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.) |
References: | Halliday N, Westbrook RH (2017) Liver transplantation: need, indications, patient selection and pre-transplant care. Br J Hosp Med (Lond) 78:252–259. (PMID: 10.12968/hmed.2017.78.5.25228489446) Akamatsu N, Sugawara Y, Hashimoto D (2011) Biliary reconstruction, its complications and management of biliary complications after adult liver transplantation: a systematic review of the incidence, risk factors and outcome. Transpl Int 24:379–392. (PMID: 10.1111/j.1432-2277.2010.01202.x21143651) Sharma S, Gurakar A, Jabbour N (2008) Biliary strictures following liver transplantation: past, present and preventive strategies. Liver Transpl 14:759–769. (PMID: 10.1002/lt.2150918508368) Williams ED, Draganov PV (2009) Endoscopic management of biliary strictures after liver transplantation. World J Gastroenterol 15:3725–3733. (PMID: 10.3748/wjg.15.3725196730122726449) Tarantino I, Traina M, Mocciaro F, Barresi L, Curcio G, Di Pisa M, Granata A, Volpes R, Gridelli B (2012) Fully covered metallic stents in biliary stenosis after orthotopic liver transplantation. Endoscopy 44:246–250. (PMID: 10.1055/s-0031-129146522354824) Jimenez-Perez M, Melgar Simon JM, Duran Campos A, Gonzalez Grande R, Rodrigo Lopez JM, Manteca Gonzalez R (2016) Endoscopic management of post-liver transplantation biliary strictures with the use of fully covered metallic stents. Transplant Proc 48:2510–2514. (PMID: 10.1016/j.transproceed.2016.09.00827742337) Costamagna G, Tringali A, Mutignani M, Perri V, Spada C, Pandolfi M, Galasso D (2010) Endotherapy of postoperative biliary strictures with multiple stents: results after more than 10 years of follow-up. Gastrointest Endosc 72:551–557. (PMID: 10.1016/j.gie.2010.04.05220630514) Tabibian JH, Asham EH, Han S, Saab S, Tong MJ, Goldstein L, Busuttil RW, Durazo FA (2010) Endoscopic treatment of postorthotopic liver transplantation anastomotic biliary strictures with maximal stent therapy (with video). Gastrointest Endosc 71:505–512. (PMID: 10.1016/j.gie.2009.10.02320189508) Dumonceau JM, Tringali A, Blero D, Deviere J, Laugiers R, Heresbach D, Costamagna G (2012) Biliary stenting: indications, choice of stents and results: European society of gastrointestinal endoscopy (ESGE) clinical guideline. Endoscopy 44:277–298. (PMID: 10.1055/s-0031-129163322297801) Poley JW, Lekkerkerker MN, Metselaar HJ, Kuipers EJ, Bruno MJ (2013) Clinical outcome of progressive stenting in patients with anastomotic strictures after orthotopic liver transplantation. Endoscopy 45:567–570. (PMID: 10.1055/s-0032-132641123580410) Pasha SF, Harrison ME, Das A, Nguyen CC, Vargas HE, Balan V, Byrne TJ, Douglas DD, Mulligan DC (2007) Endoscopic treatment of anastomotic biliary strictures after deceased donor liver transplantation: outcomes after maximal stent therapy. Gastrointest Endosc 66:44–51. (PMID: 10.1016/j.gie.2007.02.01717591473) Bordacahar B, Perdigao F, Leblanc S, Barret M, Duchmann JC, Guillaumot MA, Chaussade S, Scatton O, Prat F (2018) Clinical efficacy of anti-migration features in fully covered metallic stents for anastomotic biliary strictures after liver transplantation: comparison of conventional and anti-migration stents. Gastrointest Endosc 88:655–664. (PMID: 10.1016/j.gie.2018.06.03530003877) Martins FP, De Paulo GA, Contini MLC, Ferrari AP (2018) Metal versus plastic stents for anastomotic biliary strictures after liver transplantation: a randomized controlled trial. Gastrointest Endosc 87:131–140. (PMID: 10.1016/j.gie.2017.04.013) Tal AO, Finkelmeier F, Filmann N, Kylanpaa L, Udd M, Parzanese I, Cantu P, Dechene A, Penndorf V, Schnitzbauer