본문 바로가기
KERD
논문KCI 등재

Anastomotic stricture after liver transplantation: It is not Achilles’ heel anymore!

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

Biliary-tract complications, such as biliary strictures, anastomotic leaks, choledocholithiasis, and biliary casts, can occur after liver transplantation (LT). Of these complications, biliary strictures are regarded as an Achilles’ heel. Recently, treatment of anastomotic biliary stricture (ABS) has transitioned from conventional surgical revision to a nonsurgical treatment modality. Endoscopic serial balloon dilatation and/or multiple plastic stent replacements are highly effective and are now regarded as the first-line treatments. However, if the patient has undergone anastomosis by means of a hepaticojejunostomy, percutaneous treatment is performed. With recent technological advances and the rendezvous method, the clinical success rates of endoscopic and percutaneous ABS treatments have increased, but these methods fail in some patients who have total obstruction of anastomotic stricture. For these patients, magnetic compression anastomosis (MCA) has been suggested as an alternative method. Animal and human studies have demonstrated the safety and efficacy of MCA, and advancements in these nonsurgical methods have increased the clinical success rate of ABS. This review focuses on ABSs that develop after LT and discusses the clinical results of various nonsurgical methods and future directions.

Abstract

Biliary-tract complications, such as biliary strictures, anastomotic leaks, choledocholithiasis, and biliary casts, can occur after liver transplantation (LT). Of these complications, biliary strictures are regarded as an Achilles’ heel. Recently, treatment of anastomotic biliary stricture (ABS) has transitioned from conventional surgical revision to a nonsurgical treatment modality. Endoscopic serial balloon dilatation and/or multiple plastic stent replacements are highly effective and are now regarded as the first-line treatments. However, if the patient has undergone anastomosis by means of a hepaticojejunostomy, percutaneous treatment is performed. With recent technological advances and the rendezvous method, the clinical success rates of endoscopic and percutaneous ABS treatments have increased, but these methods fail in some patients who have total obstruction of anastomotic stricture. For these patients, magnetic compression anastomosis (MCA) has been suggested as an alternative method. Animal and human studies have demonstrated the safety and efficacy of MCA, and advancements in these nonsurgical methods have increased the clinical success rate of ABS. This review focuses on ABSs that develop after LT and discusses the clinical results of various nonsurgical methods and future directions.

참고문헌 (104)

