Liver transplant-related anastomotic biliary strictures: A novel, rapid, safe, radiation-sparing, and cost-effective management approach
Gastrointestinal Endoscopy Aug 12, 2017
Barakat MT, et al. – This study was performed to compare the traditional incremental dilation of the stricture and stent exchange (IDSE) protocol with a sequential stent addition (SSA) protocol, in which additional stents were placed across the stricture during sequential Endoscopic Retrograde Cholangio-pancreatographys (ERCPs), without stent removal/exchange or stricture dilation. The authors concluded that sequential stent addition resulted in shorter, cost–effective procedures requiring fewer accessory devices and exposing patients to less radiation. Stricture resolution rates were similar to incremental dilation and stent exchange and adverse events did not differ significantly, even in this immunocompromised population.
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