Biliary tract 2

Question 1

Preferred biliary anastomosis during liver transplantation for PSC?

Answer 1

RnY Choledochojejunostomy (versus duct to duct)

Question 2

Which type of liver graft has increased rates of biliary complications?

Answer 2

Right liver graft > left liver graft

Question 3

Treatment of duct to duct anastomotic structures?

Answer 3

ERCP with balloon dilation to 6-8 mm

Question 4

Causes of non-anastomotic stricture’s after liver transplant?

Answer 4

• ischemia (hepatic artery thrombosis)
  – immunogenic (ABO incompatibility, autoimmune hepatitis, PSE)
  -Donation after cardiac death

Question 5

Sites of biliary leakage after transplant?

Treatment?

Answer 5

Anastomosis, cystic duct remnant, surface of the liver (live donors)

ERCP indicated in all cases of bile leaks after transplant

Question 6

Classification of hilar strictures?

Answer 6

Bismuth