Endo‐therapies for biliary duct‐to‐duct anastomotic stricture after liver transplantation: Outcomes of a nationwide survey

• DOI: 10.1111/liv.14010
• Publication Date: 2018-11-30T16:04:16Z
• Authors: Paolo Cantù; Ilaria Tarantino; Anna Baldan; Massimiliano Muti...; Andrea Tringali; Giovanni Lombardi; Angelo Cerofolini; Antonio Di Sario; Giorgia Catalano; Helga Bertani; Davide Ghinolfi; Valentina Boarino; Enzo Masci; Milutin Bulajic; Antonio Pisani; Alberto Fantin; Dario Ligresti; Luca Barresi; Mario Traina; Paolo Ravelli; Edoardo Forti; Federico Barbaro; Guido Costamagna; Luca Rodella; Luca Maroni; Mauro Salizzoni; Rita Conigliaro; Franco Filipponi; Alberto Merighi; Teresa Staiano; Michela Monteleone; Vincenzo Mazzaferro; Elena Zucchi; Maurizio Zilli; Elena Nadal; Roberto Rosa; Giulio Santi; Ilaria Parzanese; Luciano De Carlis; Maria Francesca D...; Pietro Lampertico; Umberto Maggi; Lucio Caccamo; Giorgio Rossi; Maurizio Vecchi; Roberto Penagini
• Keywords: Endoscopic Stenting; Self-expandable metallic stent

The most appropriate endo-therapeutic approach to biliary anastomotic strictures is yet be defined.To retrospectively report on the endo-therapy of duct-to-duct during 2013 in Italy.Data were collected from 16 Endoscopy Units at Italian Liver Transplantation Centers (BASALT study group).Complete and follow-up data are available for 181 patients: 101 treated with plastic multistenting, 26 fully covered self-expandable metal stenting 54 single stenting. Radiological success was achieved 145 patients (80%), that is, 88% 61% (P < 0.001 vs multistenting; P 0.05 stenting). After first-line failure, underwent a second-line multistenting 25%, 53% 22% cases, radiological 84%, 100%, 85% 63% or stenting) respectively. Procedure-related complications occurred 7.8% endoscopic retrograde cholangiopancreatographies. Overall, clinical 87% after median 25 months.Plastic confirmed as preferred treatment, while rescue option strictures. Single has sub-optimal results should abandoned.