Predictivevalue of noninvasive imaging as a precursor to ERCP in the assessment of early complications post-orthotopic liver transplant (OLT)

Abstract

Abnormal LFTs in post- OLT patients can be multi-factorial. Hepatocellular, vascular causes and biliary duct abnormalities should be considered in the differential diagnosis. Biliary complications including strictures, stones and bile leaks occur in 10-25% of those patients. Ultrasound (US) is often the initial imaging modality. CT scan or MRCP may help further clarify the diagnosis if needed. We sought to determine the diagnostic accuracy and the use of noninvasive imaging in patients with suspected biliary disease after OLT at one tertiary medical center.