Rao HB, Prakash A, Sudhindran S, Venu RP. Biliary strictures complicating living donor liver transplantation: Problems, novel insights and solutions. World J Gastroenterol 2018; 24(19): 2061-2072 [PMID: 29785075 DOI: 10.3748/wjg.v24.i19.2061]
Corresponding Author of This Article
Rama P Venu, FACG, FACP, FASGE, MD, Professor and Head, Department of Gastroenterology, Amrita Institute of Medical Sciences, Ponekkara AIMS PO, Kochi, Kerala 682041, India. ramapvenu@yahoo.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. May 21, 2018; 24(19): 2061-2072 Published online May 21, 2018. doi: 10.3748/wjg.v24.i19.2061
Biliary strictures complicating living donor liver transplantation: Problems, novel insights and solutions
Harshavardhan B Rao, Arjun Prakash, Surendran Sudhindran, Rama P Venu
Harshavardhan B Rao, Arjun Prakash, Rama P Venu, Department of Gastroenterology, Amrita Institute of Medical Sciences, Amrita University, Kochi 682041, India
Surendran Sudhindran, Department of Transplant and Vascular Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi 682041, India
Author contributions: All authors contributed equally to this paper in conception and design of the study, literature review and analysis, and drafting, critical revision, editing and approval of the final version.
Conflict-of-interest statement: All authors declare no potential conflicts of interest in regards to this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Rama P Venu, FACG, FACP, FASGE, MD, Professor and Head, Department of Gastroenterology, Amrita Institute of Medical Sciences, Ponekkara AIMS PO, Kochi, Kerala 682041, India. ramapvenu@yahoo.com
Telephone: +91-974-4314704 Fax: +91-484-2802120
Received: March 28, 2018 Peer-review started: March 29, 2018 First decision: April 19, 2018 Revised: April 28, 2018 Accepted: May 11, 2018 Article in press: May 11, 2018 Published online: May 21, 2018 Processing time: 50 Days and 15.9 Hours
Core Tip
Core tip: Multiple lacunae exist in our current understanding of biliary strictures complicating living donor liver transplantation (LDLT). Although endoscopic management is regarded the mainstay of treatment, results are variable with multiple determinants of success. The definition of these strictures itself may need to be re-examined, from a mere narrowing on imaging studies to a more comprehensive approach which can signify functional impedance to bile flow. This review outlines the current practices of management and endeavours to incorporate novel concepts, such as functionally significant obstructions, endoscopic protocols and outcome definitions, into the wider understanding of endoscopic management for biliary strictures complicating LDLT.
