Biliary Complications after Adult Liver Transplantation

Korean J Gastrointest Endosc > Volume 32(2); 2006 > Article

Korean Journal of Gastrointestinal Endoscopy 2006;32(2): 94-100.

성인 간이식 후에 발생하는 담도계 합병증

이상수·이규택·이선영·강태욱·문원·황지영·류민규·이종균·백승운·조재원*·이석구*·김상흠^†·이종철

성균관대학교 의과대학 삼성서울병원 내과학교실, *외과학교실, ^†을지의과대학교 영상의학교실

Biliary Complications after Adult Liver Transplantation

Sang Soo Lee, M.D., Kyu Taek Lee, M.D., Sun-Young Lee, M.D., Tea Wook Kang, M.D., Won Moon, M.D., Ji Young Hwang, M.D., Min Kyu Yu, M.D., Jong Kyun Lee, M.D., Seung Woon Paik, M.D., Jae-Won Joh, M.D.*, Suk-Koo Lee, M.D.*, Sang Heum Kim, M.D.^† a

Departments of Internal Medicine and *Surgery, Samsung Medical Center, Sungkyunkwan University College of Medicine, ^†Department of Radiology, Eulji Hospital, Eulji University College of Medicine, Seoul, Korea

Abstract

Background/Aims:
Recently, living donor liver transplantation (LDLT) has been frequently performed in Korea because of the limited availability of a cadaveric donor (CD). We evaluated the clinical features of patients with biliary complications after liver transplantation and we compared the incidence of biliary complications according to the type of donor and the anastomotic type of the biliary tract.
Methods:
Between May 1996 and July 2004, 300 patients (CDLT 102/LDLT 198) underwent liver transplantation at Samsung Medical Center. The patients who experienced biliary complications during the follow-up period were enrolled to the study and we retrospectively reviewed their cases.
Results:
Sixty-seven cases (23%) of biliary complications were noticed in 53 patients (18%). The complications consisted of 20 cases (7%) of bile leakage, 38 cases (13%) of biliary strictures, 7 cases (2%) of biliary stones, and 2 cases (1%) of biliary stenosis due to other cause. There was no significant difference on the incidence of complications between CDLT (15/102; 14.7%) and LDLT (38/198; 19.2%) (p=0.42). In addition, there was no significant difference between choledocho-choledochostomy (43/237; 18.1%) and hepatico-jejunostomy (10/ 63; 15.9%)(p=0.85)
Conclusions:
The incidence rate of biliary complication after liver transplantation was 23%, and there was no difference according to the type of donor and the anastomotic type of biliary tract. (Korean J Gastrointest Endosc 2006;32:94⁣100)

Key Words: Liver transplantation, Complication, Biliary

주요어: 간이식, 합병증, 담즙 유출, 담도 협착