  1. Chok KS, "Prevention and management of biliary anastomotic stricture in right-lobe living-donor liver transplantation", J Gastroenterol Hepatol, 29, pp.1756~1763 (2014)
  2. Williams ED, "Endoscopic management of biliary strictures after liver transplantation", World J Gastroenterol, 15, pp.3725~3733 (2009)
  3. Graziadei IW, "Long-term outcome of endoscopic treatment of biliary strictures after liver transplantation", Liver Transpl, 12, pp.718~725 (2006)
  4. Koneru B, "Bile duct strictures after liver transplantation : a changing landscape of the Achilles’ heel", Liver Transpl, 12, pp.702~704 (2006)
  5. Chahal P, "Endoscopic retrograde cholangiography in post-orthotopic liver transplant population with Roux-en-Y biliary reconstruction", Liver Transpl, 13, pp.1168~1173 (2007)
  6. Haruta H, "A case of successful enteroscopic balloon dilation for late anastomotic stricture of choledochojejunostomy after living donor liver transplantation", Liver Transpl, 11, pp.1608~1610 (2005)
  7. Kulaksiz H, "Is stenting necessary after balloon dilation of post-transplantation biliary strictures? Results of a prospective comparative study", Endoscopy, 40, pp.746~751 (2008)
  8. Lee SH, "Optimal interventional treatment and long-term outcomes for biliary stricture after liver transplantation", Clin Transplant, 22, pp.484~493 (2008)
  9. Tarantino I, "Fully covered metallic stents in biliary stenosis after orthotopic liver transplantation", Endoscopy, 44, pp.246~250 (2012)
  10. Chok KS, "A retrospective study on risk factors associated with failed endoscopic treatment of biliary anastomotic stricture after right-lobe living donor liver transplantation with duct-to-duct anastomosis", Ann Surg, 259, pp.767~772 (2014)
  11. Kao D, "Managing the post-liver transplantation anastomotic biliary stricture : multiple plastic versus metal stents : a systematic review", Gastrointest Endosc, 77, pp.679~691 (2013)
  12. Fernández-Simon A, "Endoscopic retrograde cholangiography for biliary anastomotic strictures after liver transplantation", Clin Liver Dis, 18, pp.913~926 (2014)
  13. Seo JK, "Endoscopic treatment for biliary stricture after adult living donor liver transplantation", Liver Transpl, 15, pp.369~380 (2009)
  14. Kato H, "Long-term outcomes of endoscopic management for biliary strictures after living donor liver transplantation with duct-to-duct reconstruction", Transpl Int, 22, pp.914~921 (2009)
  15. Kim TH, "The role of endoscopic retrograde cholangiography for biliary stricture after adult living donor liver transplantation : technical aspect and outcome", Scand J Gastroenterol, 46, pp.188~196 (2011)
  16. Jae Hyuck Chang, "Biliary Stricture after Adult Right-Lobe Living-Donor Liver Transplantation with Duct-to-Duct Anastomosis: Long-Term Outcome and Its Related Factors after Endoscopic Treatment", Gut and Liver, 4(2), pp.226~233 (2010), 거트앤리버 소화기연관학회협의회
  17. Perri V, "Plastic biliary stents for benign biliary diseases", Gastrointest Endosc Clin N Am, 21, pp.405~433 (2011)
  18. Elmi F, "Outcome of ERCP in the management of duct-to-duct anastomotic strictures in orthotopic liver transplant", Dig Dis Sci, 52, pp.2346~2350 (2007)
  19. Gómez CM, "Endoscopic management of biliary complications after adult living-donor versus deceased-donor liver transplantation", Transplantation, 88, pp.1280~1285 (2009)
  20. Zoepf T, "Balloon dilatation vs. balloon dilatation plus bile duct endoprostheses for treatment of anastomotic biliary strictures after liver transplantation", Liver Transpl, 12, pp.88~94 (2006)
  21. Tabibian JH, "Endoscopic treatment of postorthotopic liver transplantation anastomotic biliary strictures with maximal stent therapy(with video)", Gastrointest Endosc, 71, pp.505~512 (2010)
  22. Akay S, "Results of endoscopic management of anastomotic biliary strictures after orthotopic liver transplantation", Turk J Gastroenterol, 17, pp.159~163 (2006)
  23. Morelli J, "Long-term outcomes for patients with post-liver transplant anastomotic biliary strictures treated by endoscopic stent placement", Gastrointest Endosc, 58, pp.374~379 (2003)
  24. Polese L, "Endoscopic treatment of bile duct complications after orthotopic liver transplantation", Transplant Proc, 39, pp.1942~1944 (2007)
  25. Alazmi WM, "Recurrence rate of anastomotic biliary strictures in patients who have had previous successful endoscopic therapy for anastomotic narrowing after orthotopic liver transplantation", Endoscopy, 38, pp.57~54 (2006)
  26. Mahajani RV, "Efficacy of endoscopic management of anastomotic biliary strictures after hepatic transplantation", Endoscopy, 32, pp.943~949 (2000)
