BACKGROUND: Strictures and concrements are the most common @entity253 following liver transplantation. Endoscopic treatment might not lead to a definitive cure in all @entity1 , especially in strictures involving the biliary bifurcation. The aim of this study was to determine the efficacy and the long-term outcome of hepaticojejunostomy (HJS) for post-transplant @entity253 . MATERIAL AND METHODS: Thirty-seven @entity1 were retrospectively studied for resolving of @entity1448 and the incidence of recurring @entity253 . RESULTS: Surgery was performed because of anastomotic strictures in 11, ischemic strictures at the donor common bile duct in seven, strictures involving the bile duct bifurcation in 10, hepatolithiasis without strictures in one and biliary cast formation diagnosed by endoscopic retrograde cholangiography or T-tube cholangiography in eight @entity1 . @entity1448 instantly improved in 82% of the @entity1 . After a long-term follow-up of median 33 months (range 3-149), 28 of the @entity1 (76%) required no further intervention for recurring @entity253 following HJS. Anastomotic strictures were observed in six (16%), recurring biliary concrements in two @entity1 (5%). CONCLUSION: HJS did prevent recurrent @entity253 in the majority of the @entity1 . We therefore recommend early HJS for complicated post-transplant @entity253 not treatable by a limited number of endoscopic interventions.

Outcome of hepaticojejunostomy for XXXX following liver transplantation.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity253 :: ('MESH:D001660', 'Disease') :: ['biliary obstruction', 'biliary tract obstruction', 'biliary complications'] @entity1448 :: ('MESH:D002779', 'Disease') :: ['cholestasis', 'Cholestasis']
@entity253 :: (MESH:D001660,Disease) :: ['biliary tract obstruction']
