Abstract:

Objective     To explore the characteristic of early changes of liver function in ischemic-type biliary complications(ITBC) after liver transplantation(LT). Methods     Clinical data of 181 patients receiving LT were collected, and results were retrospectively analyzed by follow-up. Early changes of liver function in ITBC were statistically analyzed. Results    26 (14.36%,26/181) liver recipients developed BC, including 11 cases of ischemictype BC, out of which 9（81.82%,9/11）had bad results. Statistical analysis revealed that TBIL,ALT, ALP and r-GT had different increases, and the increases of ALP and r-GT were more obvious. Ischemic-type BC had higher doses of TBIL, ALP and r-GT than other types. ConclusionHigher doses of TBIL,ALP and r-GT at the early phase may be a signal of the occurrence of ITBC, which has a poor prognosis.

Key words: Liver transplantation；Biliary complication，Ischemictype；Liver function