Self expandable metal stents for anastomotic stricture following liver transplant

Jorge Cerecedo-Rodriguez, Melissa Lapinska, Paola Figueroa-Barojas, Sean C. Kumer, Monica Gaidhane, Timothy Schmitt, Michel Kahaleh

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: Endoscopic treatment for biliary strictures with plastic stent placement has been used widely. The use of covered self-expandable metal stents (CSEMS) has been reported in anastomotic strictures post liver transplant. The aim of this study was to evaluate the efficacy of different CSEMS in these subjects. Methods: A total of 55 patients with anastomotic stricture received CSEMS, which were removed after 3-4 months. There were 19 patients in group A (partially covered SEMS), 21 patients in group B (fully covered SEMS with fins) and 15 patients in group C (fully covered SEMS with flared ends). Technical success, stricture resolution, follows up, and complications were documented. Results: CSEMS were successfully deployed in all 55 cases. There was no evidence of significant difference with regards to stricture resolution (14 [74 %] vs. 15 [71 %] vs. 9 [60 %] p = 0.6630, df = 2) or complications between groups. Stent-related complications were as follows: three in group A (2 migration, 1 occlusion), five in group B (4 occlusions, 1 migration), and one proximal migration in group C (p = 0.3894, df = 2). Three cases required surgery (hepatico-jejunostomy) due to refractory strictures. Conclusions: The observed clinical success rate of CSEMS (70.4 %) proved to be below the reported one for multiple plastic stents, while no significant differences between CSEMS types were observed.

Original languageEnglish (US)
Pages (from-to)2661-2666
Number of pages6
JournalDigestive Diseases and Sciences
Volume58
Issue number9
DOIs
StatePublished - Sep 1 2013

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Pathologic Constriction
Transplants
Liver
Stents
Plastics
Jejunostomy
Self Expandable Metallic Stents
Therapeutics

All Science Journal Classification (ASJC) codes

  • Physiology
  • Gastroenterology

Cite this

Cerecedo-Rodriguez, J., Lapinska, M., Figueroa-Barojas, P., Kumer, S. C., Gaidhane, M., Schmitt, T., & Kahaleh, M. (2013). Self expandable metal stents for anastomotic stricture following liver transplant. Digestive Diseases and Sciences, 58(9), 2661-2666. https://doi.org/10.1007/s10620-013-2703-0

Self expandable metal stents for anastomotic stricture following liver transplant. / Cerecedo-Rodriguez, Jorge; Lapinska, Melissa; Figueroa-Barojas, Paola; Kumer, Sean C.; Gaidhane, Monica; Schmitt, Timothy; Kahaleh, Michel.

In: Digestive Diseases and Sciences, Vol. 58, No. 9, 01.09.2013, p. 2661-2666.

Research output: Contribution to journalArticle

Cerecedo-Rodriguez, J, Lapinska, M, Figueroa-Barojas, P, Kumer, SC, Gaidhane, M, Schmitt, T & Kahaleh, M 2013, 'Self expandable metal stents for anastomotic stricture following liver transplant', Digestive Diseases and Sciences, vol. 58, no. 9, pp. 2661-2666. https://doi.org/10.1007/s10620-013-2703-0
Cerecedo-Rodriguez J, Lapinska M, Figueroa-Barojas P, Kumer SC, Gaidhane M, Schmitt T et al. Self expandable metal stents for anastomotic stricture following liver transplant. Digestive Diseases and Sciences. 2013 Sep 1;58(9):2661-2666. https://doi.org/10.1007/s10620-013-2703-0
Cerecedo-Rodriguez, Jorge ; Lapinska, Melissa ; Figueroa-Barojas, Paola ; Kumer, Sean C. ; Gaidhane, Monica ; Schmitt, Timothy ; Kahaleh, Michel. / Self expandable metal stents for anastomotic stricture following liver transplant. In: Digestive Diseases and Sciences. 2013 ; Vol. 58, No. 9. pp. 2661-2666.
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abstract = "Background: Endoscopic treatment for biliary strictures with plastic stent placement has been used widely. The use of covered self-expandable metal stents (CSEMS) has been reported in anastomotic strictures post liver transplant. The aim of this study was to evaluate the efficacy of different CSEMS in these subjects. Methods: A total of 55 patients with anastomotic stricture received CSEMS, which were removed after 3-4 months. There were 19 patients in group A (partially covered SEMS), 21 patients in group B (fully covered SEMS with fins) and 15 patients in group C (fully covered SEMS with flared ends). Technical success, stricture resolution, follows up, and complications were documented. Results: CSEMS were successfully deployed in all 55 cases. There was no evidence of significant difference with regards to stricture resolution (14 [74 {\%}] vs. 15 [71 {\%}] vs. 9 [60 {\%}] p = 0.6630, df = 2) or complications between groups. Stent-related complications were as follows: three in group A (2 migration, 1 occlusion), five in group B (4 occlusions, 1 migration), and one proximal migration in group C (p = 0.3894, df = 2). Three cases required surgery (hepatico-jejunostomy) due to refractory strictures. Conclusions: The observed clinical success rate of CSEMS (70.4 {\%}) proved to be below the reported one for multiple plastic stents, while no significant differences between CSEMS types were observed.",
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AU - Cerecedo-Rodriguez, Jorge

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AU - Figueroa-Barojas, Paola

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AU - Gaidhane, Monica

AU - Schmitt, Timothy

AU - Kahaleh, Michel

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