A, Friedrich-Rust M, Zeuzem S, Albert JG (2017) Multiple plastic stents versus covered metal stent for treatment of anastomotic biliary strictures after liver transplantation: a prospective, randomized, multicenter trial. Gastrointest Endosc 86:1038–1045. (PMID: 10.1016/j.gie.2017.03.00928302527) Jang SI, Sung SY, Park H, Lee KH, Joo SM, Lee DK (2017) Salvage therapy using self-expandable metal stents for recalcitrant anastomotic strictures after living-donor liver transplantation. Therap Adv Gastroenterol 10:297–309. (PMID: 10.1177/1756283X16685059282465475305021) Sato T, Kogure H, Nakai Y, Ishigaki K, Hakuta R, Saito K, Saito T, Takahara N, Hamada T, Mizuno S, Tada M, Isayama H, Koike K (2020) A prospective study of fully covered metal stents for different types of refractory benign biliary strictures. Endoscopy 52:368–376. (PMID: 10.1055/a-1111-866632092770) Jang SI, Chung TR, Cho JH, Lee KH, Joo SM, Choi JH, Kim SI, Lee DK (2021) Short fully covered self-expandable metal stent for treatment of proximal anastomotic benign biliary stricture after living-donor liver transplantation. Dig Endosc 33:840–848. (PMID: 10.1111/den.1387133043522) Choi HJ, Moon JH, Lee YN, Kim HS, Choi MH, Lee TH, Cha SW, Cho YD, Park SH, Kim SJ (2016) Evaluation of a newly modified nonflared fully covered metal stent, 12 mm in diameter, for intraductal placement in patients with malignant biliary strictures: a feasibility study. Endoscopy 48:625–631. (PMID: 10.1055/s-0042-10564327110694) Lee TH, Jung MK, Kim TK, Pack CG, Park YK, Kim SO, Park DH (2019) Safety and efficacy of a metal stent covered with a silicone membrane containing integrated silver particles in preventing biofilm and sludge formation in endoscopic drainage of malignant biliary obstruction: a phase 2 pilot study. Gastrointest Endosc 90:663–672. (PMID: 10.1016/j.gie.2019.06.00731220446) Cotton PB, Eisen GM, Aabakken L, Baron TH, Hutter MM, Jacobson BC, Mergener K, Nemcek A Jr, Petersen BT, Petrini JL, Pike IM, Rabeneck L, Romagnuolo J, Vargo JJ (2010) A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest Endosc 71:446–454. (PMID: 10.1016/j.gie.2009.10.02720189503) Shah SA, Grant DR, McGilvray ID, Greig PD, Selzner M, Lilly LB, Girgrah N, Levy GA, Cattral MS (2007) Biliary strictures in 130 consecutive right lobe living donor liver transplant recipients: results of a Western center. Am J Transplant 7:161–167. (PMID: 10.1111/j.1600-6143.2006.01601.x17227565) Kato H, Kawamoto H, Tsutsumi K, Harada R, Fujii M, Hirao K, Kurihara N, Mizuno O, Ishida E, Ogawa T, Fukatsu H, Yamamoto K, Yagi T (2009) Long-term outcomes of endoscopic management for biliary strictures after living donor liver transplantation with duct-to-duct reconstruction. Transpl Int 22:914–921. (PMID: 10.1111/j.1432-2277.2009.00895.x19497069) Wang SF, Huang ZY, Chen XP (2011) Biliary complications after living donor liver transplantation. Liver Transpl 17:1127–1136. (PMID: 10.1002/lt.2238121761548) Inoue T, Suzuki Y, Okumura F, Naitoh I, Sano H, Ibusuki M, Kitano R, Kobayashi Y, Ito K, Yoneda M (2020) Intraductal placement of a fully covered metal stent with a long string for distal malignant biliary obstruction without endoscopic sphincterotomy: prospective multi-center feasibility study. Dig Endosc 32:949–956. (PMID: 10.1111/den.1361431898346) Kovacs N, Pecsi D, Sipos Z, Farkas N, Foldi M, Hegyi P, Bajor J, Eross B, Marta K, Miko A, Rakonczay Z Jr, Sarlos P, Abraham S, Vincze A (2023) Suprapapillary biliary stents have longer patency times than transpapillary stents-a systematic review and meta-analysis. J Clin Med 12:898. (PMID: 10.3390/jcm12030898367695459917857) Kanno Y, Ito K, Nakahara K, Kawaguchi