دورية أكاديمية
Long-term outcomes of fully covered self-expandable metal stents for refractory biliary strictures after living donor liver transplantation: a retrospective study at a tertiary center.
| العنوان: | Long-term outcomes of fully covered self-expandable metal stents for refractory biliary strictures after living donor liver transplantation: a retrospective study at a tertiary center. |
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| المؤلفون: | Cho SH; Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea., Lee HS; Department of Internal Medicine, The Catholic University of Korea, Yeouido St. Mary's Hospital, Seoul, Korea., Huh G; Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea., Oh D; Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. dongwook.oh1@gmail.com., Song TJ; Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea., Seo DW; Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea., Lee SK; Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. |
| المصدر: | Surgical endoscopy [Surg Endosc] 2024 Jun; Vol. 38 (6), pp. 3223-3230. Date of Electronic Publication: 2024 Apr 22. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1992- : New York : Springer Original Publication: [Berlin] : Springer International, c1987- |
| مواضيع طبية MeSH: | Liver Transplantation*/adverse effects , Self Expandable Metallic Stents* , Cholestasis*/etiology , Cholestasis*/surgery , Living Donors* , Tertiary Care Centers*, Humans ; Male ; Female ; Middle Aged ; Retrospective Studies ; Treatment Outcome ; Adult ; Constriction, Pathologic/surgery ; Constriction, Pathologic/etiology ; Postoperative Complications/etiology ; Cholangiopancreatography, Endoscopic Retrograde |
| مستخلص: | Background and Aims: Endoscopic multiple plastic stents are an established first-line treatment for anastomotic biliary stricture (ABS) management after liver transplantation (LT). Fully covered self-expandable metallic stents (FCSEMSs) have recently been used with favorable outcomes, but long-term treatment outcomes remain an issue for ABS. We evaluated the long-term outcomes of FCSEMS for the management of refractory ABS after LT. Methods: We reviewed the prospectively collected and maintained endoscopic retrograde cholangiography database at Asan Medical Center to retrieve consecutive post-LT ABS cases that underwent an endoscopic FCSEMS placement between August 2009 and August 2019 after MPS placement failure. Results: A total of 34 patients were enrolled in this study. Technical success had been achieved in all subjects (100%). The median stent placement duration was 3.1 months (IQR 2.7-6.1). Stricture resolution was achieved in 26 patients (clinical success 76.5%, 95% confidence interval 62-91). Early adverse events developed in 3 patients (8.8%), including distal stent migration. Late adverse events occurred in 9 patients (26.5%), including cholangitis (n = 7, 20.6%) and asymptomatic distal stent migration (n = 2, 5.9%). The median follow-up period was 57.9 months (IQR 51.9-64.3). Stricture recurrence occurred in 3 of 26 patients who achieved clinical success (11.5%). Conclusions: FCSEMS placement appears to be an effective and advisable intervention for refractory ABS as it can provide persistent stricture improvement over the long-term. (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Cholangiopancreatography; Cholestasis; Constriction; Endoscopic retrograde; Liver transplantation; Self-expandable metallic stents |
| تواريخ الأحداث: | Date Created: 20240422 Date Completed: 20240529 Latest Revision: 20240529 |
| رمز التحديث: | 20240529 |
| DOI: | 10.1007/s00464-024-10837-4 |
| PMID: | 38649493 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1432-2218 |
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| DOI: | 10.1007/s00464-024-10837-4 |