Studies on bile duct Injury and the protective role of oxygenated machine perfusion in liver transplantation

Karimian, N., 2017, [Groningen]: University of Groningen. 191 p.

Research output: ThesisThesis fully internal (DIV)

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  • Title and contents

    Final publisher's version, 83.5 KB, PDF document

  • Chapter 1

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  • Chapter 2

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  • Chapter 3

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  • Chapter 4

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  • Chapter 5

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  • Chapter 6

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  • Chapter 7

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  • Chapter 8

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  • Chapter 9

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  • Chapter 10

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  • Chapter 11

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  • Acknowledgements

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  • Complete Thesis

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  • Propositions

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  • Negin Karimian
Bile duct complications, and most importantly non-anastomotic biliary complications (NAS), remain to be a major limiting factor after liver transplantation. Non-anastomotic biliary complications usually occur due to multifocal strictures at intrahepatic or extrahepatic bile ducts and patients present with features of biliary obstruction. In this thesis, we aimed to obtain a better understanding of the origin of bile duct injuries and the potential underlying etiologies that lead to NAS after liver transplantation. Moreover, we investigated the role of oxygenated machine perfusion in improving the quality of organ before transplantation to potentially reduce the development of post-transplantation complications including NAS. In summary, the studies described in this thesis have provided a better understanding of the underlying pathophysiology of bile duct injuries during and after transplantation; Approaches to improve the quality of organ prior to transplantation, prevention of bile duct injuries during organ preservation and a better organ selection for transplantation have been discussed. Moreover, the safety and feasibility of dual hypothermic oxygenated machine perfusion (DHOPE) of DCD liver grafts prior to transplantation has been reported. I hope that the technique of machine perfusion will be used extensively in clinical practice to increase the number of suitable organs for transplantation and expand global access to such a life-saving therapy.
Translated title of the contributionStudies over galwegschade en de beschermende rol van zuurstofrijk machine perfusie bij levertransplantatie.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • Porte, Robert, Supervisor
  • Lisman, Ton, Supervisor
  • Moshage, Han, Assessment committee
  • IJzermans, JNM, Assessment committee, External person
  • Masclee, Ad, Assessment committee, External person
Award date4-Dec-2017
Place of Publication[Groningen]
Print ISBNs978-94-034-0092-1
Electronic ISBNs978-94-034-0091-4
Publication statusPublished - 2017

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