Biliary Leak in Post-Liver-Transplant Patients : Is There Any Place for Metal Stent?
Joint Authors
Schmitt, Timothy
Gaidhane, Monica R.
Phillips, Melissa
Kahaleh, Michel
Martins, Fernanda P.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-490322