{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T18:01:12Z","timestamp":1784916072412,"version":"3.55.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bile leaks (BLs) following T-tube removal, while typically not life-threatening, can result in serious complications if diagnosis or treatment is delayed. Endoscopic retrograde cholangiopancreatography (ERCP) is currently the preferred modality for managing such leaks in liver transplantation (LT) recipients. We present a retrospective case series of six LT patients who developed BLs after T-tube removal and were successfully managed using fully covered self-expandable metal stents (FCSEMSs). This report details our clinical experience alongside a review of the existing literature regarding this specific clinical entity.<\/jats:p>","DOI":"10.1093\/jscr\/rjag630","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T17:19:36Z","timestamp":1784913576000},"source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic management of bile leaks following T-tube removal in liver transplant recipients with end-to-end anastomosis using fully covered self-expandable metal stents"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0505-6009","authenticated-orcid":false,"given":"Songming","family":"Ding","sequence":"first","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Shulan International Medical College , No. 848 Dongxin Road, Hangzhou, 310003 ,","place":["P.R. China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Liu","sequence":"additional","affiliation":[{"name":"Endoscopy Center, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Shulan International Medical College , No. 848 Dongxin Road, Hangzhou, 310003 ,","place":["P.R. China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanjie","family":"Dong","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Shulan International Medical College , No. 848 Dongxin Road, Hangzhou, 310003 ,","place":["P.R. China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiting","family":"Hu","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Shulan International Medical College , No. 848 Dongxin Road, Hangzhou, 310003 ,","place":["P.R. China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hengkai","family":"Zhu","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Shulan International Medical College , No. 848 Dongxin Road, Hangzhou, 310003 ,","place":["P.R. China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shusen","family":"Zheng","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Shulan International Medical College , No. 848 Dongxin Road, Hangzhou, 310003 ,","place":["P.R. China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiyong","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Shulan International Medical College , No. 848 Dongxin Road, Hangzhou, 310003 ,","place":["P.R. China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"2026072413193005400_ref1","doi-asserted-by":"publisher","first-page":"101186","DOI":"10.1016\/j.aohep.2023.101186","article-title":"A practical approach to the endoscopic management of biliary strictures after liver transplantation","volume":"29","author":"Bofill","year":"2024","journal-title":"Ann Hepatol"},{"key":"2026072413193005400_ref2","doi-asserted-by":"publisher","first-page":"417","DOI":"10.5009\/gnl14117","article-title":"Endoscopic management of bile leakage after liver transplantation","volume":"9","author":"Oh","year":"2015","journal-title":"Gut Liver"},{"key":"2026072413193005400_ref3","doi-asserted-by":"publisher","first-page":"76","DOI":"10.21037\/hbsn.2019.09.01","article-title":"Biliary complications after liver transplantation: current perspectives and future strategies","volume":"10","author":"Magro","year":"2021","journal-title":"HepatoBiliary Surg Nutr"},{"key":"2026072413193005400_ref4","doi-asserted-by":"publisher","first-page":"606","DOI":"10.4253\/wjge.v7.i6.606","article-title":"Endoscopic management of biliary complications after liver transplantation: an evidence-based review","volume":"7","author":"Mac\u00edas-G\u00f3mez","year":"2015","journal-title":"World J Gastrointest Endosc"},{"key":"2026072413193005400_ref5","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1053\/jlts.2000.8200","article-title":"Endoscopic management of biliary leaks after T-tube removal in liver transplant recipients: Nasobiliary drainage versus biliary stenting","volume":"6","author":"Saab","year":"2000","journal-title":"Liver Transpl"},{"key":"2026072413193005400_ref6","doi-asserted-by":"publisher","first-page":"e14719","DOI":"10.1111\/ctr.14719","article-title":"The role of T-tubes and abdominal drains on short-term outcomes in liver transplantation-a systematic review of the literature and expert panel recommendations","volume":"36","author":"Kalisvaart","year":"2022","journal-title":"Clin Transplant"},{"key":"2026072413193005400_ref7","doi-asserted-by":"publisher","first-page":"1672","DOI":"10.1097\/TP.0b013e3181a5cf3f","article-title":"Orthotopic liver transplantation: T-tube or not T-tube? Systematic review and meta-analysis of results","volume":"87","author":"Sotiropoulos","year":"2009","journal-title":"Transplantation"},{"key":"2026072413193005400_ref8","doi-asserted-by":"publisher","first-page":"1381","DOI":"10.1007\/s13304-021-01019-1","article-title":"An Italian survey on the use of T-tube in liver transplantation: old habits die hard!","volume":"73","author":"Pravisani","year":"2021","journal-title":"Updates Surg"},{"key":"2026072413193005400_ref9","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1097\/SLA.0b013e318286e0a0","article-title":"T-tube or no T-tube in cadaveric orthotopic liver transplantation: the eternal dilemma: results of a prospective and randomized clinical trial","volume":"258","author":"L\u00f3pez-And\u00fajar","year":"2013","journal-title":"Ann Surg"},{"key":"2026072413193005400_ref10","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1080\/17474124.2021.1903874","article-title":"T-tube or no T-tube for biliary tract reconstruction in orthotopic liver transplantation: an updated systematic review and meta-analysis","volume":"15","author":"Song","year":"2021","journal-title":"Expert Rev Gastroenterol Hepatol"},{"key":"2026072413193005400_ref11","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1002\/lt.22070","article-title":"T-tube or No T-tube in the reconstruction of the biliary tract during orthotopic liver transplantation: systematic review and meta-analysis","volume":"16","author":"Riediger","year":"2010","journal-title":"Liver Transpl"},{"key":"2026072413193005400_ref12","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1097\/SLA.0b013e3181bd920a","article-title":"Biliary reconstruction using a side-to-side choledochocholedochostomy with or without T-tube in deceased donor liver transplantation: a prospective randomized trial","volume":"250","author":"Weiss","year":"2009","journal-title":"Ann Surg"},{"key":"2026072413193005400_ref13","doi-asserted-by":"publisher","first-page":"1628","DOI":"10.4240\/wjgs.v13.i12.1628","article-title":"Pediatric T-tube in adult liver transplantation: technical refinements of insertion and removal","volume":"13","author":"Spoletini","year":"2021","journal-title":"World J Gastrointest Surg"},{"key":"2026072413193005400_ref14","doi-asserted-by":"publisher","first-page":"122","DOI":"10.20344\/amp.7287","article-title":"Biliary anastomosis in liver transplantation: with or without T-tube?","volume":"30","author":"Carmelino","year":"2017","journal-title":"Acta Med Port"},{"key":"2026072413193005400_ref15","doi-asserted-by":"publisher","first-page":"2488","DOI":"10.1016\/j.transproceed.2015.09.019","article-title":"Predictors of biliary leakage after T-tube removal in living donor liver transplantation recipients","volume":"47","author":"Wang","year":"2015","journal-title":"Transplant Proc"},{"key":"2026072413193005400_ref16","doi-asserted-by":"publisher","first-page":"61","DOI":"10.14218\/JCTH.2018.00028","article-title":"A review on the management of biliary complications after orthotopic liver transplantation","volume":"7","author":"Moy","year":"2019","journal-title":"J Clin Transl Hepatol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/7\/rjag630\/69962234\/rjag630.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/7\/rjag630\/69962234\/rjag630.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T17:19:37Z","timestamp":1784913577000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag630\/8741564"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":16,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag630","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7]]},"published":{"date-parts":[[2026,7]]},"article-number":"rjag630"}}