Common bile duct stenosis caused by chronic pancreatitis after liver transplantation for alcoholic cirrhosis

Transplantation. 1997 Nov 27;64(10):1479-80. doi: 10.1097/00007890-199711270-00019.


Background: The prevalence of chronic pancreatitis in patients with alcoholic cirrhosis ranges from 7% to 11% and is not considered a contraindication for liver transplantation.

Methods: Among 59 liver transplant recipients grafted for alcoholic cirrhosis, we report two observations of common bile duct stenosis due to chronic pancreatitis.

Results: In both cases, pretransplant work-up disclosed no clinical or radiological evidence of chronic pancreatitis. The diagnosis of common bile duct stricture was made 6 and 60 months after liver transplantation. One patient was reoperated upon, and his choledochocholedochostomy was converted into a Rouxen-Y choledochojejunostomy. The second patient experienced metastatic laryngeal carcinoma and died before reoperation.

Conclusions: These observations suggest that common bile duct stricture caused by chronic pancreatitis may occur after liver transplantation for alcoholic cirrhosis, even after a long-standing history of abstinence.

MeSH terms

  • Adult
  • Chronic Disease
  • Common Bile Duct Diseases / pathology*
  • Constriction, Pathologic / etiology
  • Humans
  • Liver Cirrhosis, Alcoholic / surgery
  • Liver Transplantation* / adverse effects
  • Male
  • Middle Aged
  • Pancreatitis / complications*
  • Pancreatitis / epidemiology
  • Prevalence
  • Temperance
  • Time Factors