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World Journal of Surgery

, Volume 25, Issue 10, pp 1296–1299 | Cite as

Complications of Biliary Tract in Liver Transplantation

  • Giuliano Testa
  • Massimo Malagò
  • Christoph E. Broelsch
Article

Abstract.

Bile duct leaks and stenosis, although greatly reduced in their incidence, still play a major role in early and late graft loss. Their pathogenesis is multifactorial, being related to graft quality, ischemia time, arterial blood flow, and, of course, technical mishaps. The diagnosis and treatment of biliary complications is nowadays a joint effort among surgeons, interventional radiologists, and gastroenterologists. The correct algorithm in obtaining a fast diagnosis and the correct therapeutic approach are necessary to save the graft, avoid retransplantation or recipient death. Although this may seem to be a simple and basic concept, it assumes tremendous importance in liver transplantation in which the differential diagnosis between biliary and arterial complications or graft rejection and malfunctioning is often a difficult one.

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Copyright information

© Société Internationale de Chirurgie 2001

Authors and Affiliations

  • Giuliano Testa
    • 1
  • Massimo Malagò
    • 1
  • Christoph E. Broelsch
    • 1
  1. 1.Department of General Surgery and Transplantation, University Hospital Essen, Hufelandstr. 55, D-45122 Essen, GermanyDE

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