC) dilatation and stent implantation, one case with bile leak treated with per cutaneous drain and one case with ischemic biliary stricture case needed re-transplantation.
Conclusions : Biliary tract complications following liver transplantation are relatively common and continue to be a challenging aspect in the management of such patients. These complications require several other endoscopic, per cutaneous and surgical procedures that increase the morbidity, mortality and reduce the quality of life of these patients.
Methods : Medical records of 30 liver transplant recipients during 2016 October to 2019 December period at Hepatobiliary and Pancreatic Surgery department, Yangon Specialty Hospital have been evaluated retrospectively. Among the post-transplant complications, biliary tract complications including biliary leakage and biliary stricture are common. Number of bile duct openings of graft, the type of biliary reconstruction performed at the time of liver transplant, type of biliary complications and their managements were reviewed in this study
Results : In this three years’ retrospective study, biliary complications were the most frequent post-op complications of liver transplant patients. 8 out of 30 patients faced with biliary complications range from early anastomotic leak to late stricture and obstruction in the extra hepatic or intrahepatic biliary system. 6 cases with biliary complications treated with Endoscopic Retrograde Cholangio (ERC) dilatation and stent implantation, one case with bile leak treated with per cutaneous drain and one case with ischemic biliary stricture case needed re-transplantation.
Conclusions : Biliary tract complications following liver transplantation are relatively common and continue to be a challenging aspect in the management of such patients. These complications require several other endoscopic, per cutaneous and surgical procedures that increase the morbidity, mortality and reduce the quality of life of these patients.
SESSION
E-poster
E-Session 7/27 ~ 7/29 ALL DAY