ArticlePediatric surgery international2017
Bowel perforation after liver transplantation for biliary atresia: a retrospective study of care in the transition from children to adulthood.
Article in Pediatric surgery international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Liver transplantation for biliary atresia: a systematic review.Pediatric surgery international · 2017Pooled it
- The clinical features and outcomes of acute-on-chronic liver failure in biliary atresia patients on a waiting list for liver transplantation.Pediatric surgery international · 2026Article
- Follow-up of jaundice-free biliary atresia survivors using M2BPGi and APRI in a local hospital.World journal of pediatric surgery · 2026Article
- A retrospective study investigating the risk of graft loss in living donor liver transplant cases where size mismatching is predicted from graft-to-recipient weight ratio.Pediatric surgery international · 2024Article
- The advantages of duct-to-duct biliary reconstruction in pediatric living donor liver transplantation.Pediatric surgery international · 2023Article
- Comparative study of open and laparoscopic Kasai portoenterostomy in children undergoing living donor liver transplantation for biliary atresia.Pediatric surgery international · 2021Review
- Liver Transplantation for Biliary Atresia in Adulthood: Single-Centre Surgical Experience.Journal of clinical medicine · 2021Article
- Extended Adhesion-Sparing Liver Eversion during Kasai Portoenterostomy for Infants with Biliary Atresia.Children (Basel, Switzerland) · 2021Article
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Authors and funding
7 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeWe evaluated the outcomes of liver transplantation (LT) in pediatric and adult patients with biliary atresia (BA). We focused on bowel perforation after LT (BPLT) as the most common surgical complication and analyzed its risk factors.
methodsThis was a retrospective analysis of 70 BA patients who underwent LT. The patients were divided into three groups according to the timing of LT: within the first year of age (Group A), between 1 and 12 years of age (Group B), and after 12 years of age (Group C). The outcomes of LT and the clinical presentations of BPLT were compared. The surgical variables of patients with and without BPLT were analyzed to assess the risk factors.
resultsThe timing of LT did not affect patient survival. The incidence of BPLT was significantly higher in Group C. In Group C, BPLT progressed to severe peritonitis. No cases of BPLT-associated mortality were observed. A multivariate analysis revealed that a prolonged operative time for LT was an independent risk factor (p = 0.03).
conclusionThe clinical course after transplantation was complicated after adolescence. BPLT should be strongly suspected and relaparotomy should be performed in a timely manner for patients undergoing LT after adolescence.
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