Risk factors affecting the Barrett＇smetaplasia-dysplasia-neoplasia sequence

• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Liver transplant Biliary Complications STRICTURES Bile leak Management Endoscopy Endoscopicretrograde CHOLANGIOGRAPHY BILOMA Stone Cast
• 年，卷（期）: 2015,（5）
• 页码范围: 446-459
• 页数: 14页
• 分类号: R

摘要

Biliary complications are being increasingly encounteredin post liver transplant patients because ofincreased volume of transplants and longer survivalof these recipients. Overall management of thesecomplications may be challenging, but with advancesin endoscopic techniques, majority of such patientsare being dealt with by endoscopists rather than thesurgeons. Our review article discusses the recent advancesin endoscopic tools and techniques that haveproved endoscopic retrograde cholangiography withvarious interventions, like sphincterotomy, bile ductdilatation, and stent placement, to be the mainstay formanagement of most of these complications. We alsodiscuss the management dilemmas in patients withsurgically altered anatomy, where accessing the bile ductis challenging, and the recent strides towards makingthis prospect a reality.