{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:46:40Z","timestamp":1789544800189,"version":"build-2803163510"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":1704,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title\/>\n            <jats:p>Duct-to-duct anastomosis (DDA) and hepaticojejunostomy (HJ) are options for biliary reconstruction in patients undergoing adult-to-adult right lobe living donor liver transplantation (ARLDLT), after which biliary anastomotic stricture (BAS) is common as a complication. The risk factors for BAS are not clearly defined. We aimed to determine the rate of post-ARLDLT BAS in our center and its associated factors. In 265 ARLDLT recipients, 55 (20.8%) developed postoperative BAS. The diagnosis was based on clinical, biochemical, histological, and radiological results. The BAS rates were 21.4% (43\/201) for recipients undergoing DDA during transplantation, 18.9% (10\/53) for recipients undergoing HJ, and 18.2% (2\/11) for recipients undergoing both procedures. BAS and non-BAS patients had comparable demographics. The number of graft bile duct openings (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.516) and the size of the graft's smallest bile duct (5 versus 5 mm, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.4) were not significantly different between BAS and non-BAS patients. Univariate analysis showed that the factors associated with postoperative BAS were the recipient warm ischemia time (55 versus 51 minutes, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.026), graft cold ischemia time (120 versus 108 minutes, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.046), stent use (21.8% versus 7.1%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001), postoperative acute cellular rejection (29.1% versus 11.0%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001), and University of Wisconsin solution use (21.8% versus 7.1%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001). Multivariate analysis showed that the cold ischemia time (odds ratio = 1.012, 95% confidence interval = 1.002-1.023, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.014) and acute rejection (odds ratio = 3.180, 95% confidence interval = 1.606-6.853, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.002) were significant factors. The graft survival rates of BAS and non-BAS patients were comparable. One patient required retransplantation for secondary biliary cirrhosis. In conclusion, BAS remains common after ARLDLT regardless of DDA or HJ. The graft cold ischemia time and postoperative acute cellular rejection are significantly associated with postoperative BAS. Liver Transpl 17:47-52, 2011. \u00a9 2011 AASLD.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.22188","type":"journal-article","created":{"date-parts":[[2010,9,21]],"date-time":"2010-09-21T15:06:28Z","timestamp":1285081588000},"page":"47-52","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":70,"title":["Bile duct anastomotic stricture after adult-to-adult right lobe living donor liver transplantation"],"prefix":"10.1097","volume":"17","author":[{"given":"Kenneth Siu Ho","family":"Chok","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"See Ching","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tan To","family":"Cheung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William Wei","family":"Sharr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert Chi Yan","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung Mau","family":"Lo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheung Tat","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-8-20250124","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1097\/00000658-199709000-00005","article-title":"Adult-to-adult living donor liver transplantation using extended right lobe grafts.","volume":"226","author":"Lo","year":"1997","journal-title":"Ann Surg"},{"key":"R2-8-20250124","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/s12072-009-9148-8","article-title":"Liver transplantation for acute-on-chronic liver failure.","volume":"3","author":"Chan","year":"2009","journal-title":"Hepatol Int"},{"key":"R3-8-20250124","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1097\/00007890-199811270-00008","article-title":"Adult living donor liver transplantation using a right hepatic lobe.","volume":"66","author":"Wachs","year":"1998","journal-title":"Transplantation"},{"key":"R4-8-20250124","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1002\/lt.20693","article-title":"Long-term incidence, risk factors, and management of biliary complications after adult living donor liver transplantation.","volume":"12","author":"Hwang","year":"2006","journal-title":"Liver Transpl"},{"key":"R5-8-20250124","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1111\/j.1600-6143.2010.03017.x","article-title":"Alleviating the burden of small-for-size graft