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1/21/2026 9:49:38 AM | Browse: 2 | Download: 1
Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 114662
Country Italy
Received
2025-09-25 02:57
Peer-Review Started
2025-09-25 02:57
First Decision by Editorial Office Director
2025-10-29 09:30
Return for Revision
2025-10-31 13:53
Revised
2025-11-15 16:24
Publication Fee Transferred
Second Decision by Editor
2025-12-24 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-24 09:41
Articles in Press
2025-12-24 09:41
Edit the Manuscript by Language Editor
2025-12-30 23:30
Typeset the Manuscript
2026-01-14 08:31
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 Transplantation
Manuscript Type Minireviews
Article Title Graft bile analysis for predicting post-transplant outcomes: A literature review and a protocol for a novel biomarker
Manuscript Source Invited Manuscript
All Author List Marco Maria Pascale, Jacopo Gervasoni, Giuseppe Bianco, Silvia Persichilli, Lorenzo Ferri, Aniello Primiano, Salvatore Agnes and Andrea Urbani
ORCID
Author(s) ORCID Number
Marco Maria Pascale http://orcid.org/0000-0003-1355-0207
Giuseppe Bianco http://orcid.org/0000-0001-7451-4002
Salvatore Agnes http://orcid.org/0000-0002-3374-4060
Funding Agency and Grant Number
Corresponding Author Marco Maria Pascale, MD, General Surgery and Organ Transplant Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 8 Largo A Gemelli, Rome 00168, Lazio, Italy. marcomaria.pascale@policlinicogemelli.it
Key Words Bile; Biomarkers; Early allograft dysfunction; Tacrolimus; Protocol
Core Tip Early detection of graft dysfunction and rejection after liver transplantation remains challenging. This minireview highlights bile as an organ-specific biofluid directly reflecting hepatocellular and cholangiocyte function. We summarize the biochemical, metabolic, and molecular components of bile as predictive markers of graft viability during machine perfusion and in the perioperative period. Building on these insights, we present a prospective protocol assessing biliary tacrolimus concentration and introducing the blood-bile ratio of tacrolimus as a novel index for early, non-invasive detection of rejection. Integrating bile biomarkers into transplant workflows may enable real-time, graft-specific monitoring and improve post-transplant outcomes.
Publish Date 2026-01-21 09:49
Citation

Pascale MM, Gervasoni J, Bianco G, Persichilli S, Ferri L, Primiano A, Agnes S, Urbani A. Graft bile analysis for predicting post-transplant outcomes: A literature review and a protocol for a novel biomarker. World J Gastrointest Surg 2026; 18(1): 114662

URL https://www.wjgnet.com/1948-9366/full/v18/i1/114662.htm
DOI https://dx.doi.org/10.4240/wjgs.v18.i1.114662
Full Article (PDF) WJGS-18-114662-with-cover.pdf
Manuscript File 114662_Auto_Edited_105605.docx
Answering Reviewers 114662-answering-reviewers.pdf
Audio Core Tip 114662-audio.ogg
Conflict-of-Interest Disclosure Form 114662-conflict-of-interest-statement.pdf
Copyright License Agreement 114662-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 114662-non-native-speakers.pdf
Peer-review Report 114662-peer-reviews.pdf
Scientific Misconduct Check 114662-scientific-misconduct-check.png
Scientific Editor Work List 114662-scientific-editor-work-list.pdf
CrossCheck Report 114662-crosscheck-report.pdf