[Causes and management of XXXX after orthotopic liver transplantation].

@entity1 @entity66 @entity2806 @entity75 @entity253 @entity99
OBJECTIVE: To discuss the causes, diagnosis, prophylaxis and treatment of @entity2806 ( @entity2806 ) following orthotopic liver transplantation (OLT). METHODS: A retrospective analysis was performed for 326 OLT @entity1 from January 2002 to January 2009. The post-OLT etiological factors and treatment of ITBL cases were analyzed. RESULTS: ITBL occurred in 23 @entity1 (7.05%). It included @entity253 (n=9), @entity75 (n=12) and diffuse extrahepatic and @entity253 (n=2). Through a COX regression, the risk factors were independently associated with ITBL serious @entity99 as the @entity66 (RR: 3.204; P=0.014) and cold donor ischemic time beyond 11.5 hours (RR: 4.895; P=0.000). All ITBL @entity1 underwent drug therapy, endoscopy (n=10), operation (n=6) or re-OLT (n=7). And improvement was found in 17 @entity1 . CONCLUSION: Avoiding too long old ischemic time of donor liver and carefully evaluating the indications of recipients are effective preventive measures of ITBL. It is crucial to select a proper treatment according to the conditions of each individual @entity1 .
