{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T17:38:36Z","timestamp":1694194716475},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,11,27]],"date-time":"2015-11-27T00:00:00Z","timestamp":1448582400000},"content-version":"vor","delay-in-days":57,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Key Discipline and Specialty Foundation of Shanghai Municipal Commission of Health and Family Planning"},{"name":"Key Joint Research Program of Shanghai Health Bureau","award":["2013ZYJB0001"],"award-info":[{"award-number":["2013ZYJB0001"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Digest Diseases"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec><jats:label \/><jats:p>Regeneration of the partial allograft and the growth of children may cause kinking of the biliary tract after pediatric living donor liver transplantation (<jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>), but bile duct kinking after adult <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content> is rarely reported. We herein presented two patients who suffered from anastomotic strictures caused by severe bile duct kinking after <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>. The first patient was a 57\u2010year\u2010old woman with hepatitis <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> virus (<jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>)\u2010related liver cirrhosis, who developed biliary stricture 5 months after receiving right\u2010lobe <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>. Subsequently, endoscopic and percutaneous treatments were attempted, but both failed to solve the problem. The second was a 44\u2010year\u2010old woman also having <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>\u2010related liver cirrhosis. Biliary stricture occurred 14 months after <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>. Likewise, the guide wire failed to pass through the stricture when endoscopic interventions were conducted. Afterwards, both of the two cases underwent reexploration, showing that compensatory hypertrophy of the allografts resulted in kinking and sharp angulation of the bile ducts, and the anastomotic sites were found to be severely stenotic. Finally, re\u2010anastomosis by Roux\u2010en\u2010<jats:styled-content style=\"fixed-case\">Y<\/jats:styled-content> procedure was successfully performed, and long\u2010term stenosis\u2010free survival was achieved in both of them. Our experience suggests that bile duct kinking after <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content> may play a role in the high incidence of anastomotic strictures in adult <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content> recipients, which may also result in the treatment failure of the non\u2010surgical techniques for anastomotic strictures. Re\u2010anastomosis in the form of Roux\u2010en\u2010<jats:styled-content style=\"fixed-case\">Y<\/jats:styled-content> hepaticojejunostomy is an effective surgical option for the treatment of such a condition.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1751-2980.12263","type":"journal-article","created":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T05:03:01Z","timestamp":1433134981000},"page":"610-615","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Bile duct kinking after adult living donor liver transplantation: Case reports and literature review"],"prefix":"10.1111","volume":"16","author":[{"given":"Ping","family":"Wan","sequence":"first","affiliation":[{"name":"Department of Liver Surgery Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University  Shanghai 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