Gut Barrier Disruption Secondary to Radiofrequency-Assisted Liver Parenchyma Resection in a Porcine Model

Ypsilantis, Petros; Lambropoulou, María; Karayiannakis, Anastasios J.; Zacharoulis, Dimitrios; Passos, Ioannis; Smyrlis, Christos; Charisis, Christos; Ypsilantis, Konstantinos; Pitiakoudis, Michail

doi:10.1007/s11605-022-05370-5

Cited by 1 publication

(1 citation statement)

References 30 publications

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“…Therefore, it is possible that a pure laparoscopic living donor liver transplantation, when performed in appropriate candidates by an experienced transplantation team, might lead to improved patient outcomes through attenuation of gut barrier injury [ 38 ]. Also, another experimental study exhibited that radiofrequency-assisted hepatic resection could mitigate the histologic alterations and immune system dysregulation in the intestinal mucosa resulting from the procedure and help maintain gut barrier homeostasis [ 39 ].…”

Section: Methodsmentioning

confidence: 99%

The role of gut barrier dysfunction in postoperative complications in liver transplantation: pathophysiological and therapeutic considerations

Assimakopoulos,

Bhagani,

Aggeletopoulou

et al. 2024

Infection

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Purpose Gut barrier dysfunction is a pivotal pathophysiological alteration in cirrhosis and end-stage liver disease, which is further aggravated during and after the operational procedures for liver transplantation (LT). In this review, we analyze the multifactorial disruption of all major levels of defense of the gut barrier (biological, mechanical, and immunological) and correlate with clinical implications. Methods A narrative review of the literature was performed using PubMed, PubMed Central and Google from inception until November 29th, 2023. Results Systemic translocation of indigenous bacteria through this dysfunctional barrier contributes to the early post-LT infectious complications, while endotoxin translocation, through activation of the systemic inflammatory response, is implicated in non-infectious complications including renal dysfunction and graft rejection. Bacterial infections are the main cause of early in-hospital mortality of LT patients and unraveling the pathophysiology of gut barrier failure is of outmost importance. Conclusion A pathophysiology-based approach to prophylactic or therapeutic interventions may lead to enhancement of gut barrier function eliminating its detrimental consequences and leading to better outcomes for LT patients.

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Section: Methodsmentioning

confidence: 99%