Re: Post Transplant-Bile Duct Complications

[Guest guest]

>

> My husband is one year post liver transplant. ... His ALK Phos

> (300's), ALT and AST ... and Bili (1.5)has been steadily increasing.

> He had a liver biopsy on Wednesday. ...no signs of rejection, but

> shows signs of scarring. They think he has a bile duct issue. They

> are going to to a PTC and watch his bile flow for awhile. Has anyone

> experienced this? Does this mean his PSC could be retuning? Thanks.

I had a PTC four and a half years after my first transplant. I had

been diagnosed with recurrent PSC at that point and needed to get some

internal strictures opened up. Bile was drained externally for about a

week and then the tube was capped off and changed regularly for the

next four years. The liver biopsy suggests rPSC as a possibility, but

it may also be a problem at the junction of the bile ducts and the

roux-en-y loop. Be patient and wait for the results, then do what you

have to.

Tim R