Fully covered metallic stents for anastomotic biliary strictures after living donor liver transplantation.
anastomotic biliary stricture
cholangitis
fully covered self‐expandable metallic stent
living donor liver transplantation
plastic stent
Journal
DEN open
ISSN: 2692-4609
Titre abrégé: DEN Open
Pays: Australia
ID NLM: 9918317682706676
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
received:
13
12
2022
revised:
11
02
2023
accepted:
08
03
2023
medline:
1
4
2023
entrez:
31
3
2023
pubmed:
1
4
2023
Statut:
epublish
Résumé
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. 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. 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. The small number and lack of comparison with other types of FCSEMSs and plastic stents. Intraductal placement of FCSEMSs is useful for treating refractory ABSs after LDLT, although further studies are required with larger sample sizes.
Identifiants
pubmed: 36998348
doi: 10.1002/deo2.225
pii: DEO2225
pmc: PMC10043358
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e225Informations de copyright
© 2023 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society.
Déclaration de conflit d'intérêts
None.
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