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Publication Name World Journal of Clinical Cases
Manuscript ID 81409
Country China
Category Gastroenterology & Hepatology
Manuscript Type Case Report
Article Title Postoperative jaundice related to UGT1A1 and ABCB11 gene mutations: A case report and literature review
Manuscript Source Unsolicited Manuscript
All Author List Jin-Lian Jiang, Xia Liu, Zhong-Qin Pan, Xiao-Ling Jiang, Jun-Hua Shi, Ya Chen, Yu Yi, Wei-Wei Zhong, Kang-Yan Liu and Yi-Huai He
Funding Agency and Grant Number
Funding Agency Grant Number
Science and Technology Planning Projects of Guizhou Province and Zunyi City QKHJC-ZK[2022]YB642
Science and Technology Planning Projects of Guizhou Province and Zunyi City ZSKH·HZ(2022)344
Science and Technology Planning Projects of Guizhou Province and Zunyi City gzwjkj2021-071
Science and Technology Planning Projects of Guizhou Province and Zunyi City ZMC·YZ[2018]38
Science and Technology Planning Projects of Guizhou Province and Zunyi City ZSKH·HZ[2021]58
Science and Technology Planning Projects of Guizhou Province and Zunyi City ZSKH·HZ[2021]60
General project of Hubei Province and Jingmen City 2021YFYB074
Corresponding Author Yi-Huai He, MD, Director, Department of Infectious Diseases, Affiliated Hospital of Zunyi Medical University, No. 149 Dalian Road, Huichuan District, Zunyi 563000, Guizhou Province, China. 993565989@qq.com
Key Words Cholestasis; Intrahepatic bile duct stones; Postoperative jaundice; adenosine triphosphate-binding cassette subfamily B member 11; Uridine 5’-diphospho-glucuronosyltransferase 1A1; Case report
Core Tip We presented a case of multiple intrahepatic bile duct stones, cholestasis, and progressive jaundice after surgical treatment, which was diagnosed upon the finding of adenosine triphosphate-binding cassette subfamily B member 11 (ABCB11) and uridine 5’-diphospho-glucuronosyltransferase 1A1 (UGT1A1) gene mutation from the genetic study. Since the patient refused to undergo liver transplantation, his postoperative aggravating jaundice was medically managed, but he soon died due to liver failure. The UGT1A1 gene is related to the glucuronidation of indirect bilirubin. Its mutation leads to increased indirect bilirubin, while the ABCB11 gene is involved in bile transport, and its mutation may lead to disturbance of bile acid transport, changes in bile composition, cholestasis, and the formation of intrahepatic bile duct stones. Surgical treatment in such patients may induce exacerbation of cholestasis, and liver transplantation should be the preferred treatment if medical management fails.
Citation Jiang JL, Liu X, Pan ZQ, Jiang XL, Shi JH, Chen Y, Yi Y, Zhong WW, Liu KY, He YH. Postoperative jaundice related to UGT1A1 and ABCB11 gene mutations: A case report and literature review. World J Clin Cases 2023; 11(6): 1393-1402
Received
2022-11-08 03:15
Peer-Review Started
2022-11-08 03:18
To Make the First Decision
Return for Revision
2022-11-24 06:48
Revised
2022-12-07 11:31
Second Decision
2023-02-02 03:12
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief
2023-02-02 05:33
Articles in Press
2023-02-02 05:33
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
2023-02-09 07:19
ISSN 2307-8960 (online)
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/
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