Abstract

The results of our study show the efficacy and safety of the stepwise endoscopic treatment of strictures and lack of biliobiliary anastomoses in most patients. Diagnostic and therapeutic transpapillary interventions after orthotopic liver transplantation include endoscopic retrograde cholangiopancreatography, endoscopic papillosphincterotomy and, in case of necessity, balloon dilatation of the biliobiliary anastomosis along with prosthetics with plastic stents, replacing them with fully covered self-expanding metallic stents 3-6 months later. After analyzing the results of the obtained data, we may draw the following important conclusion that endoscopic retrograde cholangiopancreatography remains a highly effective method of diagnosis and treatment of all biliary complications arising from orthotopic liver transplantation from a living donor.

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