Efficacy of Nasobiliary Tubes and Biliary Stents in Management of Patients with Bile Leak after Liver Transplantation: A Systematic Review
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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.
Abstract
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.
참고문헌 (40)
- "Spanish National Transplant Organization (ONT) in collaboration with World healt Organization (WHO)"[URL]
- Thuluvath PJ, "An endoscopic approach to biliary complications following orthotopic liver transplantation", Liver Int, 23, pp.156~162 (2003)
- Akamatsu N, "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, pp.379~392 (2011)
- Sherman S, "Endoscopic management of biliary fistulas complicating liver transplantation and other hepatobiliary operations", Ann Surg, 218, pp.167~175 (1993)
- Ostroff JW, "Management of biliary complications in the liver transplant patient", Gastroenterol Hepatol (N Y), 6, pp.264~272 (2010)
- Arain MA, "Advances in endoscopic management of biliary tract complications after liver transplantation", Liver Transpl, 19, pp.482~498 (2013)
- Delgado M, "Role of endoscopic retrograde cholangiopancreatography in liver transplantation", Rev Esp Enferm Dig, 84, pp.319~325 (1993)
- Khuroo MS, "Biliary disease after liver transplantation : the experience of the King Faisal Specialist Hospital and Research Center, Riyadh", J Gastroenterol Hepatol, 20, pp.217~228 (2005)
- Lee CS, "Endoscopic management of biliary complications after adult right-lobe living donor liver transplantation without initial biliary decompression", Transplant Proc, 40, pp.2542~2545 (2008)
- Morelli J, "Endoscopic treatment of post-liver transplantation biliary leaks with stent placement across the leak site", Gastrointest Endosc, 54, pp.471~475 (2001)
- Johnston TD, "ERCP in the management of early versus late biliary leaks after liver transplantation", Int Surg, 91, pp.301~305 (2006)
- 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)
- Pacholczyk M, "Biliary complications following liver transplantation : single-center experience", Transplant Proc, 38, pp.247~249 (2006)
- Liao JZ, "Endoscopic diagnosis and treatment of biliary leak in patients following liver transplantation : a prospective clinical study", Hepatobiliary Pancreat Dis Int, 6, pp.29~33 (2007)
- Sendino O, "Endoscopic management of bile leaks after liver transplantation : an analysis of two high-volume transplant centers", United European Gastroenterol J, 6, pp.89~96 (2018)
- Tung BY, "Pancreatic fistula without pancreatitis after endoscopic biliary stent placement for bile leak after orthotopic liver transplantation", Gastrointest Endosc, 49, pp.647~651 (1999)
- Solmi L, "Results of endoscopic retrograde cholangiopancreatography in the treatment of biliary tract complications after orthotopic liver transplantation : our experience", Hepatogastroenterology, 54, pp.1004~1008 (2007)
- Leiting J, "Impact of early biliary complications on long-term outcomes in adult-to-adult living donor liver transplant recipients", Minerva Chir, 71, pp.15~24 (2016)
- Phillips MS, "Elevated stricture rate following the use of fully covered self-expandable metal biliary stents for biliary leaks following liver transplantation", Endoscopy, 43, pp.512~517 (2011)
- Chok KS, "Outcomes of endo-radiological approach to management of bile leakage after right lobe living donor liver transplantation", J Gastroenterol Hepatol, 31, pp.190~193 (2016)
- Papachristou GI, "Pancreaticobiliary complications after composite visceral transplantation : incidence, risk, and management strategies", Gastrointest Endosc, 73, pp.1165~1173 (2011)
- Gunawansa N, "Biliary complications following orthotopic liver transplantation: a 10-year audit", HPB (Oxford), 13, pp.391~399 (2011)
- Pfau PR, "Endoscopic management of postoperative biliary complications in orthotopic liver transplantation", Gastrointest Endosc, 52, pp.55~63 (2000)
- Rerknimitr R, "Biliary tract complications after orthotopic liver transplantation with choledochocholedochostomy anastomosis : endoscopic findings and results of therapy", Gastrointest Endosc, 55, pp.224~231 (2002)
- Saab S, "Endoscopic management of biliary leaks after T-tube removal in liver transplant recipients : nasobiliary drainage versus biliary stenting", Liver Transpl, 6, pp.627~632 (2000)
- 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
- Tarantino I, "Endoscopic treatment of biliary complications after liver transplantation", World J Gastroenterol, 14, pp.4185~4189 (2008)
- 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)
- DaVee T, "Refractory anastomotic bile leaks after orthotopic liver transplantation are associated with hepatic artery disease", Gastrointest Endosc, 85, pp.984~992 (2017)
- Martins FP, "Biliary leak in post-liver-transplant patients : is there any place for metal stent", HPB Surg, 2012, pp.684172~ (2012)
- Tsujino T, "Endoscopic management of biliary complications after adult living donor liver transplantation", Am J Gastroenterol, 101, pp.2230~2236 (2006)
- 오동욱, "Endoscopic Management of Bile Leakage after Liver Transplantation", Gut and Liver, 9(3), pp.417~423 (2015), 거트앤리버 소화기연관학회협의회
- Shah SR, "Routine endoscopic retrograde cholangiography in the detection of early biliary complications after liver transplantation", Liver Transpl, 8, pp.491~494 (2002)
- Osorio RW, "Nonoperative management of biliary leaks after orthotopic liver transplantation", Transplantation, 55, pp.1074~1077 (1993)
- Sherman S, "Biliary tract complications after orthotopic liver transplantation. Endoscopic approach to diagnosis and therapy", Transplantation, 60, pp.467~470 (1995)
- Macfarlane B, "Endoscopic retrograde cholangiography in the diagnosis and endoscopic management of biliary complications after liver transplantation", Eur J Gastroenterol Hepatol, 8, pp.1003~1006 (1996)
- Hwang S, "Long-term incidence, risk factors, and management of biliary complications after adult living donor liver transplantation", Liver Transpl, 12, pp.831~838 (2006)
- Ostroff JW, "The management of T tube leaks in orthotopic liver transplant recipients with endoscopically placed nasobiliary catheters", Transplantation, 49, pp.922~924 (1990)
- Bourgeois N, "Diagnostic and therapeutic endoscopic retrograde cholangiography after liver transplantation", Gastrointest Endosc, 42, pp.527~534 (1995)
- Dong Wook Lee, "Endoscopic Management of Anastomotic Strictures after Liver Transplantation", Clinical Endoscopy, 49(5), pp.457~461 (2016), 대한소화기내시경학회