Covered Metal Stents for the Treatment of Biliary Complications after Orthotopic Liver Transplantation

García-Pajares, Félix; Sánchez-Antolín, Gloria; Pelayo, Sara Lorenzo; Cuesta, Sara Gómez de la; Bachiller, María Teresa Herranz; Pérez-Miranda, Manuel; Serna, Carlos De La; Sande, M.A. Vallecillo; Alcaide, Noelia; Llames, R. Velicia; Pacheco, David; Caro-Patón, A.

doi:10.1016/j.transproceed.2010.07.084

Cited by 56 publications

(37 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…High success rates of 79% to 100% were reported after median follow-up periods of 10 to 21.7 months. 11,[20][21][22][23] The rates of AS recurrence were low, ranging from 5% to 11%. Recurrences were described from as early as 3 months after stent removal to as late as 12 to 18 months.…”

Section: Treatment Of Transplantation Bbssmentioning

confidence: 96%

“…Again, lower success rates are observed in the subset of CP patients (46%-75%) versus post-OLT patients (79%-100%). [11][12][13][20][21][22][23] When comparing FCSEMS with PS data, it should be noted that in FCSEMS studies, balloon dilation and plastic stenting previously had already failed in most patients.…”

Section: Comparison With Ps Datamentioning

confidence: 99%

“…7,11,12,20,25,27,28,30,31 Although much variation exists between studies, the most common adverse events described include periprocedural pancreatitis, cholangitis, pain, secondary strictures, and stent migration. Stent migration is discussed separately in the following.…”

Section: Safety and Removabilitymentioning

confidence: 99%

“…12,13,20,31 The pain is likely related to the initial rapid dilation of the stent and resolves in the vast majority of cases within 48 hours. 31 This usually responds well to analgesia such as acetaminophen, nonsteroidal anti-inflammatory drugs, and opiates; however, rarely stent removal may be required.…”

Section: Safety and Removabilitymentioning

confidence: 99%

See 3 more Smart Citations

Fully covered self-expandable metal stents for treatment of benign biliary strictures

Kaffes

Liu

2013

Gastrointestinal Endoscopy

View full text Add to dashboard Cite

Section: Treatment Of Transplantation Bbssmentioning

confidence: 96%

Section: Comparison With Ps Datamentioning

confidence: 99%

Section: Safety and Removabilitymentioning

confidence: 99%

Section: Safety and Removabilitymentioning

confidence: 99%

See 2 more Smart Citations

Fully covered self-expandable metal stents for treatment of benign biliary strictures

Kaffes

Liu

2013

Gastrointestinal Endoscopy

View full text Add to dashboard Cite

“…PCSEMS OLT 2 52.60 García-Pajares [27] sible for the leak when it is present in the extrahepatic bile duct. Most leaks arise from the cystic duct stump, Luschka biliary branch or anastomosis in the bile duct.…”

mentioning

confidence: 99%

Use of fully covered self-expanding metal stents in benign biliary diseases

García-Cano

2012

WJGE

View full text Add to dashboard Cite

Biliary fully covered self-expanding metal stents (FC-SEMS) are now being used to treat several benign biliary conditions. Advantages include small predeployment and large postexpansion diameters in addition to an easy insertion technique. Lack of imbedding of the metal into the bile duct wall enables removability. In benign biliary strictures that usually require multiple procedures, despite the substantially higher cost of FCSEMS compared with plastic stents, the use of FC-SEMS is offset by the reduced number of endoscopic retrograde cholangiopancreatography interventions required to achieve stricture resolution. In the same way, FCSEMS have also been employed to treat complex bile leaks, perforation and bleeding after endoscopic biliary sphincterotomy and as an aid to maintain permanent drainage tracts obtained by means of Endoscopic Ultrasound-guided biliary drainage. Good success rates have been achieved in all these conditions with an acceptable number of complications. FCSEMS were successfully removed in all patients. Comparative studies of FCSEMS and plastic stents are needed to demonstrate efficacy and cost-effectiveness

show abstract

Endoscopic Management of Benign Biliary Strictures After Liver Transplantation

et al. 2019

View full text Add to dashboard Cite

Biliary strictures represent some of the most frequent complications encountered after orthotopic liver transplantation. They comprise an array of biliary abnormalities with variations in anatomical location, clinical presentation, and different pathogenesis. Magnetic resonance cholangiography represents the most accurate noninvasive imaging test that can provide detailed imaging of the whole biliary system—below and above the anastomosis. It is of particular value in those harboring complex hilar or intrahepatic strictures, offering a detailed roadmap for planning therapeutic procedures. Endoscopic therapy of biliary strictures usually requires biliary sphincterotomy plus balloon dilation and stent placement. However, endoscopic management of nonanastomotic biliary strictures is much more complex and challenging as compared with anastomotic biliary strictures. The present article is a narrative review presenting the results of endoscopic treatment of biliary strictures occurring after liver transplantation, describing the different strategies based on the nature of the stricture and summarizing their outcomes.

show abstract

Covered Metal Stents for the Treatment of Biliary Complications after Orthotopic Liver Transplantation

Cited by 56 publications

References 9 publications

Fully covered self-expandable metal stents for treatment of benign biliary strictures

Fully covered self-expandable metal stents for treatment of benign biliary strictures

Use of fully covered self-expanding metal stents in benign biliary diseases

Endoscopic Management of Benign Biliary Strictures After Liver Transplantation

Contact Info

Product

Resources

About