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1/21/2026 9:49:37 AM | Browse: 3 | Download: 17
Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 112906
Country United Kingdom
Received
2025-08-27 10:56
Peer-Review Started
2025-08-27 10:56
First Decision by Editorial Office Director
2025-09-25 03:12
Return for Revision
2025-09-25 03:12
Revised
2025-10-20 19:14
Publication Fee Transferred
Second Decision by Editor
2025-11-11 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-11-11 08:29
Articles in Press
2025-11-11 08:29
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-01-12 02:12
Publish the Manuscript Online
2026-01-21 09:49
ISSN 1948-9366 (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: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Surgery
Manuscript Type Retrospective Study
Article Title Biliary complications following donation after brainstem death liver transplantation
Manuscript Source Invited Manuscript
All Author List Rawan Al-Rubaye, Mohamed Elshaer, Karim R Moawad and Rohit Gaurav
ORCID
Author(s) ORCID Number
Rawan Al-Rubaye http://orcid.org/0000-0002-8831-9539
Mohamed Elshaer http://orcid.org/0000-0003-0916-0951
Karim R Moawad http://orcid.org/0000-0003-3277-3844
Rohit Gaurav http://orcid.org/0000-0003-2822-0331
Funding Agency and Grant Number
Corresponding Author Mohamed Elshaer, FRCS (Gen Surg), MD, Department of Hepato-Pancreato-Biliary and Transplantation Surgery, Cambridge University Hospitals, Addenbrooke’s Hospital, Hills Road, Cambridge cb2 0qq, Cambridgeshire, United Kingdom. mohamed.elshaer@nhs.net
Key Words Biliary stricture; Anastomotic biliary stricture; Biliary complications; Donation after brainstem death; Liver transplant
Core Tip This retrospective study of 366 liver transplant after brainstem death, demonstrates that anastomotic biliary stricture remains a significant complication, occurring in 10.7% of patients. Roux-en-Y hepaticojejunostomy (RYHJ) was associated with significantly lower rates of bile leaks and anastomotic strictures compared to duct-to-duct anastomosis. However, patients undergoing primary RYHJ had higher reoperation and retransplantation rates, primarily due to selection bias, as RYHJ was preferentially performed in patients with complex recipient pathology. Early detection and appropriate management with a stepwise approach—from endoscopic intervention to surgical revision—are crucial for optimising post-transplant outcomes.
Publish Date 2026-01-21 09:49
Citation

Al-Rubaye R, Elshaer M, Moawad KR, Gaurav R. Biliary complications following donation after brainstem death liver transplantation. World J Gastrointest Surg 2026; 18(1): 112906

URL https://www.wjgnet.com/1948-9366/full/v18/i1/112906.htm
DOI https://dx.doi.org/10.4240/wjgs.v18.i1.112906
Full Article (PDF) WJGS-18-112906-with-cover.pdf
Manuscript File 112906_Auto_Edited_061438.docx
Answering Reviewers 112906-answering-reviewers.pdf
Audio Core Tip 112906-audio.m4a
Biostatistics Review Certificate 112906-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 112906-conflict-of-interest-statement.pdf
Copyright License Agreement 112906-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 112906-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 112906-institutional-review-board-statement.pdf
Peer-review Report 112906-peer-reviews.pdf
Scientific Misconduct Check 112906-scientific-misconduct-check.png
Scientific Editor Work List 112906-scientific-editor-work-list.pdf
CrossCheck Report 112906-crosscheck-report.pdf