Fully covered metallic stents for anastomotic biliary strictures after living donor liver transplantation
Abstract Objectives Anastomotic biliary strictures (ABSs) are common complications following living donor liver transplantation (LDLT). We evaluated the feasibility of a novel removable, intraductal, fully covered, self‐expandable metallic stent (FCSEMS) for the treatment of ABSs following LDLT. Met...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-04-01
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| Series: | DEN Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/deo2.225 |
| _version_ | 1797837218745679872 |
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| author | Naohiro Komatsu Eisuke Ozawa Masanori Fukushima Hironori Sawase Kazuyoshi Nagata Satoshi Miuma Hisamitsu Miyaaki Akihiko Soyama Masaaki Hidaka Susumu Eguchi Kazuhiko Nakao |
| author_facet | Naohiro Komatsu Eisuke Ozawa Masanori Fukushima Hironori Sawase Kazuyoshi Nagata Satoshi Miuma Hisamitsu Miyaaki Akihiko Soyama Masaaki Hidaka Susumu Eguchi Kazuhiko Nakao |
| author_sort | Naohiro Komatsu |
| collection | DOAJ |
| description | Abstract Objectives Anastomotic biliary strictures (ABSs) are common complications following living donor liver transplantation (LDLT). We evaluated the feasibility of a novel removable, intraductal, fully covered, self‐expandable metallic stent (FCSEMS) for the treatment of ABSs following LDLT. Methods Nine patients with duct‐to‐duct ABSs that developed following LDLT were prospectively enrolled in this study. We placed a short FCSEMS with a long lasso and middle waist formation in each patient's ABS above the papilla and removed it 16 weeks later. Results The FCSEMS placements were successful in all nine cases. Four patients experienced mild cholangitis, which was resolved with conservative treatment. Additionally, there was one case of distal migration. The FCSEMSs were successfully removed from all the patients, and the clinical success rate was 100%. Stricture recurrence occurred in one (11.1%) patient during the follow‐up period. Limitations The small number and lack of comparison with other types of FCSEMSs and plastic stents. Conclusions Intraductal placement of FCSEMSs is useful for treating refractory ABSs after LDLT, although further studies are required with larger sample sizes. |
| first_indexed | 2024-04-09T15:22:19Z |
| format | Article |
| id | doaj.art-3416ac3fa4c747de985ea60908ba2898 |
| institution | Directory Open Access Journal |
| issn | 2692-4609 |
| language | English |
| last_indexed | 2024-04-09T15:22:19Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj.art-3416ac3fa4c747de985ea60908ba28982023-04-29T05:12:57ZengWileyDEN Open2692-46092023-04-0131n/an/a10.1002/deo2.225Fully covered metallic stents for anastomotic biliary strictures after living donor liver transplantationNaohiro Komatsu0Eisuke Ozawa1Masanori Fukushima2Hironori Sawase3Kazuyoshi Nagata4Satoshi Miuma5Hisamitsu Miyaaki6Akihiko Soyama7Masaaki Hidaka8Susumu Eguchi9Kazuhiko Nakao10Department of Gastroenterology and Hepatology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Gastroenterology and Hepatology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Gastroenterology and Hepatology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Gastroenterology and Hepatology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Gastroenterology and Hepatology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Gastroenterology and Hepatology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Gastroenterology and Hepatology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Surgery Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Surgery Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Surgery Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Gastroenterology and Hepatology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanAbstract Objectives Anastomotic biliary strictures (ABSs) are common complications following living donor liver transplantation (LDLT). We evaluated the feasibility of a novel removable, intraductal, fully covered, self‐expandable metallic stent (FCSEMS) for the treatment of ABSs following LDLT. Methods Nine patients with duct‐to‐duct ABSs that developed following LDLT were prospectively enrolled in this study. We placed a short FCSEMS with a long lasso and middle waist formation in each patient's ABS above the papilla and removed it 16 weeks later. Results The FCSEMS placements were successful in all nine cases. Four patients experienced mild cholangitis, which was resolved with conservative treatment. Additionally, there was one case of distal migration. The FCSEMSs were successfully removed from all the patients, and the clinical success rate was 100%. Stricture recurrence occurred in one (11.1%) patient during the follow‐up period. Limitations The small number and lack of comparison with other types of FCSEMSs and plastic stents. Conclusions Intraductal placement of FCSEMSs is useful for treating refractory ABSs after LDLT, although further studies are required with larger sample sizes.https://doi.org/10.1002/deo2.225anastomotic biliary stricturefully covered self‐expandable metallic stentliving donor liver transplantationplastic stentcholangitis |
| spellingShingle | Naohiro Komatsu Eisuke Ozawa Masanori Fukushima Hironori Sawase Kazuyoshi Nagata Satoshi Miuma Hisamitsu Miyaaki Akihiko Soyama Masaaki Hidaka Susumu Eguchi Kazuhiko Nakao Fully covered metallic stents for anastomotic biliary strictures after living donor liver transplantation DEN Open anastomotic biliary stricture fully covered self‐expandable metallic stent living donor liver transplantation plastic stent cholangitis |
| title | Fully covered metallic stents for anastomotic biliary strictures after living donor liver transplantation |
| title_full | Fully covered metallic stents for anastomotic biliary strictures after living donor liver transplantation |
| title_fullStr | Fully covered metallic stents for anastomotic biliary strictures after living donor liver transplantation |
| title_full_unstemmed | Fully covered metallic stents for anastomotic biliary strictures after living donor liver transplantation |
| title_short | Fully covered metallic stents for anastomotic biliary strictures after living donor liver transplantation |
| title_sort | fully covered metallic stents for anastomotic biliary strictures after living donor liver transplantation |
| topic | anastomotic biliary stricture fully covered self‐expandable metallic stent living donor liver transplantation plastic stent cholangitis |
| url | https://doi.org/10.1002/deo2.225 |
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