There is growing interest in using covered self-expandable metal stents for the treatment of benign biliary conditions, and the presence of anastomotic biliary strictures and leaks after liver transplantation provide a valuable opportunity for testing them. The performance of the stents is encouraging, and the technical success rate is high. They provide larger diameter dilation and are easily removed, and can potentially limit costs by reducing the number of procedures needed to treat anastomotic biliary strictures. However, drawbacks such as sub-optimal tolerability and migration may affect both patient management and costs. New stent designs are currently being evaluated. Randomized controlled trials and cost-effectiveness analyses comparing covered metal stents with multiple plastic stent endotherapy are warranted in order to define the role of the former as first-line or rescue treatment.
Covered metal stent in endoscopic therapy of biliary complications after liver transplantation / P. Cantù, A. Tenca, I. Parzanese, R. Penagini. - In: DIGESTIVE AND LIVER DISEASE. - ISSN 1590-8658. - 48:8(2016 Aug), pp. 836-842.
|Titolo:||Covered metal stent in endoscopic therapy of biliary complications after liver transplantation|
TENCA, ANDREA (Secondo)
PENAGINI, ROBERTO (Corresponding)
|Parole Chiave:||anastomotic biliary stricture; biliary leak; endoscopy; ERCP; stenting; gastroenterology; hepatology|
|Settore Scientifico Disciplinare:||Settore MED/12 - Gastroenterologia|
|Data di pubblicazione:||ago-2016|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.dld.2016.04.007|
|Appare nelle tipologie:||01 - Articolo su periodico|