A unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic strictures
Abstract Background We report our experience of treating anastomotic strictures using a novel type of fully covered metal stent (FCSEMS). This stent, known as the Kaffes Stent, is short-length with an antimigration waist and is easily removable due to long retrieval wires deployed within the duodenu...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | BMC Gastroenterology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12876-020-01479-6 |
| _version_ | 1818882142845796352 |
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| author | Ben Warner Phillip Harrison Muhammad Farman John Devlin David Reffitt Yasser El-Sherif Shirin E. Khorsandi Andreas Prachalias Miriam Cortes Cerisuelo Krish Menon Wayel Jassem Parthi Srinivasan Hector Vilca-Melendez Michael Heneghan Nigel Heaton Deepak Joshi |
| author_facet | Ben Warner Phillip Harrison Muhammad Farman John Devlin David Reffitt Yasser El-Sherif Shirin E. Khorsandi Andreas Prachalias Miriam Cortes Cerisuelo Krish Menon Wayel Jassem Parthi Srinivasan Hector Vilca-Melendez Michael Heneghan Nigel Heaton Deepak Joshi |
| author_sort | Ben Warner |
| collection | DOAJ |
| description | Abstract Background We report our experience of treating anastomotic strictures using a novel type of fully covered metal stent (FCSEMS). This stent, known as the Kaffes Stent, is short-length with an antimigration waist and is easily removable due to long retrieval wires deployed within the duodenum. Methods Sixty-two patients underwent ERCP and Kaffes stent insertion for post-transplant anastomotic strictures following confirmation of a stricture on MRCP. These patients were retrospectively analysed for immediate and long-term stricture resolution, improvement in symptoms and liver function tests (LFTs), stricture recurrence and complication rates. Results Of the 56 patients who had their stent removed at the time of analysis, 54 (96%) had immediate stricture resolution and 42 continued to have long-term resolution (mean follow-up period was 548 days). Of the 16 patients with symptoms of biliary obstruction, 13 had resolution of their symptoms. Overall, there was a significant improvement in LFTs after stent removal compared to before stent insertion. Complication rates were 15% with only one patient requiring biliary reconstruction. Conclusions The Kaffes stent is effective and safe at resolving post liver transplant biliary anastomotic strictures. |
| first_indexed | 2024-12-19T15:13:04Z |
| format | Article |
| id | doaj.art-f9d7e0f0970a4e82b51c0697c926b180 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-19T15:13:04Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-f9d7e0f0970a4e82b51c0697c926b1802022-12-21T20:16:15ZengBMCBMC Gastroenterology1471-230X2020-10-012011610.1186/s12876-020-01479-6A unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic stricturesBen Warner0Phillip Harrison1Muhammad Farman2John Devlin3David Reffitt4Yasser El-Sherif5Shirin E. Khorsandi6Andreas Prachalias7Miriam Cortes Cerisuelo8Krish Menon9Wayel Jassem10Parthi Srinivasan11Hector Vilca-Melendez12Michael Heneghan13Nigel Heaton14Deepak Joshi15Institute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustInstitute of Liver Studies, King’s College Hospital NHS Foundation TrustAbstract Background We report our experience of treating anastomotic strictures using a novel type of fully covered metal stent (FCSEMS). This stent, known as the Kaffes Stent, is short-length with an antimigration waist and is easily removable due to long retrieval wires deployed within the duodenum. Methods Sixty-two patients underwent ERCP and Kaffes stent insertion for post-transplant anastomotic strictures following confirmation of a stricture on MRCP. These patients were retrospectively analysed for immediate and long-term stricture resolution, improvement in symptoms and liver function tests (LFTs), stricture recurrence and complication rates. Results Of the 56 patients who had their stent removed at the time of analysis, 54 (96%) had immediate stricture resolution and 42 continued to have long-term resolution (mean follow-up period was 548 days). Of the 16 patients with symptoms of biliary obstruction, 13 had resolution of their symptoms. Overall, there was a significant improvement in LFTs after stent removal compared to before stent insertion. Complication rates were 15% with only one patient requiring biliary reconstruction. Conclusions The Kaffes stent is effective and safe at resolving post liver transplant biliary anastomotic strictures.http://link.springer.com/article/10.1186/s12876-020-01479-6ERCPAnastomotic stricturesFCSEMSBiliary |
| spellingShingle | Ben Warner Phillip Harrison Muhammad Farman John Devlin David Reffitt Yasser El-Sherif Shirin E. Khorsandi Andreas Prachalias Miriam Cortes Cerisuelo Krish Menon Wayel Jassem Parthi Srinivasan Hector Vilca-Melendez Michael Heneghan Nigel Heaton Deepak Joshi A unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic strictures BMC Gastroenterology ERCP Anastomotic strictures FCSEMS Biliary |
| title | A unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic strictures |
| title_full | A unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic strictures |
| title_fullStr | A unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic strictures |
| title_full_unstemmed | A unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic strictures |
| title_short | A unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic strictures |
| title_sort | unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic strictures |
| topic | ERCP Anastomotic strictures FCSEMS Biliary |
| url | http://link.springer.com/article/10.1186/s12876-020-01479-6 |
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