  27. Schwartz DA, "Endoscopic therapy of anastomotic bile duct strictures occurring after liver transplantation", Gastrointest Endosc, 51, pp.169~174 (2000)
  28. Chahin NJ, "Longterm efficacy of endoscopic stenting in patients with stricture of the biliary anastomosis after orthotopic liver transplantation", Transplant Proc, 33, pp.2738~2740 (2001)
  29. Holt AP, "A prospective study of standardized nonsurgical therapy in the management of biliary anastomotic strictures complicating liver transplantation", Transplantation, 84, pp.857~863 (2007)
  30. Pasha SF, "Endoscopic treatment of anastomotic biliary strictures after deceased donor liver transplantation : outcomes after maximal stent therapy", Gastrointest Endosc, 66, pp.44~51 (2007)
  31. Barriga J, "Biliary strictures after liver transplantation. Predictive factors for response to endoscopic management and long-term outcome", Am J Med Sci, 335, pp.439~443 (2008)
  32. Morelli G, "Rapid-sequence endoscopic management of posttransplant anastomotic biliary strictures", Gastrointest Endosc, 67, pp.879~885 (2008)
  33. Claudia Sanna, "Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography in Patients with Post-Liver Transplant Biliary Complications: Results of a Cohort Study with Long-Term Follow-Up", Gut and Liver, 5(3), pp.328~334 (2011), 거트앤리버 소화기연관학회협의회
  34. Cai XB, "Endoscopic treatment for biliary stricture after orthotopic liver transplantation : success, recurrence and their influencing factors", J Dig Dis, 13, pp.642~648 (2012)
  35. Poley JW, "Clinical outcome of progressive stenting in patients with anastomotic strictures after orthotopic liver transplantation", Endoscopy, 45, pp.567~570 (2013)
  36. Jörg G. Albert, "Long-term follow-up of endoscopic therapy in stenosis of the bilio-biliary anastomosis associated with orthotopic liver transplantation", Liver Transplantation (2013), Wiley[DOI]
  37. Faleschini G, "Predictors of endoscopic treatment outcome in the management of biliary complications after orthotopic liver transplantation", Eur J Gastroenterol Hepatol, 27, pp.150~154 (2015)
  38. Tringali A, "Endoscopic management with multiple plastic stents of anastomotic biliary stricture following liver transplantation : long-term results", Endoscopy, 48, pp.546~551 (2016)
  39. Tal AO, "Multiple plastic stents versus covered metal stent for treatment of anastomotic biliary strictures after liver transplantation : a prospective, randomized, multicenter trial", Gastrointest Endosc, 86, pp.1038~1045 (2017)
  40. Barakat MT, "Liver transplant-related anastomotic biliary strictures : a novel, rapid, safe, radiationsparing, and cost-effective management approach", Gastrointest Endosc, 87, pp.501~508 (2018)
  41. Martins FP, "Metal versus plastic stents for anastomotic biliary strictures after liver transplantation: a randomized controlled trial", Gastrointest Endosc, 87, pp.131.e1~131.e13 (2018)
  42. Hisatsune H, "Endoscopic management of biliary strictures after duct-to-duct biliary reconstruction in right-lobe living-donor liver transplantation", Transplantation, 76, pp.810~815 (2003)
  43. Tsujino T, "Endoscopic management of biliary complications after adult living donor liver transplantation", Am J Gastroenterol, 101, pp.2230~2236 (2006)
  44. Yazumi S, "Endoscopic treatment of biliary complications after right-lobe living-donor liver transplantation with duct-to-duct biliary anastomosis", J Hepatobiliary Pancreat Surg, 13, pp.502~510 (2006)
  45. Lee YY, "Predictors of the feasibility of primary endoscopic management of biliary strictures after adult living donor liver transplantation", Liver Transpl, 17, pp.1467~1473 (2011)
  46. Kurita A, "Endoscopic stent placement above the intact sphincter of Oddi for biliary strictures after living donor liver transplantation", J Gastroenterol, 48, pp.1097~1104 (2013)
  47. Hsieh TH, "Endoscopic treatment of anastomotic biliary strictures after living donor liver transplantation : outcomes after maximal stent therapy", Gastrointest Endosc, 77, pp.47~54 (2013)
  48. Costamagna G, "Long-term results of endoscopic management of postoperative bile duct strictures with increasing numbers of stents", Gastrointest Endosc, 54, pp.162~168 (2001)
  49. Verdonk RC, "Biliary complications after liver transplantation: a review", Scand J Gastroenterol Suppl, (243), pp.89~101 (2006)
  50. Thuluvath PJ, "Biliary complications after liver transplantation : the role of endoscopy", Endoscopy, 37, pp.857~863 (2005)
  51. Pascher A, "Bile duct complications after liver transplantation", Transpl Int, 18, pp.627~642 (2005)
  52. Shimada H, "The current diagnosis and treatment of benign biliary stricture", Surg Today, 42, pp.1143~1153 (2012)
