Endoscopic Management of Anastomotic Strictures after Liver Transplantation
Endoscopic treatment of biliary strictures involving plastic stent placement has been used widely. The use of self-expandable metal stents (SEMSs) has been described for anastomotic strictures following liver transplantation (LT). This review aimed to assess and compare the efficacy of plastic stent...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2016-09-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2016-130.pdf |
| _version_ | 1827802542764982272 |
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| author | Dong Wook Lee Hyeong Ho Jo Juveria Abdullah Michel Kahaleh |
| author_facet | Dong Wook Lee Hyeong Ho Jo Juveria Abdullah Michel Kahaleh |
| author_sort | Dong Wook Lee |
| collection | DOAJ |
| description | Endoscopic treatment of biliary strictures involving plastic stent placement has been used widely. The use of self-expandable metal stents (SEMSs) has been described for anastomotic strictures following liver transplantation (LT). This review aimed to assess and compare the efficacy of plastic stents with SEMS in LT patients. Information was retrieved regarding technical success, stricture resolution, the number of endoscopic retrograde cholangiography procedures, follow-up, immediate, and late complications. Eight studies involving plastic stents had a stricture resolution rate of 84.5%, with the rates ranging from 63% to 100%. These rates are comparable with the stricture resolution rate of 75% determined from six studies that involved 236 patients who received metal stents and the rates ranged from 53% to 81%. The observed success rate for metal stents used to manage post-LT anastomotic biliary strictures was below the reported rate for multiple plastic stents. Hence, the currently available metal stents should not be offered for the management of post-LT anastomotic biliary strictures. |
| first_indexed | 2024-03-11T20:40:23Z |
| format | Article |
| id | doaj.art-76d48fa0b6a3473893386c011edabd88 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T20:40:23Z |
| publishDate | 2016-09-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-76d48fa0b6a3473893386c011edabd882023-10-02T02:37:31ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432016-09-0149545746110.5946/ce.2016.1306925Endoscopic Management of Anastomotic Strictures after Liver TransplantationDong Wook Lee0Hyeong Ho Jo1Juveria Abdullah2Michel Kahaleh3 Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea Department of Internal Medicine, Weill Cornell Medical College, New York, NY, USA Department of Internal Medicine, Weill Cornell Medical College, New York, NY, USAEndoscopic treatment of biliary strictures involving plastic stent placement has been used widely. The use of self-expandable metal stents (SEMSs) has been described for anastomotic strictures following liver transplantation (LT). This review aimed to assess and compare the efficacy of plastic stents with SEMS in LT patients. Information was retrieved regarding technical success, stricture resolution, the number of endoscopic retrograde cholangiography procedures, follow-up, immediate, and late complications. Eight studies involving plastic stents had a stricture resolution rate of 84.5%, with the rates ranging from 63% to 100%. These rates are comparable with the stricture resolution rate of 75% determined from six studies that involved 236 patients who received metal stents and the rates ranged from 53% to 81%. The observed success rate for metal stents used to manage post-LT anastomotic biliary strictures was below the reported rate for multiple plastic stents. Hence, the currently available metal stents should not be offered for the management of post-LT anastomotic biliary strictures.http://www.e-ce.org/upload/pdf/ce-2016-130.pdfEndoscopic retrograde cholangiographyLiver transplantationBiliary stentingSelf expandable metallic stents |
| spellingShingle | Dong Wook Lee Hyeong Ho Jo Juveria Abdullah Michel Kahaleh Endoscopic Management of Anastomotic Strictures after Liver Transplantation Clinical Endoscopy Endoscopic retrograde cholangiography Liver transplantation Biliary stenting Self expandable metallic stents |
| title | Endoscopic Management of Anastomotic Strictures after Liver Transplantation |
| title_full | Endoscopic Management of Anastomotic Strictures after Liver Transplantation |
| title_fullStr | Endoscopic Management of Anastomotic Strictures after Liver Transplantation |
| title_full_unstemmed | Endoscopic Management of Anastomotic Strictures after Liver Transplantation |
| title_short | Endoscopic Management of Anastomotic Strictures after Liver Transplantation |
| title_sort | endoscopic management of anastomotic strictures after liver transplantation |
| topic | Endoscopic retrograde cholangiography Liver transplantation Biliary stenting Self expandable metallic stents |
| url | http://www.e-ce.org/upload/pdf/ce-2016-130.pdf |
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