{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:42:33Z","timestamp":1753879353900,"version":"3.41.2"},"reference-count":5,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2021,12]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Biliary strictures after living donor liver transplantation (LDLT) are a significant cause of post\u2010transplant morbidity. Endoscopic therapy is usually the first choice of treatment though surgical treatment may provide better biliary drainage.<\/jats:p><\/jats:sec>Methods<\/jats:title>We report a case of LDLT performed in a child for acute liver failure who developed an anastomotic biliary stricture with biliary cast formation. We performed a Roux en Y hepaticojejunostomy to treat the stricture.<\/jats:p><\/jats:sec>Results<\/jats:title>Allograft function improved after surgery with no further episodes of cholangitis. Two months after the surgery, the child passed a large biliary cast in the stools. This reiterates the advantage of wide biliary drainage provided through surgical therapy.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Surgery for biliary strictures following LDLT may provide superior long term biliary drainage\u2010 especially when biliary casts are present.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14115","type":"journal-article","created":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T09:06:42Z","timestamp":1629364002000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Delayed Expulsion of biliary cast after hepaticojejunostomy for post\u2010liver transplantation biliary stricture\u2014better cut than canulate?"],"prefix":"10.1111","volume":"25","author":[{"given":"Sathish Kumar","family":"Krishnan","sequence":"first","affiliation":[{"name":"Department of HPB & Liver Transplantation Institute of Liver Disease & Transplantation Gleneagles Global Health City Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joy","family":"Varghese","sequence":"additional","affiliation":[{"name":"Department of Hepatology & Transplant Hepatology Institute of Liver Disease & Transplantation Gleneagles Global Health City Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajanikanth","family":"Patcha","sequence":"additional","affiliation":[{"name":"Department of HPB & Liver Transplantation Institute of Liver Disease & Transplantation Gleneagles Global Health City Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somashekara","family":"Hosaagrahara Ramakrishna","sequence":"additional","affiliation":[{"name":"Department of Pediatric Hepatology Institute of Liver Disease & Transplantation Gleneagles Global Health City Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7152-0546","authenticated-orcid":false,"given":"Mettu Srinivas","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of HPB & Liver Transplantation Institute of Liver Disease & Transplantation Gleneagles Global Health City Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.23589"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21492"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/liv.12181"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-123705"},{"issue":"3","key":"e_1_2_7_6_1","first-page":"300","article-title":"Biliary cast syndrome: literature review and a single centre experience in liver transplant recipients","volume":"7","author":"Srinivasaiah N","year":"2008","journal-title":"Hepatobiliary Pancreat Dis Int HBPD INT"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.14115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/petr.14115","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.14115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T06:39:37Z","timestamp":1693204777000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.14115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,19]]},"references-count":5,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1111\/petr.14115"],"URL":"https:\/\/doi.org\/10.1111\/petr.14115","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"type":"print","value":"1397-3142"},{"type":"electronic","value":"1399-3046"}],"subject":[],"published":{"date-parts":[[2021,8,19]]},"assertion":[{"value":"2021-06-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14115"}}