  53. Nacif LS, "Endoscopic treatment of post-liver transplantation anastomotic biliary stricture : systematic review and meta-analysis", Arq Gastroenterol, 51, pp.240~249 (2014)
  54. Verdonk RC, "Anastomotic biliary strictures after liver transplantation : causes and consequences", Liver Transpl, 12, pp.726~735 (2006)
  55. Sauer P, "Temporary placement of fully covered self-expandable metal stents in biliary complications after liver transplantation", Endoscopy, 44, pp.536~538 (2012)
  56. Traina M, "Efficacy and safety of fully covered self-expandable metallic stents in biliary complications after liver transplantation : a preliminary study", Liver Transpl, 15, pp.1493~1498 (2009)
  57. Cerecedo-Rodriguez J, "Self expandable metal stents for anastomotic stricture following liver transplant", Dig Dis Sci, 58, pp.2661~2666 (2013)
  58. Chaput U, "Temporary placement of partially covered self-expandable metal stents for anastomotic biliary strictures after liver transplantation : a prospective, multicenter study", Gastrointest Endosc, 72, pp.1167~1174 (2010)
  59. Kaffes A, "A randomized trial of a fully covered self-expandable metallic stent versus plastic stents in anastomotic biliary strictures after liver transplantation", Therap Adv Gastroenterol, 7, pp.64~71 (2014)
  60. Luigiano C, "Placement of a new fully covered self-expanding metal stent for postoperative biliary strictures and leaks not responding to plastic stenting", Surg Laparosc Endosc Percutan Tech, 23, pp.159~162 (2013)
  61. Kahaleh M, "Temporary placement of covered self-expandable metal stents in benign biliary strictures : a new paradigm?(with video)", Gastrointest Endosc, 67, pp.446~454 (2008)
  62. Mahajan A, "Temporary placement of fully covered self-expandable metal stents in benign biliary strictures : midterm evaluation(with video)", Gastrointest Endosc, 70, pp.303~309 (2009)
  63. Buxbaum JL, "Predictors of endoscopic treatment outcomes in the management of biliary problems after liver transplantation at a high-volume academic center", Gastrointest Endosc, 73, pp.37~44 (2011)
  64. Ko GY, "Section 11. Radiological intervention approaches to biliary complications after living donor liver transplantation", Transplantation, 97(Suppl 8), pp.S43~S46 (2014)
  65. Baron TH Sr, "Endoscopic management of benign bile duct strictures", Gastrointest Endosc Clin N Am, 23, pp.295~311 (2013)
  66. Kim ES, "Percutaneous transhepatic biliary drainage may serve as a successful rescue procedure in failed cases of endoscopic therapy for a post-living donor liver transplantation biliary stricture", Gastrointest Endosc, 69, pp.38~46 (2009)
  67. Weber A, "Long-term outcome of endoscopic and", or percutaneous transhepatic therapy in patients with biliary stricture after orthotopic liver transplantation, 2009, pp.44, 1195~1202
  68. Park JS, "Efficacy of endoscopic and percutaneous treatments for biliary complications after cadaveric and living donor liver transplantation", Gastrointest Endosc, 57, pp.78~85 (2003)
  69. 윤희망, "Alternative Techniques for Cannulation of Biliary Strictures Resistant to the 0.035” System Following Living Donor Liver Transplantation", Korean Journal of Radiology, 13(2), pp.189~194 (2012), 대한영상의학회
  70. Chang JH, "Comparative study of rendezvous techniques in post-liver transplant biliary stricture", World J Gastroenterol, 18, pp.5957~5964 (2012)
  71. De Robertis R, "Totally percutaneous rendezvous techniques for the treatment of bile strictures and leakages", J Vasc Interv Radiol, 25, pp.650~654 (2014)
  72. Saad WE, "Transhepatic dilation of anastomotic biliary strictures in liver transplant recipients with use of a combined cutting and conventional balloon protocol: technical safety and efficacy", J Vasc Interv Radiol, 17, pp.837~843 (2006)
  73. Na GH, "Interventional treatment of a biliary stricture after adult right-lobe living-donor liver transplantation with duct-to-duct anastomosis", HPB(Oxford), 16, pp.312~319 (2014)
  74. Piardi T, "Biliary strictures after liver transplantation: is percutaneous treatment indicated", Ann Transplant, 16, pp.5~13 (2011)
  75. Sung RS, "Long-term follow-up of percutaneous transhepatic balloon cholangioplasty in the management of biliary strictures after liver transplantation", Transplantation, 77, pp.110~115 (2004)
  76. Roumilhac D, "Longterm results of percutaneous management for anastomotic biliary stricture after orthotopic liver transplantation", Liver Transpl, 9, pp.394~400 (2003)
  77. Civelli EM, "The role of interventional radiology in biliary complications after orthotopic liver transplantation : a single-center experience", Eur Radiol, 14, pp.579~582 (2004)
