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Optimal drainage of anastomosis stricture after living donor liver transplantation

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dc.contributor.author박승우-
dc.contributor.author박정엽-
dc.contributor.author방승민-
dc.contributor.author성민제-
dc.contributor.author송시영-
dc.contributor.author이희승-
dc.contributor.author정문재-
dc.contributor.author조중현-
dc.contributor.author주동진-
dc.date.accessioned2021-12-28T16:47:37Z-
dc.date.available2021-12-28T16:47:37Z-
dc.date.issued2021-11-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/186800-
dc.description.abstractBackground: Endoscopic biliary stenting (EBS) with a fully covered, self-expandable metallic stent (FC-SEMS) and plastic stent (PS) is safe and efficient for biliary anastomotic strictures (ASs) after a deceased donor liver transplantation. Limited studies have investigated the use of FC-SEMSs for biliary strictures post-living donor liver transplantation (LDLT). We compared the resolution rate of biliary ASs post-LDLT and the 12-month recurrence rates post-stent removal between EBS with an FC-SEMS, PS, and percutaneous transhepatic biliary drainage (PTBD). Methods: Patients with biliary ASs after an LDLT (mean age: 57.3 years, 76.1% men) hospitalized between 2014 and 2017 were enrolled. Endoscopic retrograde cholangiopancreatography (ERCP) was repeated every 3-4 months. Patients were followed-up for at least 1-year post-stent removal. Results: Of the 75 patients enrolled, 16, 20, and 39 underwent EBS with an FC-SEMS, PS, and PTBD, respectively. Median follow-up period was 39.2 months. Fewer ERCP procedures were needed in the FC-SEMS group than in the PS group (median, 2 vs. 3; P = 0.20). Median stent indwelling periods were 4.7, 9.3, and 5.4 months in the FC-SEMS, PS, and PTBD groups, respectively (P = 0.006). The functional resolution rate was lower in the PS group (16/20) than in the FC-SEMS (16/16) or PTBD (39/39) group (P = 0.005). The radiologic resolution rate was higher in the FC-SEMS group (16/16) than in the PS group (14/20) (P = 0.07). The 12-month recurrence rates showed no significant differences (FC-SEMS, 4/16; PS, 3/16; PTBD, 6/39; P = 0.66). The rates of complications during treatment differed significantly between the groups (P = 0.04). Stent migration occurred in 1 (6.3%) and 5 (25.0%) patients in the FC-SEMS and PS groups, respectively (P = 0.59). Conclusions: EBS with an FC-SEMS is comparable with EBS with a PS or PTBD in terms of biliary stricture resolution and 12-month recurrence rates. The use of FC-SEMSs is potentially effective and safe for biliary AS resolution after LDLT.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAnastomosis, Surgical / adverse effects-
dc.subject.MESHCholangiopancreatography, Endoscopic Retrograde-
dc.subject.MESHCholestasis* / etiology-
dc.subject.MESHCholestasis* / surgery-
dc.subject.MESHConstriction, Pathologic / etiology-
dc.subject.MESHConstriction, Pathologic / surgery-
dc.subject.MESHDrainage-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLiver Transplantation* / adverse effects-
dc.subject.MESHLiving Donors-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHStents-
dc.subject.MESHTreatment Outcome-
dc.titleOptimal drainage of anastomosis stricture after living donor liver transplantation-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorMin Je Sung-
dc.contributor.googleauthorJung Hyun Jo-
dc.contributor.googleauthorHee Seung Lee-
dc.contributor.googleauthorJeong Youp Park-
dc.contributor.googleauthorSeungmin Bang-
dc.contributor.googleauthorSeung Woo Park-
dc.contributor.googleauthorSi Young Song-
dc.contributor.googleauthorDong Jin Joo-
dc.contributor.googleauthorMoon Jae Chung-
dc.identifier.doi10.1007/s00464-021-08456-4-
dc.contributor.localIdA01551-
dc.contributor.localIdA01647-
dc.contributor.localIdA01786-
dc.contributor.localIdA05975-
dc.contributor.localIdA02035-
dc.contributor.localIdA03349-
dc.contributor.localIdA03602-
dc.contributor.localIdA03912-
dc.contributor.localIdA03948-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid33796905-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00464-021-08456-4-
dc.subject.keywordAnastomotic biliary stricture-
dc.subject.keywordEndoscopic biliary stenting-
dc.subject.keywordIntra-ductal fully covered self-expanding metal stent-
dc.subject.keywordPercutaneous transhepatic drainage-
dc.subject.keywordPlastic stent-
dc.contributor.alternativeNamePark, Seung Woo-
dc.contributor.affiliatedAuthor박승우-
dc.contributor.affiliatedAuthor박정엽-
dc.contributor.affiliatedAuthor방승민-
dc.contributor.affiliatedAuthor성민제-
dc.contributor.affiliatedAuthor송시영-
dc.contributor.affiliatedAuthor이희승-
dc.contributor.affiliatedAuthor정문재-
dc.contributor.affiliatedAuthor조중현-
dc.contributor.affiliatedAuthor주동진-
dc.citation.volume35-
dc.citation.number11-
dc.citation.startPage6307-
dc.citation.endPage6317-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.35(11) : 6307-6317, 2021-11-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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