In recent years the placement of self expanding mechanical stents has been explored. They have the advantage of decreasing interventions into the biliary duct, but little information has been published about this technique to date 17-18. The present study solved 64% of the cases with biliary stents using ERCP. Internal-external biliary drainage was required in four cases, out of which 3 required Roux Y bypasses. Three patients were re-transplanted because of associated hepatic artery thromboses. One patient was re-intervened due to necrosis of the biliary anastomosis and biliary leakage.
En los últimos años se ha explorado la colocación de stents metálicos autoexpandibles con la ventaja de disminuir las intervenciones en la vía biliar, pero con menos publicaciones en este sentido 17, 18.En el presente estudio, 64% de los casos se solucionaron con stent biliar por CPRE, en 4 casos se requirió dren biliar interno-externo de los cuales 3 correspondían a derivación en Y de Roux, 3 pacientes fueron retrasplantados por trombosis de la arteria hepática asociada y solo una paciente se reintervino por necrosis de la anastomosis biliar y fuga biliar.