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Cited by 342

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.

Biliary reconstruction, its complications and management of biliary complications after adult liver transplantation: a systematic review of the incidence, risk factors and outcome: Biliary reconstruction

Akamatsu, Nobuhisa, Sugawara, Yasuhiko, Hashimoto, Daijo·2011·Transplant International

Abstract

Biliary reconstruction remains common in postoperative complications after liver transplantation. A systematic search was conducted on the PubMed database and 61 studies of retrospective or prospective institutional data were eligible for this review. The study comprised a total of 14,359 liver transplantations. The overall incidence of biliary stricture was 13%; 12% among deceased donor liver transplantation (DDLT) patients and 19% among living donor liver transplantation (LDLT) recipients. The overall incidence of biliary leakage was 8.2%, 7.8% among DDLT patients and 9.5% among LDLT recipients. An endoscopic strategy is the first choice for biliary complications; 83% of patients with biliary stricture were treated by endoscopic modalities with a success rate of 57% and 38% of patients with leakage were indicated for endoscopic biliary drainage. T-tube placement was not performed in 82% of duct-to-duct reconstruction. The incidence of biliary stricture was 10% with a T-tube and 13% without a T-tube and the incidence of leakage was 5% with a T-tube and 6% without a T-tube. A preceding bile leak and LDLT procedure are accepted risk factors for anastomotic stricture. Biliary complications remain common, which requires further investigation and the refinement of reconstruction techniques and management strategies.

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Metadata

Authors
Akamatsu, N., Sugawara, Y., & Hashimoto, D.
Venue
Transplant International
Published
2010-12-10
Volume
24
Issue
4
Pages
379-392
ISSN
0934-0874 (ISSN-L)
OpenAlex
W1749093931
Cited by
342
References
37
FWCI
1.75
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Biliary reconstruction, its complications and management of biliary complications after adult liver transplantation: a systematic review of the incidence, risk factors and outcome: Biliary reconstruction. https://app.cochat.ai/papers/10.1111/j.1432-2277.2010.01202.x
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Akamatsu, N., Sugawara, Y., & Hashimoto, D. (2011). Biliary reconstruction, its complications and management of biliary complications after adult liver transplantation: a systematic review of the incidence, risk factors and outcome: Biliary reconstruction. Transplant International. https://doi.org/10.1111/j.1432-2277.2010.01202.x

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