Biliary Leak in Post-Liver-Transplant Patients : Is There Any Place for Metal Stent?
المؤلفون المشاركون
Schmitt, Timothy
Gaidhane, Monica R.
Phillips, Melissa
Kahaleh, Michel
Martins, Fernanda P.
المصدر
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-05-01
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Objectives.
Endoscopic management of bile leak after orthotopic liver transplant (OLT) is widely accepted.
Preliminary studies demonstrated encouraging results for covered self-expandable metal stents (CSEMS) in complex bile leaks.
Methods.
Thirty-one patients with post-OLT bile leaks underwent endoscopic temporary placement of CSEMS (3 partially CSEMS , 18 fully CSEMS with fins and 10 fully CSEMS with flare ends) between December 2003 and December 2010.
Long-term clinical success and safety were evaluated.
Results.
Median stent indwelling and follow-up were 89 and 1,353 days for PCSEMS, 102 and 849 for FCSEMS with fins and 98 and 203 for FCSEMS with flare ends.
Clinical success was achieved in 100%, 77.8%, and 70%, respectively.
Postplacement complications: cholangitis (1) and proximal migration (1), both in the FCSEMS with fins.
Postremoval complications were biliary strictures requiring drainage: PCSEMS (1), FCSEMS with fins (6) and with flare ends (1).
There was no significant differences in the FCSEMS groups regarding clinical success, age, gender, leak location, previous treatment, stent indwelling, and complications.
Conclusion.
Temporary placement of CSEMS is effective to treat post-OLT biliary leaks.
However, a high number of post removal biliary strictures occurred especially in the FCSEMS with fins.
CSEMS cannot be recommended in this patient population.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Martins, Fernanda P.& Phillips, Melissa& Gaidhane, Monica R.& Schmitt, Timothy& Kahaleh, Michel. 2012. Biliary Leak in Post-Liver-Transplant Patients : Is There Any Place for Metal Stent?. HPB Surgery،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-490322
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Martins, Fernanda P.…[et al.]. Biliary Leak in Post-Liver-Transplant Patients : Is There Any Place for Metal Stent?. HPB Surgery No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-490322
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Martins, Fernanda P.& Phillips, Melissa& Gaidhane, Monica R.& Schmitt, Timothy& Kahaleh, Michel. Biliary Leak in Post-Liver-Transplant Patients : Is There Any Place for Metal Stent?. HPB Surgery. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-490322
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-490322
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر