Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2025; 17(7): 108148
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.108148
Managements of bile leakage after liver transplantation: Commentary on recent findings
Yi Ding, Yi-Xuan Xing, Nian-Zhe Sun
Yi Ding, Nian-Zhe Sun, Department of Orthopedics, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China
Yi Ding, Department of Pulmonary and Critical Care Medicine, The Second Hospital of Jilin University, Changchun 130041, Jilin Province, China
Yi-Xuan Xing, Department of Emergency, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China
Yi-Xuan Xing, Nian-Zhe Sun, National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China
Co-corresponding authors: Yi-Xuan Xing and Nian-Zhe Sun.
Author contributions: Ding Y, Xing YX, and Sun NZ designed the concept and outline and contributed to the writing and review of literature; Sun NZ was responsible for oversight and coordination; Xing YX and Sun NZ contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors contributed to the editing of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nian-Zhe Sun, MD, PhD, Department of Orthopedics, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Kaifu District, Changsha 410008, Hunan Province, China. sunnzh201921@sina.com
Received: April 7, 2025
Revised: April 26, 2025
Accepted: June 3, 2025
Published online: July 27, 2025
Processing time: 108 Days and 8.4 Hours
Core Tip

Core Tip: Both stent placement and endoscopic nasobiliary drainage are effective in controlling bile leakage after liver transplantation and both have high success rates. They are both minimally invasive procedures that can be tailored to patient-specific factors such as biliary stricture or risk of infection. Recent advances in endoscopic techniques and stent design continue to improve their efficacy and safety, making them the preferred first-line treatment for managing bile leaks after liver transplantation.