Clinical outcome of endoscopic covered metal stenting for resolution of benign biliary stricture: Systematic review and meta‐analysis

Zheng, Xiaojing; Wu, Jun; Sun, Bo; Wu, Yechen; Bo, Zhiyuan; Wan, Wei Keat; Gao, Dao‐jian; Hu, Bing

doi:10.1111/den.12742

Cited by 34 publications

(32 citation statements)

References 58 publications

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“…Since that time, a large amount of retrospective clinical experience accrued using covered metal stents for a variety of benign biliary diseases in humans (2,3). These studies confirmed the animal studies showing that as long as the covering remained intact, the stents were removable.…”

mentioning

confidence: 65%

Plastic stents or covered self-expandable metal stents for benign biliary strictures: same song, different verse?

Baron¹,

Grimm²

2016

Hepatobiliary Surg. Nutr.

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mentioning

confidence: 65%

Plastic stents or covered self-expandable metal stents for benign biliary strictures: same song, different verse?

Baron¹,

Grimm²

2016

Hepatobiliary Surg. Nutr.

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“…Indeed, only one patient experienced biliary stricture recurrence after stent removal using our criteria. In this setting, temporal placement of a fully covered self‐expandable metal stent may have the potential to relieve biliary strictures with a smaller number of procedures and lower costs . For post‐DDLT biliary strictures, studies support the use of a metal stent at an early post‐operative period (approximately, 1 month after DDLT) .…”

Section: Discussionmentioning

confidence: 99%

Long‐term outcomes of endoscopic treatment for duct‐to‐duct anastomotic strictures after living donor liver transplantation

Shimoda

Kogure

Nakai

et al. 2019

Liver International

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Background and aims:The anastomotic biliary stricture is a clinically important complication after living donor liver transplantation (LDLT) with a duct-to-duct anastomosis. Although endoscopic management of post-LDLT biliary strictures using balloon dilation (BD) and plastic stents (PSs) has provided acceptable short-term outcomes, long-term outcomes and prognostic factors for treatment success remain unclear. Methods:We included 96 patients with post-LDLT biliary strictures who were endoscopically managed between 2003 and 2016. BD was utilized as a first-line treatment strategy, and PS placement was carried out for refractory cases. Potential prognostic factors for biliary stricture resolution were analysed using logistic regression analyses.Results: Endoscopic treatment was technically successful in 84 patients (87.5%). The overall rate of biliary stricture resolution was 44.8% (43 of 96 patients) with a median follow-up duration of 90.9 months (interquartile range, 30.9-122.3 months). Bile duct kinking was associated with a lower rate of biliary stricture resolution (odds ratio, 0.33; 95% confidence interval, 0.13-0.87). After successful endoscopic treatment, biliary strictures recurred in 22 patients (57.9%) after BD, and in one patient (4%) after PS treatment. Conclusions: Despite a high technical success rate, endoscopic treatment only provided a low rate of resolution of anastomotic biliary strictures among LDLT patients and required prolonged treatment duration. Alternative strategies including the use of a covered metal stent should be evaluated to further improve the treatment outcomes of post-LDLT biliary strictures, particularly in those accompanied by the bile duct kinking. K E Y W O R D S benign biliary stricture, bile duct kinking, endoscopic retrograde cholangiopancreatography, inside stent, predictive factors | 1955 SATO eT Al.

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“…In general, multiple plastic stent implantation is recommended for treating benign biliary strictures, 36 and the number of reports on FCSEMS implantation has recently increased. Zheng et al 37 performed systematic review and meta-analysis, reported that placement of CSEMS was effective in the treatment of benign biliary stricture with relatively short stenting duration and low long-term stricture recurrence rate. Martins et al 38 compared CSEMS and multiple PSs, with 64 patients in each group, for treating biliary anastomotic strictures after liver transplantation.…”

Section: Endoscopic Therapy For Benign Biliary Stricturementioning

confidence: 99%

Recent innovations in therapeutic endoscopy for pancreatobiliary diseases

Irisawa¹,

Miyoshi

Itoi

et al. 2019

Digestive Endoscopy

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The development of endoscopic treatment for pancreatobiliary diseases in recent years is remarkable. In addition to conventional transpapillary treatments under endoscopic retrograde cholangiopancreatography (ERCP), new endoscopic ultrasound‐guided therapy is being developed and implemented. On the other hand, due to the development/improvement of various devices such as new metal stents, a new therapeutic strategy under ERCP is also advocated. The present review focuses on recent advances in the endoscopic treatment of pancreatic pseudocysts, walled‐off necrosis, malignant biliary strictures, and benign biliary/pancreatic duct strictures.

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Clinical outcome of endoscopic covered metal stenting for resolution of benign biliary stricture: Systematic review and meta‐analysis

Abstract: Placement of CSEMS is effective in the treatment of benign biliary stricture with relatively short stenting duration and low long-term stricture recurrence rate. However, more prospectively randomized studies are required to confirm the results.

Cited by 34 publications

References 58 publications

Plastic stents or covered self-expandable metal stents for benign biliary strictures: same song, different verse?

Plastic stents or covered self-expandable metal stents for benign biliary strictures: same song, different verse?

Long‐term outcomes of endoscopic treatment for duct‐to‐duct anastomotic strictures after living donor liver transplantation

Recent innovations in therapeutic endoscopy for pancreatobiliary diseases

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