Abstract | CONTEXT: OBJECTIVES: The aim of this study was to systematically review the literature concerning the results of the endoscopic treatment of anastomotic biliary strictures after liver transplantation. METHODS: A systematic review of the literature was performed on the management of anastomotic biliary strictures post- orthotopic liver transplantation. The Medline-PubMed, EMBASE, Scielo-LILACS, and Cochrane Databases were electronically searched from January 1966 to April 2013. RESULTS: No well-designed randomized controlled trial was found. Most studies were retrospective or prospective comparisons in design. One study (86 patients) compared the endoscopic and the percutaneous accesses. The sustained clinical success rates were similar but the treatment duration was longer in the percutaneous group access. Two studies (56 patients) compared balloon dilation with balloon dilation and multiple plastic stents. There were no differences concerning sustained clinical success and complication rates. CONCLUSIONS: Balloon dilation is as effective as balloon dilation plus multiple plastic stenting for the resolution of the anastomotic biliary strictures. Well-designed randomized trials are still needed to compare balloon dilation versus multiple plastic stenting versus metallic stenting.
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Authors | Lucas Souto Nacif, Wanderley Marques Bernardo, Luca Bernardo, Wellington Andraus, Lucas Torres, Eleazar Chaib, Luiz Carneiro D'Albuquerque, Fauze Maluf-Filho |
Journal | Arquivos de gastroenterologia
(Arq Gastroenterol)
2014 Jul-Sep
Vol. 51
Issue 3
Pg. 240-9
ISSN: 1678-4219 [Electronic] Brazil |
PMID | 25296086
(Publication Type: Journal Article, Meta-Analysis, Review, Systematic Review)
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Topics |
- Biliary Tract Diseases
(etiology, surgery)
- Constriction, Pathologic
(surgery)
- Endoscopy, Digestive System
(methods)
- Humans
- Liver Transplantation
(adverse effects)
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