  78. Sharma S, "Biliary strictures following liver transplantation : past, present and preventive strategies", Liver Transpl, 14, pp.759~769 (2008)
  79. Laštovičková J, "Biliary strictures after orthotopic liver transplantation : long-term results of percutaneous treatment in patients with nonfeasible endoscopic therapy", Transplant Proc, 44, pp.1379~1384 (2012)
  80. 정재혁, "Usefulness of the Rendezvous Technique for Biliary Stricture after Adult Right-Lobe Living-Donor Liver Transplantation with Duct-To-Duct Anastomosis", Gut and Liver, 4(1), pp.68~75 (2010), 거트앤리버 소화기연관학회협의회
  81. Yoshiya S, "Rendezvous ductoplasty for biliary anastomotic stricture after living-donor liver transplantation", Transplantation, 95, pp.1278~1283 (2013)
  82. Odemis B, "Interesting rendezvous location in a liver transplantation patient with anastomosis stricture", World J Gastroenterol, 20, pp.15916~15919 (2014)
  83. Kabar I, "Use of paclitaxel-eluting balloons for endotherapy of anastomotic strictures following liver transplantation", Endoscopy, 44, pp.1158~1160 (2012)
  84. Hüsing A, "Paclitaxel-eluting balloon dilation of biliary anastomotic stricture after liver transplantation", World J Gastroenterol, 21, pp.977~981 (2015)
  85. Wright H, "Management of biliary stricture guided by the Spyglass Direct Visualization System in a liver transplant recipient : an innovative approach", Gastrointest Endosc, 67, pp.1201~1203 (2008)
  86. Chen YK, "SpyGlass single-operator peroral cholangiopancreatoscopy system for the diagnosis and therapy of bile-duct disorders : a clinical feasibility study(with video)", Gastrointest Endosc, 65, pp.832~841 (2007)
  87. Judah JR, "Intraductal biliary and pancreatic endoscopy : an expanding scope of possibility", World J Gastroenterol, 14, pp.3129~3136 (2008)
  88. Atar E, "Use of peripheral cutting balloon in the management of resistant benign ureteral and biliary strictures", J Vasc Interv Radiol, 16, pp.241~245 (2005)
  89. Ginsberg G, "In vivo evaluation of a new bioabsorbable self-expanding biliary stent", Gastrointest Endosc, 58, pp.777~784 (2003)
  90. Meng B, "Study of biodegradable and self-expandable PLLA helical biliary stent in vivo and in vitro", J Mater Sci Mater Med, 17, pp.611~617 (2006)
  91. Jang SI, "Magnetic compression anastomosis is useful in biliary anastomotic strictures after living donor liver transplantation", Gastrointest Endosc, 74, pp.1040~1048 (2011)
  92. Jang SI, "Magnetic compression anastomosis for treatment of benign biliary stricture", Dig Endosc, 27, pp.239~249 (2015)
  93. Jang SI, "Recanalization of refractory benign biliary stricture using magnetic compression anastomosis", Endoscopy, 46, pp.70~74 (2014)
  94. Oya H, "Magnetic compression anastomosis for bile duct stenosis after donor left hepatectomy : a case report", Transplant Proc, 44, pp.806~809 (2012)
  95. Itoi T, "Magnetic compression anastomosis for biliary obstruction : review and experience at Tokyo Medical University Hospital", J Hepatobiliary Pancreat Sci, 18, pp.357~365 (2011)
  96. Itoi T, "Magnetic compression duct-to-duct anastomosis for biliary obstruction in a patient with living donor liver transplantation", Gut Liver, 4(Suppl 1), pp.S96~S98 (2010)
  97. Matsuno N, "A nonsuture anastomosis using magnetic compression for biliary stricture after living donor liver transplantation", Hepatogastroenterology, 56, pp.47~49 (2009)
  98. Akita H, "Use of a metallic-wall stent in the magnet compression anastomosis technique for bile duct obstruction after liver transplantation", Liver Transpl, 14, pp.118~120 (2008)
  99. Okajima H, "Magnet compression anastomosis for bile duct stenosis after duct-to-duct biliary reconstruction in living donor liver transplantation", Liver Transpl, 11, pp.473~475 (2005)
  100. Muraoka N, "Yamanouchi magnetic compression anastomosis for bilioenteric anastomotic stricture after living-donor liver transplantation", J Vasc Interv Radiol, 16, pp.1263~1267 (2005)
  101. Jamshidi R, "Magnamosis : magnetic compression anastomosis with comparison to suture and staple techniques", J Pediatr Surg, 44, pp.222~228 (2009)
  102. Cope C, "Evaluation of compression cholecystogastric and cholecystojejunal anastomoses in swine after peroral and surgical introduction of magnets", J Vasc Interv Radiol, 6, pp.546~552 (1995)
  103. Cope C, "Creation of compression gastroenterostomy by means of the oral, percutaneous, or surgical introduction of magnets : feasibility study in swine", J Vasc Interv Radiol, 6, pp.539~545 (1995)
  104. Jang SI, "Treatment of completely obstructed benign biliary strictures with magnetic compression anastomosis : follow-up results after recanalization", Gastrointest Endosc, 85, pp.1057~1066 (2017)

관련 논문AI추천

이 간행물의 다른 논문 (9건)