Liu XJ, Li JX, Huang ZX, Chen GW, Li C, Song B. Biliary complications in recipients after living donor liver transplantation: influencing factors and imaging manifestations.
Shijie Huaren Xiaohua Zazhi 2011;
19:2688-2692. [DOI:
10.11569/wcjd.v19.i25.2688]
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Abstract
AIM: To investigate the influencing factors for and imaging manifestations of biliary complications in patients after living donor liver transplantation (LDLT).
METHODS: The imaging data for 119 patients who underwent LDLT at West China Hospital from January 2007 to March 2011 were retrospectively analyzed. All biliary system images were read and analyzed independently by two radiologists.
RESULTS: A total of 119 patients were followed up for 1-18 mo. During the follow-up period, 22 patients developed biliary complications, including 9 cases of cholestasis, 5 cases of cholangitis, 4 cases of stenosis, and 4 cases of bile leakage. Different complications occurred at different time points. Multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) can display cholestasis, cholangitis and biliary stenosis well, and MRI has greater diagnostic value than MDCT. Both methods had limited value in the diagnosis of bile leakage.
CONCLUSION: The influencing factors for biliary complications in recipients after LDLT are diverse. MDCT and MRI have great value in the detection of these complications.
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