MRCP in Liver-Transplanted Patients

  • Paolo Pavone
  • Roberto Passariello


Biliary complications remain an important problem following liver transplantation [1, 2]. The frequency of biliary complications ranges between 15% and 20% of cases, although a recent study has reported a rate of 11.5% [3–7]. The complication rate depends also on the type of anastomotic procedure, for example, bilio-biliary termino-terminal anastomosis or bilio-digestive choledocho-jejunal anastomosis, the former being preferred due to the decreased risk of infection (cholangitis) and the conservation of the sphincter of Oddi [8].


Bile Duct Orthotopic Liver Transplantation Biliary Stricture Biliary Complication Extrahepatic Duct 
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  1. 1.
    Iwatsuki S, Shaw BW Jr, Starlz TE (1983) Biliary tract comlpications in liver transplantation under cyclosporin-steroid therapy. Transplant Proc 15: 1288–1291Google Scholar
  2. 2.
    Starzl TE, Putnam CW, Hansbrough JF et al (1977) Biliary complications after liver transplantation: with special reference to the biliary cast syndrome and techniques of secondary duct repair. Surgery 81: 212–21PubMedGoogle Scholar
  3. 3.
    D’Alessandro AM, Kalajoglu M, Pirsch JD et al (1991) Biliary tract complications after orthotopic liver transplantation. Transplant Proc 23: 1956PubMedGoogle Scholar
  4. 4.
    Lebeau G, Yanaga K, Marsh JW et al (1990) Analysis of surgical complications after 397 hepatic transplantation. Surg Gynecol Obstet 170: 317–22PubMedCentralPubMedGoogle Scholar
  5. 5.
    Ringe B. Oldhafer K, Buzendah H et al (1989) Analysis of biliary complications following orthotopic liver transplantation. Transplant Proc 21: 2472–76PubMedGoogle Scholar
  6. 6.
    Stratta RJ, Wood RP, Langas AN et al (1989) Diagnosis and treatment of biliary tract complications after orthotopic liver transplantation. Surgery 106: 675–84PubMedGoogle Scholar
  7. 7.
    Turrion VS, Mora NP, Herrera J et al (1992) Surgical aspects of the first 150 liver transplants as a multicenter program in Madrid. Transplant Proc 24: 158–159PubMedGoogle Scholar
  8. 8.
    Krom RAF, Kingma LM, Wesenhagen H et al (1984) Choledochocholedochostomy is successful in orthotopic liver transplantation. Transplant Proc 16: 1228–1229PubMedGoogle Scholar
  9. 9.
    Greif F, Bronsther OL, Van Thieil DH et al (1994) The incidence, timing and management of biliary tract complications after orthotpic liver transplantation. Ann Surg 219: 40–45PubMedCrossRefGoogle Scholar
  10. 10.
    Campbell WL, Sheng R, Zajko AB et. al (1994) Intrahepatic biliary strictures after liver transplantation. Radiology 191: 735–740PubMedGoogle Scholar
  11. 11.
    Sanchez Urdazpal L, Gores GJ, Ward EM et al (1992) Ischemic-type biliary complications after orthotopic liver transplantation Hepatology 16: 49–53PubMedCrossRefGoogle Scholar
  12. 12.
    McMaster P, Herbertson B, Cusick C, Calne RY, Williams R (1978) Biliary sludging following liver transplantation in man. Transplantation 25: 56–62PubMedCrossRefGoogle Scholar
  13. 13.
    Ward EM, Kiely MJ, Masus TP, Wiesner RH, Krom RAF (1990) Hilar biliary strictures after liver transplantation: cholangiography and percutaneous treatment. Radiology 177: 259–263PubMedGoogle Scholar
  14. 14.
    McDonald V, Matalon TAS, Patel SK et al (1991) Biliary strictures in hepatic transplantation.Google Scholar
  15. 15.
    Miller WJ, Campbell WL, Zajko AB et al (1991) Obstructive dilatation of extrahepatic recipient and donor bile ducts complicating orthotopic liver transplantation: imaging and laboratory findings. AJR 157: 29–32PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • Paolo Pavone
    • 1
  • Roberto Passariello
    • 1
  1. 1.Istituto di Radiologia, Cattedra IIUniversità degli Studi di Roma “La Sapienza”RomeItaly

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