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ERCP is increasingly being used to address posttransplantation biliary problems.
High success rates and short hospitalisation periods, together with few complications make it a well-accepted and integral part of managing complex biliary problems.
The present study is a descriptive retrospective longitudinal study and reviews more than two decades of experience with PTJBI at a single institution, allowing for a more complete assessment of the role of PTJBI in the management of complex biliary problems.
Endoscopic re-treatment was needed in 12 out of 60 (20%) due to recurrent biliary problems.
Endoscopic intervention was required in 12 (20%) of them because of recurrent biliary problems.
The patient recovered well without repair of the cholecystoduodenal fistula and had no biliary problems at two years follow up.
Similar(50)
Biliary tract problems are the most common complications after liver transplantation.
On occasion, it is impossible to perform ERCP with a traditional duodenoscope in patients who have had a Billroth II gastrectomy or hepatojejunostomy, and who now have biliary tract problems.
Because nasobiliary catheters are much longer than biliary stents, problems that impede bile flow, such as tube kinking, are more likely to occur with nasobiliary catheters.
Thus, it is not specific for cases with ectopic biliary drainage problem.
In the literature, there are case reports favoring the utility of endoscopic ultrasound examination and MR cholangio-pancreatography in the diagnosis of ectopic biliary drainage problem [ 10, 19- 21].
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