Safdar Kamran, Atiq Muslim, Stewart Charmaine, Freeman Martin L
Department of Medicine, University of Minnesota, Minneapolis, MN 55455, USA.
Expert Rev Gastroenterol Hepatol. 2009 Apr;3(2):183-95. doi: 10.1586/egh.09.4.
Biliary tract complications are an important source of morbidity after liver transplantation, and present a challenge to all involved in their care. With increasing options for transplantation, including living donor and split liver transplants, the complexity of these problems is increasing. However, diagnosis is greatly facilitated by modern noninvasive imaging techniques. A team approach, including transplant hepatology and surgery, interventional endoscopy and interventional radiology, results in effective solutions in most cases, such that operative reintervention or retransplantation is rarely required.
胆道并发症是肝移植术后发病的重要原因,对所有参与其治疗的人员构成挑战。随着移植选择的增加,包括活体供肝移植和劈离式肝移植,这些问题的复杂性也在增加。然而,现代非侵入性成像技术极大地促进了诊断。采用团队协作方法,包括移植肝病学和外科、介入内镜和介入放射学,在大多数情况下能产生有效的解决方案,因此很少需要进行手术再次干预或再次移植。