Display options
Cite
Aparício DPDS, Otoch JP, Montero EFS, et al. Endoscopic approach for management of biliary strictures in liver transplant recipients: A systematic review and meta-analysis. United European Gastroenterol J. 2016;5(6):827-845doi: 10.1177/2050640616681909.
Aparício, D. P. D. S., Otoch, J. P., Montero, E. F. S., Khan, M. A., & Artifon, E. L. A. (2017). Endoscopic approach for management of biliary strictures in liver transplant recipients: A systematic review and meta-analysis. United European gastroenterology journal, 5(6), 827-845. https://doi.org/10.1177/2050640616681909
Aparício, Dayse Pereira da Silva, et al. "Endoscopic approach for management of biliary strictures in liver transplant recipients: A systematic review and meta-analysis." United European gastroenterology journal vol. 5,6 (2017): 827-845. doi: https://doi.org/10.1177/2050640616681909
Aparício DPDS, Otoch JP, Montero EFS, Khan MA, Artifon ELA. Endoscopic approach for management of biliary strictures in liver transplant recipients: A systematic review and meta-analysis. United European Gastroenterol J. 2017 Oct;5(6):827-845. doi: 10.1177/2050640616681909. Epub 2016 Nov 22. PMID: 29026597; PMCID: PMC5625869.
Copy Download .nbib Format: NLM
Share it on

United European Gastroenterol J. 2017 Oct;5(6):827-845. doi: 10.1177/2050640616681909. Epub 2016 Nov 22.

Endoscopic approach for management of biliary strictures in liver transplant recipients: A systematic review and meta-analysis.

United European gastroenterology journal

Dayse Pereira da Silva Aparício, José Pinhata Otoch, Edna Frasson de Souza Montero, Muhammad Ali Khan, Everson Luiz de Almeida Artifon

Affiliations

  1. Department of Surgery, University of São Paulo, SP, Brazil.
  2. Division of Gastroenterology, University of Tennessee Health Science Center, 956 Court Avenue, Memphis, TN 38103, USA.
  3. University of São Paulo, Pancreatic and Biliary Endoscopy Department/Hospital das Clínicas, University of São Paulo, SP, Brazil.

PMID: 29026597 PMCID: PMC5625869 DOI: 10.1177/2050640616681909

Abstract

The most common biliary complication after liver transplantation is anastomotic stricture (AS) and it can occur isolated or in combination with other complications. Liver graft from a cadaveric donor or a living donor has an influence on the incidence of biliary strictures as well as on the response to endoscopic treatment. Endoscopic treatment using balloon dilation and insertion of biliary stents by endoscopic retrograde cholangiopancreatography (ERCP) is the initial approach to these complications.

AIM: The aim of this article is to compare different endoscopic techniques to treat post-liver transplantation biliary strictures.

METHODS: The search was carried out on MEDLINE, EMBASE, Scielo-LILACS and Cochrane Library databases through June 2015. A total of 1100 articles were retrieved. Ten clinical trials were analyzed, and seven were included in the meta-analysis.

CONCLUSIONS: The endoscopic treatment of AS was equally effective when compared the use of fully covered self-expandable metal stents (FCSEMS) vs. plastic stents, but the use of FCSEMS was associated with a lower complication risk. The treatment of AS with balloon dilation or balloon dilation associated with plastic stents presented similar results. Deceased donor liver transplantation reduced the risk of biliary stenosis and the endoscopic treatment in these patients was more effective when compared with Living donor liver transplantation.

Keywords: Biliary strictures; ERCP; anastomotic stricture; metal stents; post-liver transplant biliary strictures