S, Masaki Y, Okuzono T, Kato H, Kuwatani M, Ishii S, Murabayashi T, Hasegawa S, Nagahama M, Iwashita Y, Michikawa Y, Terada S, Kawakami Y, Fujii Y, Kawakubo K (2023) Suprapapillary placement of plastic versus metal stents for malignant biliary hilar obstructions: a multicenter, randomized trial. Gastrointest Endosc 98:211–221. (PMID: 10.1016/j.gie.2023.03.00736907528) Mangiavillano B, Montale A, Frazzoni L, Bianchetti M, Sethi A, Repici A, Fuccio L (2019) Endoscopic biliary self-expandable metallic stent in malignant biliary obstruction with or without sphincterotomy: systematic review and meta-analysis. Endosc Int Open 7:E26-35. (PMID: 10.1055/a-0752-9956306481366327725) Kao D, Zepeda-Gomez S, Tandon P, Bain VG (2013) Managing the post-liver transplantation anastomotic biliary stricture: multiple plastic versus metal stents: a systematic review. Gastrointest Endosc 77:679–691. (PMID: 10.1016/j.gie.2013.01.01523473000) Graziadei IW, Schwaighofer H, Koch R, Nachbaur K, Koenigsrainer A, Margreiter R, Vogel W (2006) Long-term outcome of endoscopic treatment of biliary strictures after liver transplantation. Liver Transpl 12:718–725. (PMID: 10.1002/lt.2064416482553) Gomez CM, Dumonceau JM, Marcolongo M, de Santibanes E, Ciardullo M, Pekolj J, Palavecino M, Gadano A, Davolos J (2009) Endoscopic management of biliary complications after adult living-donor versus deceased-donor liver transplantation. Transplantation 88:1280–1285. (PMID: 10.1097/TP.0b013e3181bb48c219996927) Chok KS, Chan SC, Cheung TT, Sharr WW, Chan AC, Fan ST, Lo CM (2014) A retrospective study on risk factors associated with failed endoscopic treatment of biliary anastomotic stricture after right-lobe living donor liver transplantation with duct-to-duct anastomosis. Ann Surg 259:767–772. (PMID: 10.1097/SLA.0b013e318294d0ce23657086) Kaffes A, Griffin S, Vaughan R, James M, Chua T, Tee H, Dinesen L, Corte C, Gill R (2014) A randomized trial of a fully covered self-expandable metallic stent versus plastic stents in anastomotic biliary strictures after liver transplantation. Therap Adv Gastroenterol 7:64–71. (PMID: 10.1177/1756283X13503614245878193903084) Das R, Slivka A (2020) Fully covered metal stents versus plastic stents: the new kid on the block or the old standby? Gastrointest Endosc 92:1225–1227. (PMID: 10.1016/j.gie.2020.07.02233236994) Khan MA, Baron TH, Kamal F, Ali B, Nollan R, Ismail MK, Tombazzi C, Artifon ELA, Repici A, Khashab MA (2017) Efficacy of self-expandable metal stents in management of benign biliary strictures and comparison with multiple plastic stents: a meta-analysis. Endoscopy 49:682–694. (PMID: 10.1055/s-0043-10986528561199) Visconti TAC, Bernardo WM, Moura DTH, Moura ETH, Gonçalves CVT, Farias GF, Guedes HG, Ribeiro IB, Franzini TP, Luz GO, Dos Santos M, de Moura EGH (2018) Metallic vs plastic stents to treat biliary stricture after liver transplantation: a systematic review and meta-analysis based on randomized trials. Endosc Int Open 6:E914-e923. (PMID: 10.1055/a-0626-7048302589826156748) Cantu P, Tenca A, Parzanese I, Penagini R (2016) Covered metal stents in endoscopic therapy of biliary complications after liver transplantation. Dig Liver Dis 48:836–842. (PMID: 10.1016/j.dld.2016.04.00727238164) Dumonceau JM, Tringali A, Papanikolaou IS, Blero D, Mangiavillano B, Schmidt A, Vanbiervliet G, Costamagna G, Devière J, García-Cano J, Gyökeres T, Hassan C, Prat F, Siersema PD, van Hooft JE (2018) Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017. Endoscopy 50:910–930. (PMID: 10.1055/a-0659-986430086596) |
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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