Diagnostic and therapeutic management algorithm for biliary complications in living liver donors

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dc.authoridOzdemir, Fatih/0000-0003-0292-3602
dc.authoridHarputluoglu, Muhsin Murat Muhip/0000-0002-9415-147X
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridBASKIRAN, ADIL/0000-0002-7536-1631
dc.authoridSARICI, KEMAL BARIŞ/0000-0001-9595-1906
dc.authoridozsay, oguzhan/0000-0001-6291-2652
dc.authorwosidOzdemir, Fatih/ABH-2875-2020
dc.authorwosidHarputluoglu, Muhsin Murat Muhip/ABI-3094-2020
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidBASKIRAN, ADIL/ABI-2356-2020
dc.authorwosidSARICI, KEMAL BARIŞ/ABI-4356-2020
dc.authorwosidSAHIN, TEVFIK TOLGA/W-2539-2017
dc.contributor.authorYilmaz, Sezai
dc.contributor.authorAkbulut, Sami
dc.contributor.authorUsta, Sertac
dc.contributor.authorOzsay, Oguzhan
dc.contributor.authorSahin, Tevfik Tolga
dc.contributor.authorSarici, Kemal Baris
dc.contributor.authorKarabulut, Ertugrul
dc.date.accessioned2024-08-04T20:50:42Z
dc.date.available2024-08-04T20:50:42Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractThis study aimed to demonstrate the efficacy of our diagnostic and therapeutic management algorithm and catheter-assisted (percutaneous transhepatic biliary tract drainage [PTBD] or transanastomotic feeding tube) hepaticojejunostomy (HJ) procedures in living liver donors (LLDs) with biliary complications. Living donor hepatectomy (LDH) was performed between September 2005 and April 2021 in 2 489 LLDs. Biliary complications developed in 220 LLDs (8.8%), 136 of which were male, and the median age was 29 (interquartile range [IQR]: 12) years. Endoscopic sphincterotomy +/- stenting was performed in 132 LLDs, which was unsuccessful in 9 LLDs and required HJ. Overall, 142 LLDs underwent interventional radiologic procedures. Fifteen LLDs with biliary complications underwent HJ (PTBD catheter = 6 and transanastomotic feeding tube = 9) at a median of 44 days (IQR: 82). Following HJ, 14 LLDs did not have any complications throughout the median follow-up period of 1619 days (IQR: 1454). However, percutaneous dilation for HJ anastomotic stricture was performed in one patient. Biliary complications are very common following LDH; therefore, surgeons in the field should have a low threshold to perform HJ for biliary complications that persist after other treatments. Our catheter-assisted HJ techniques demonstrated a high success rate and aided HJ in a hostile abdomen during revisional surgery.en_US
dc.identifier.doi10.1111/tri.14104
dc.identifier.endpage2237en_US
dc.identifier.issn0934-0874
dc.identifier.issn1432-2277
dc.identifier.issue11en_US
dc.identifier.pmid34510566en_US
dc.identifier.scopus2-s2.0-85115831991en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage2226en_US
dc.identifier.urihttps://doi.org/10.1111/tri.14104
dc.identifier.urihttps://hdl.handle.net/11616/100226
dc.identifier.volume34en_US
dc.identifier.wosWOS:000700843200001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherFrontiers Media Saen_US
dc.relation.ispartofTransplant Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectbiliary complicationsen_US
dc.subjecthepaticojejunostomyen_US
dc.subjectliving donor hepatectomyen_US
dc.subjectliving donor liver transplantationen_US
dc.subjectpercutaneous transhepatic biliary tract drainageen_US
dc.titleDiagnostic and therapeutic management algorithm for biliary complications in living liver donorsen_US
dc.typeArticleen_US

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