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A unique type of fully covered metal stent for the management of post liver transplant biliary anastomotic strictures.
- Source :
-
BMC gastroenterology [BMC Gastroenterol] 2020 Oct 07; Vol. 20 (1), pp. 329. Date of Electronic Publication: 2020 Oct 07. - Publication Year :
- 2020
-
Abstract
- Background: We report our experience of treating anastomotic strictures using a novel type of fully covered metal stent (FCSEMS). This stent, known as the Kaffes Stent, is short-length with an antimigration waist and is easily removable due to long retrieval wires deployed within the duodenum.<br />Methods: Sixty-two patients underwent ERCP and Kaffes stent insertion for post-transplant anastomotic strictures following confirmation of a stricture on MRCP. These patients were retrospectively analysed for immediate and long-term stricture resolution, improvement in symptoms and liver function tests (LFTs), stricture recurrence and complication rates.<br />Results: Of the 56 patients who had their stent removed at the time of analysis, 54 (96%) had immediate stricture resolution and 42 continued to have long-term resolution (mean follow-up period was 548 days). Of the 16 patients with symptoms of biliary obstruction, 13 had resolution of their symptoms. Overall, there was a significant improvement in LFTs after stent removal compared to before stent insertion. Complication rates were 15% with only one patient requiring biliary reconstruction.<br />Conclusions: The Kaffes stent is effective and safe at resolving post liver transplant biliary anastomotic strictures.
Details
- Language :
- English
- ISSN :
- 1471-230X
- Volume :
- 20
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 33028218
- Full Text :
- https://doi.org/10.1186/s12876-020-01479-6