Abstract
BS is a common biliary complication after OLT. We report our results of endoscopic biliary treatment(ERx)in these pts. Patients and Methods: From 5/88 to 8/99, 121 OLT pts with a choledocho- choledochostomy anastomosis (CDC) were referred for ERCP for cholestasis evaluation. Fifty-five pts (28 men, 27 women; mean age 36.5 yrs, range 9-68) were found to have BS. BS were classified by their location into anastomotic (AS) and nonanastomotic (NAS). NAS were thought to be ischemic in origin. Pts with BS underwent dilation with balloon (4-10 mm) or Soehendra dilators (6-11.5 F) followed by stenting (5-11.5 F). One or more stents were placed with or without endoscopic sphincterotomy. Stent(s) were removed, replaced or upsized at 1-3 month intervals until the stricture diameter achieved approximately 65% of the narrower adjacent duct. The cholangiograms from 25 pts were available to review (pre and post Rx) for the change in parameters. (Table, * p
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