in right liver living donor liver transplantation through accumulation of experience.","volume":"10","author":"Chan","year":"2010","journal-title":"Am J Transplant"},{"key":"R7-8-20250124","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1016\/j.lts.2003.09.014","article-title":"Hepatic venoplasty in right lobe live donor liver transplantation.","volume":"9","author":"Liu","year":"2003","journal-title":"Liver Transpl"},{"key":"R8-8-20250124","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1097\/01.TP.0000046527.19422.3E","article-title":"Hepatic venoplasty in living-donor liver transplantation using right lobe graft with middle hepatic vein.","volume":"75","author":"Lo","year":"2003","journal-title":"Transplantation"},{"key":"R9-8-20250124","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1097\/00000658-200211000-00019","article-title":"Biliary reconstruction and complications of right lobe live donor liver transplantation.","volume":"236","author":"Fan","year":"2002","journal-title":"Ann Surg"},{"key":"R10-8-20250124","first-page":"212","article-title":"Biliary complications after liver transplantation: with special reference to the biliary cast syndrome and techniques of secondary duct repair.","volume":"81","author":"Starzl","year":"1977","journal-title":"Surgery"},{"key":"R11-8-20250124","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1016\/S0016-5085(73)80017-4","article-title":"Liver transplantation in man: the frequency of rejection, biliary tract complications, and recurrence of malignancy based on an analysis of 26 cases.","volume":"64","author":"Williams","year":"1973","journal-title":"Gastroenterology"},{"key":"R12-8-20250124","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1001\/archsurg.139.10.1101","article-title":"Risk factors for biliary complications after liver transplantation.","volume":"139","author":"Qian","year":"2004","journal-title":"Arch Surg"},{"key":"R13-8-20250124","first-page":"369","article-title":"Extension of the adult hepatic allograft pool using split liver transplantation.","volume":"68","author":"Sampietro","year":"2005","journal-title":"Acta Gastroenterol Belg"},{"key":"R14-8-20250124","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1007\/s00534-005-1084-y","article-title":"Endoscopic treatment of biliary complications after right-lobe living-donor liver transplantation with duct-to-duct biliary anastomosis.","volume":"13","author":"Yazumi","year":"2006","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"R15-8-20250124","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1016\/j.transproceed.2005.01.037","article-title":"Use of extended right grafts from in situ split livers in adult liver transplantation: a comparison with whole-liver transplants.","volume":"37","author":"Spada","year":"2005","journal-title":"Transplant Proc"},{"key":"R16-8-20250124","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/j.1600-6143.2006.01601.x","article-title":"Biliary strictures in 130 consecutive right lobe living donor liver transplant recipients: results of a Western center.","volume":"7","author":"Shah","year":"2007","journal-title":"Am J Transplant"},{"key":"R17-8-20250124","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1002\/lt.21509","article-title":"Biliary strictures following liver transplantation: past, present and preventive strategies.","volume":"14","author":"Sharma","year":"2008","journal-title":"Liver Transpl"},{"key":"R18-8-20250124","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1007\/s12072-008-9092-z","article-title":"Biliary complications in liver transplantation.","volume":"2","author":"Chan","year":"2008","journal-title":"Hepatol Int"},{"key":"R19-8-20250124","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1111\/j.1432-2277.2009.00947.x","article-title":"Incidence of and risk factors for ischemic-type biliary lesions following orthotopic liver transplantation.","volume":"23","author":"Heidenhain","year":"2010","journal-title":"Transpl Int"},{"key":"R20-8-20250124","doi-asserted-by":"crossref","first-page":"2569","DOI":"10.1111\/j.1600-6143.2008.02440.x","article-title":"Recipient morbidity after living and deceased donor liver transplantation: findings from the A2ALL Retrospective Cohort Study.","volume":"8","author":"Freise","year":"2008","journal-title":"Am J Transplant"}],"container-title":["Liver Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flt.22188","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01445473-201101000-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T17:03:37Z","timestamp":1737738217000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01445473-201101000-00008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011]]}},"URL":"https:\/\/doi.org\/10.1002\/lt.22188","relation":{},"ISSN":["1527-6465"],"issn-type":[{"value":"1527-6465","type":"print"}],"subject":[],"published":{"date-parts":[[2011,1]]}}}