References

  1. Gastrointest Endosc. 2002 Feb;55(2):224-31 - PubMed
  2. J Dig Dis. 2012 Dec;13(12):642-8 - PubMed
  3. Dig Liver Dis. 2015 Jul;47(7):562-5 - PubMed
  4. J Gastroenterol Hepatol. 2005 Feb;20(2):217-28 - PubMed
  5. Int J Clin Exp Med. 2015 Feb 15;8(2):2586-92 - PubMed
  6. Gastroenterology. 2014 Aug;147(2):385-95; quiz e15 - PubMed
  7. Clin Transplant. 2004 Dec;18(6):647-53 - PubMed
  8. Endoscopy. 2006 Jun;38(6):571-4 - PubMed
  9. Gut Liver. 2010 Jun;4(2):226-33 - PubMed
  10. Gastrointest Endosc. 2010 Mar;71(3):505-12 - PubMed
  11. Liver Transpl. 2013 Jun;19(6):586-93 - PubMed
  12. Transpl Int. 2011 Apr;24(4):379-92 - PubMed
  13. Scand J Gastroenterol. 2011 Feb;46(2):188-96 - PubMed
  14. Transplantation. 2003 Sep 15;76(5):810-5 - PubMed
  15. Endoscopy. 2008 Sep;40(9):746-51 - PubMed
  16. Liver Transpl. 2006 May;12(5):718-25 - PubMed
  17. Clin Transplant. 2008 Jul-Aug;22(4):484-93 - PubMed
  18. Gastrointest Endosc. 2008 Mar;67(3):446-54 - PubMed
  19. Liver Transpl. 2006 Jun;12(6):979-86 - PubMed
  20. Endoscopy. 2012 May;44(5):536-8 - PubMed
  21. Liver Transpl. 2009 Nov;15(11):1493-8 - PubMed
  22. Therap Adv Gastroenterol. 2014 Mar;7(2):64-71 - PubMed
  23. Endoscopy. 2013 Jul;45(7):567-70 - PubMed
  24. Clin Liver Dis. 2014 Nov;18(4):913-26 - PubMed
  25. Scand J Gastroenterol Suppl. 2006;(243):89-101 - PubMed
  26. J Gastroenterol Hepatol. 2013 Jun;28(6):1056-60 - PubMed
  27. Am J Med Sci. 2008 Jun;335(6):439-43 - PubMed
  28. Endoscopy. 2012 Mar;44(3):277-98 - PubMed
  29. World J Gastroenterol. 2008 Jul 14;14(26):4185-9 - PubMed
  30. Dig Dis Sci. 2007 Sep;52(9):2346-50 - PubMed
  31. Liver Int. 2003 Jun;23(3):156-62 - PubMed
  32. Hepatobiliary Pancreat Dis Int. 2013 Oct;12(5):488-93 - PubMed
  33. Transplant Proc. 2010 Oct;42(8):2975-7 - PubMed
  34. Gastrointest Endosc. 2013 May;77(5):679-91 - PubMed
  35. Am J Gastroenterol. 2004 Jul;99(7):1291-5 - PubMed
  36. Liver Transpl. 2007 May;13(5):725-32 - PubMed
  37. Gut Liver. 2011 Sep;5(3):328-34 - PubMed
  38. Gastrointest Endosc. 2007 Jul;66(1):44-51 - PubMed
  39. Clin Gastroenterol Hepatol. 2005 Nov;3(11):1144-9 - PubMed
  40. J Hepatobiliary Pancreat Sci. 2011 Mar;18(2):202-10 - PubMed
  41. Gastrointest Endosc. 1998 Feb;47(2):128-35 - PubMed
  42. World J Gastroenterol. 2009 Aug 14;15(30):3725-33 - PubMed
  43. Liver Transpl. 2009 Apr;15(4):369-80 - PubMed
  44. Gastrointest Endosc. 2012 Sep;76(3):556-63 - PubMed
  45. Hepatology. 1992 Jul;16(1):49-53 - PubMed
  46. Endoscopy. 2000 Dec;32(12):943-9 - PubMed
  47. Surgery. 1989 Oct;106(4):675-83; discussion 683-4 - PubMed
  48. Transplantation. 2009 Dec 15;88(11):1280-5 - PubMed
  49. Arq Gastroenterol. 2014 Jul-Sep;51(3):240-9 - PubMed
  50. Hepatogastroenterology. 2013 May;60(123):577-80 - PubMed
  51. Gastrointest Endosc. 2013 Jan;77(1):47-54 - PubMed
  52. Scand J Gastroenterol. 2012 Jan;47(1):116-21 - PubMed
  53. Liver Transpl. 2006 Jan;12 (1):88-94 - PubMed
  54. Eur J Gastroenterol Hepatol. 2015 Feb;27(2):150-4 - PubMed
  55. Gastrointest Endosc. 2010 Dec;72(6):1167-74 - PubMed
  56. Transplantation. 2007 Oct 15;84(7):857-63 - PubMed
  57. Transpl Int. 2009 Sep;22(9):914-21 - PubMed
  58. J Hepatobiliary Pancreat Surg. 2006;13(6):511-6 - PubMed
  59. J Hepatobiliary Pancreat Surg. 2006;13(6):502-10 - PubMed

Publication Types