Lee Dong Wook, Hara Kazuo
Division of Gastroenterology, Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea.
Division of Gastroenterology, Department of Internal medicine, Aichi Cancer Center, Nagoya, Japan.
Clin Endosc. 2020 May;53(3):261-265. doi: 10.5946/ce.2020.119. Epub 2020 May 29.
Anastomotic stricture (AS) is one of the complications of liver transplantation (LT) and can occur in up to 40% of living-donor LTs. Endoscopic management has become the first-line treatment of AS, and multiple plastic stents insertion has been mainly used in the past. Recently, many treatments utilizing fully covered self-expandable metal stents (cSEMSs) have been attempted, and results showing adequate treatment outcome have been reported. In this review, we look into the treatment performance and cautionary steps needed when using cSEMS as a treatment for AS.
吻合口狭窄（AS）是肝移植（LT）的并发症之一，在高达40%的活体供肝肝移植中可能发生。内镜治疗已成为AS的一线治疗方法，过去主要采用多个塑料支架置入。最近，人们尝试了许多使用全覆膜自膨式金属支架（cSEMS）的治疗方法，并且有报道显示治疗效果良好。在本综述中，我们探讨了使用cSEMS治疗AS时的治疗效果及注意事项。
