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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 159 - 167 (9page)
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Background/Aims: Bile leak is one of the most common complications of liver transplantation. The treatment options for bile leaksinclude conservative management, surgical re-intervention, percutaneous drainage and endoscopic drainage. We aimed to perform asystematic review to identify the effcacy of endoscopic treatment in the resolution of post-transplant bile leaks. Methods: Two independent reviewers performed systematic literature search in PubMed, ISI Web of Science, grey literature andrelevant references in May 2017. Human studies in English with documented post-liver transplant bile leaks were included. Results: Thirty-four studies were included in the final analysis. The pooled effcacy of biliary stents for the resolution of post-transplantbile leaks was 82.43% compared with 87.15% effcacy of nasobiliary tubes. The effcacy of biliary stents was lower for anastomotic leaks(69.23%) compared to T-tube (90.9%) or cut-surface/ cystic duct stump related leaks (92.8%). Similarly, the effcacy of nasobiliary tubewas also lower for anastomotic leaks (58.33%) compared to T-tube or cut-surface related leaks (100%). Conclusions: In this systematic review, the overall effcacy was 82.43% in biliary stent group, and 87.15% in nasobiliary tube group. Both biliary stent and nasobiliary tube were more effective in managing non-anastomotic leaks compared to anastomotic leaks.
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참고문헌 (40)
참고문헌 신청
Global Observatory on Donation and Transplantation / Spanish National Transplant Organization (ONT) in collaboration with World healt Organization (WHO) / GODT
Thuluvath PJ / 2003 / An endoscopic approach to biliary complications following orthotopic liver transplantation / Liver Int 23:156~162
Akamatsu N / 2011 / Biliary reconstruction, its complications and management of biliary complications after adult liver transplantation : a systematic review of the incidence, risk factors and outcome / Transpl Int 24:379~392
Sherman S / 1993 / Endoscopic management of biliary fistulas complicating liver transplantation and other hepatobiliary operations / Ann Surg 218:167~175
Ostroff JW / 2010 / Management of biliary complications in the liver transplant patient / Gastroenterol Hepatol (N Y) 6:264~272
Thuluvath PJ / 2003 / An endoscopic approach to biliary complications following orthotopic liver transplantation / Liver Int 23:156~162
Akamatsu N / 2011 / Biliary reconstruction, its complications and management of biliary complications after adult liver transplantation : a systematic review of the incidence, risk factors and outcome / Transpl Int 24:379~392
Sherman S / 1993 / Endoscopic management of biliary fistulas complicating liver transplantation and other hepatobiliary operations / Ann Surg 218:167~175
Ostroff JW / 2010 / Management of biliary complications in the liver transplant patient / Gastroenterol Hepatol (N Y) 6:264~272
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