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Bile Composition as a Diagnostic and Prognostic Tool in Liver Transplantation

  • Isabel M.A. Brüggenwirth
  • , Robert J. Porte
  • , Paulo N. Martins*
  • *Corresponding author for this work
  • University of Massachusetts Medical School
  • University Medical Centre Groningen

Research output: Contribution to journalReview articlePopular

40 Citations (Scopus)

Abstract

Bile secretion and composition reflects the functional status of hepatocytes and cholangiocytes. Bile composition can have a role in the assessment of donor grafts before implantation in the recipient. In addition, changes in bile composition after liver transplantation can serve as a diagnostic and prognostic tool to predict posttransplant complications, such as primary nonfunction, acute cellular rejection, or nonanastomotic biliary strictures. With the popularization of liver machine perfusion preservation in the clinical setting, there is a revisited interest in biliary biomarkers to assess graft viability before implantation. This review discusses current literature on biliary biomarkers that could predict or assess liver graft and bile duct viability. Bile composition offers an exciting and novel perspective in the search for reliable hepatocyte and cholangiocyte viability biomarkers.

Original languageEnglish
Pages (from-to)1177-1187
Number of pages11
JournalLiver Transplantation
Volume26
Issue number9
DOIs
Publication statusPublished - 1 Sept 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
Copyright © 2020 by the American Association for the Study of Liver Diseases.

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