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Pathophysiology and Prevention of Early Bile Duct Injury in Liver Transplantation: The role of the additional In-Situ Bile Duct Flush

Not Applicable
Completed
Conditions
Bile Duct Injury in Liver Transplantation
Biliary complications after liver transplantation
Surgery - Surgical techniques
Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
Registration Number
ACTRN12616000278437
Lead Sponsor
Royal Prince Alfred Transplant Institute
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
65
Inclusion Criteria

All liver donors retrieved with the intent to be transplanted at the ANLTU will be included in the study

Exclusion Criteria

Organ donors who are not eligible for Liver donation

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Clinical development of biliary complications (bile leaks, biliary strictures) . Biliary complications identified from medical records,<br>Operation reports, imaging reports of recipients.[24 months post transplant<br>];Histological Injury in Donor Bile Duct Specimens<br>[At end of cold storage during the backtable procedure.<br>]
Secondary Outcome Measures
NameTimeMethod
To determine whether there is a difference in severity of pretransplant bile duct injury, including peribiliary glands and vascular plexus between the intervention group and control livers[Histological samples are taken at the backtable procedure at the recipient transplant surgery and 10minutes after reperfusion of the liver, before bile duct anastomosis];To clarify the potential role of biliary stem cells in biliary complications after LT [Histological samples are taken at the backtable procedure at the recipient transplant surgery and 10minutes after reperfusion of the liver, before bile duct anastomosis];To determine impact of injury of peribiliary glands in development of post-transplant biliary strictures [12 months post-transplant]
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