Depending on your situation, a T-tube may be placed in the bile duct during surgery which will allow bile to drain into a drainage bag. Bile production will be observed and measured every two hours. If bile production is not normal or changes, tests will be done to determine the cause. One week after surgery, a T-tube cholangiogram will be performed to view the internal bile ducts. If narrowing is present it can sometimes be corrected by an endoscopic procedure.
Surgery is occasionally necessary to correct the problem.
Decreased kidney function Blood tests and urine samples that measure kidney function will be watched closely. Kidney function can be affected by liver disease, and many transplant patients have decreased kidney function even before transplant. Important anti-rejection medications, Cyclosporine and Tacrolimus, can also decrease kidney function. Immediately after surgery, medications will be carefully adjusted to allow your kidneys to function as well as possible. If necessary, dialysis will be performed until your kidneys recover function.