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• W3014670340 abstract "Abstract Background Enterobiliary anastomoses are the main source of complications after liver transplantation. An endoscopic approach combining device‐assisted enteroscopy and ERCP (DAE‐ERCP) is technically feasible in postsurgical anatomy. Aims This study aimed at assessing the efficacy, feasibility, and safety of DAE‐ERCP in liver‐transplanted patients (LT) and other subsets (non‐LT). Methods A systematic review and meta‐analysis of studies involving DAE procedures in LT patients (between January 2000 and May 2017) was conducted. The main endpoints were as follows: endoscopic, diagnostic, therapeutic, and overall success rates, complications, and the need for surgery. Results A total of 155 studies were retrieved, and 6 relevant trials were analyzed. Overall, 132 subjects (72 LT and 60 non‐LT) undergoing 257 DAE‐ERCP (135 and 122) were included. Complications were rare (4/257), and no deaths occurred. These are the pooled success rates among LT and non‐LT patients: 80%‐100% and 82%‐95% (enteroscopic), 75%‐100% and 89%‐100% (diagnostic), 67%‐100% and 92%‐100% (therapeutic), and 60%‐100% and 79%‐83% (overall results). The requirement for surgery was similar in the two subgroups. Conclusion In managing biliary complications, the high diagnostic and therapeutic success rates of DAE‐ERCP combined with its safety and feasibility encourage its application as a first‐line approach to transplanted patients." @default.
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• W3014670340 date "2020-04-20" @default.
• W3014670340 modified "2023-09-30" @default.
• W3014670340 title "Efficacy and safety of device‐assisted enteroscopy ERCP in liver transplantation: A systematic review and meta‐analysis" @default.
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• W3014670340 doi "https://doi.org/10.1111/ctr.13864" @default.
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