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Sara Iqbal 1 Article
Efficacy of Nasobiliary Tubes and Biliary Stents in Management of Patients with Bile Leak after Liver Transplantation: A Systematic Review
Ali Raza, Anam Omer, Sara Iqbal, Vineet Gudsoorkar, Pramoda Koduru, Kumar Krishnan
Clin Endosc 2019;52(2):159-167.   Published online March 29, 2019
DOI: https://doi.org/10.5946/ce.2018.118
AbstractAbstract PDFPubReaderePub
Background
/Aims: Bile leak is one of the most common complications of liver transplantation. The treatment options for bile leaks include conservative management, surgical re-intervention, percutaneous drainage and endoscopic drainage. We aimed to perform a systematic review to identify the efficacy 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 and relevant 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 efficacy of biliary stents for the resolution of post-transplant bile leaks was 82.43% compared with 87.15% efficacy of nasobiliary tubes. The efficacy 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 efficacy of nasobiliary tube was also lower for anastomotic leaks (58.33%) compared to T-tube or cut-surface related leaks (100%). Conclusions: In this systematic review, the overall efficacy 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.

Citations

Citations to this article as recorded by  
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  • Complications in Post-Liver Transplant Patients
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    Journal of Clinical Medicine.2023; 12(19): 6173.     CrossRef
  • Nasobiliary drainage: an effective treatment for pruritus in cholestatic liver disease
    Wafaa Ahmed, Rebecca Jeyaraj, David Reffitt, John Devlin, Abid Suddle, John Hunt, Michael A Heneghan, Phillip Harrison, Deepak Joshi
    Frontline Gastroenterology.2022; 13(5): 416.     CrossRef
  • A case of combined use of endoscopic drainage and percutaneous drainage for traumatic liver injury type III b
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    Journal of the Japanese Society of Intensive Care Medicine.2021; 28(3): 210.     CrossRef
  • Biliary Complications Following Adult Deceased Donor Liver Transplantation: Risk Factors and Implications at a High-volume US Center
    Abraham J. Matar, Katie Ross-Driscoll, Lisa Kenney, Hannah K. Wichmann, Joseph F. Magliocca, William H. Kitchens
    Transplantation Direct.2021; 7(10): e754.     CrossRef
  • The Need for a Better-Designed Study of the Outcomes of Endoscopic Management of Bile Leak
    Hyung Ku Chon, Eun Ji Shin, Seong-Hun Kim
    Clinical Endoscopy.2020; 53(6): 633.     CrossRef
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