{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:08:37Z","timestamp":1786118917852,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T00:00:00Z","timestamp":1535068800000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T00:00:00Z","timestamp":1533081600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:p>\n                    Bile duct size discrepancy in liver transplantation may increase the risk of biliary complications (BCs). The aim of this study was to evaluate the safety and outcomes of the eversion bile duct anastomosis technique in deceased donor liver transplantation (DDLT) with duct\u2010to\u2010duct anastomosis. A total of 210 patients who received a DDLT with duct\u2010to\u2010duct anastomosis from 2012 to 2017 were divided into 2 groups: those who had eversion bile duct anastomosis (n = 70) and those who had standard bile duct anastomosis (n = 140). BC rates were compared between the 2 groups. There was no difference in the cumulative incidence of biliary strictures (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.20) and leaks (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.17) between the 2 groups. The BC rate in the eversion group was 14.3% and 11.4% in the standard anastomosis group. All the BCs in the eversion group were managed with endoscopic stenting. A severe size mismatch (\u22653:1 ratio) was associated with a significantly higher incidence of biliary strictures (44.4%) compared with a 2:1 ratio (8.2%;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.002). In conclusion, the use of the eversion technique is a safe alternative for bile duct discrepancy in DDLT. However, severe bile duct size mismatch may be a risk factor for biliary strictures with such a technique.\n                  <\/jats:p>","DOI":"10.1002\/lt.25075","type":"journal-article","created":{"date-parts":[[2018,4,10]],"date-time":"2018-04-10T23:26:03Z","timestamp":1523402763000},"page":"1011-1018","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Eversion Bile Duct Anastomosis: A Safe Alternative for Bile Duct Size Discrepancy in Deceased Donor Liver Transplantation"],"prefix":"10.1097","volume":"24","author":[{"given":"Pilar","family":"Leal\u2010Leyte","sequence":"first","affiliation":[{"name":"Simmons Transplant Institute, Baylor University Medical Center,Dallas,TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg J.","family":"McKenna","sequence":"additional","affiliation":[{"name":"Simmons Transplant Institute, Baylor University Medical Center,Dallas,TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard M.","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Simmons Transplant Institute, Baylor University Medical Center,Dallas,TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany L.","family":"Anthony","sequence":"additional","affiliation":[{"name":"Simmons Transplant Institute, Baylor University Medical Center,Dallas,TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna","family":"Saracino","sequence":"additional","affiliation":[{"name":"Simmons Transplant Institute, Baylor University Medical Center,Dallas,TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuliano","family":"Testa","sequence":"additional","affiliation":[{"name":"Simmons Transplant Institute, Baylor University Medical Center,Dallas,TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Goran B.","family":"Klintmalm","sequence":"additional","affiliation":[{"name":"Simmons Transplant Institute, Baylor University Medical Center,Dallas,TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"T. W. Kim","sequence":"additional","affiliation":[{"name":"Simmons Transplant Institute, Baylor University Medical Center,Dallas,TX"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,8,24]]},"reference":[{"key":"lt25075-bib-0001-20240115","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1111\/j.1432-2277.2010.01202.x","article-title":"Biliary reconstruction, its complications and management of biliary complications after adult liver transplantation: a systematic review of the incidence, risk factors and outcome","volume":"24","year":"2011","journal-title":"Transpl Int"},{"key":"lt25075-bib-0002-20240115","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/j.transproceed.2012.05.008","article-title":"Biliary complications after orthotopic liver transplantation: a review of incidence and risk factors","volume":"44","year":"2012","journal-title":"Transplant 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transplantation: impact of anastomotic technique and ischemic time on short\u2010 and long\u2010term outcome","volume":"5","year":"2015","journal-title":"World J Transplant"},{"key":"lt25075-bib-0010-20240115","first-page":"2472","article-title":"Analysis of biliary complications following orthotopic liver transplantation","volume":"21","year":"1989","journal-title":"Transplant Proc"},{"key":"lt25075-bib-0011-20240115","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1007\/s00534-010-0346-5","article-title":"Systematic review and meta\u2010analysis of biliary reconstruction techniques in orthotopic deceased donor liver transplantation","volume":"18","year":"2011","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"lt25075-bib-0012-20240115","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1046\/j.1365-2168.1999.01073.x","article-title":"Prospective randomized trial of end\u2010to\u2010end versus side\u2010to\u2010side biliary reconstruction after orthotopic liver 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