{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:46:42Z","timestamp":1789544802915,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Although fully covered self\u2010expandable metal stents (FCSEMS) are used for the management of anastomotic biliary stricture (ABS) after liver transplantation (LT), there is concern about long\u2010term adverse events such as recurrence of stricture. We evaluated the long\u2010term efficacy of a modified nonflared FCSEMS (M\u2010FCSEMS) compared to plastic stents (PS) for refractory ABS after LT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive patients who underwent placement of an M\u2010FCSEMS (M\u2010FCSEMS group) or multiple PS (PS group) for refractory ABS after LT were enrolled. The primary outcome was the stricture recurrence rate, and the secondary outcomes were technical success, clinical success, and the rate of de novo stricture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In both groups, technical success was achieved in all patients. The median stent duration was 3.1\u2009months in the M\u2010FCSEMS group and 7.6\u2009months in the PS group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Clinical success rates were 96.7% (29\/30) for the M\u2010FCSEMS group and 94.4% (17\/18) for the PS group (<jats:italic>P<\/jats:italic>\u2009=\u20090.709). Stent migration occurred in 10.0% (3\/30) of the patients before removal of the stent in the M\u2010FCSEMS group, while 27.8% (5\/18) of patients in the PS group showed stent migration (<jats:italic>P<\/jats:italic>\u2009=\u20090.110). Stricture recurrence occurred in 17.2% (5\/29) in the M\u2010FCSEMS group, compared to 47.1% (8\/17) in the PS group (<jats:italic>P<\/jats:italic>\u2009=\u20090.036). There were no de novo strictures observed in either cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Modified nonflared FCSEMS is effective for relieving refractory ABS after LT, with a low recurrence rate and the absence of de novo stricture after long\u2010term follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.14990","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T08:19:41Z","timestamp":1739866781000},"page":"651-658","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Long\u2010term outcomes of a modified nonflared fully covered self\u2010expandable metal stent for refractory anastomotic biliary strictures after liver transplantation (with video)"],"prefix":"10.1111","volume":"37","author":[{"given":"Jae Woo","family":"Park","sequence":"first","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University College of Medicine  Bucheon South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Ho","family":"Moon","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University College of Medicine  Bucheon South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun Nah","family":"Lee","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University College of Medicine  Bucheon South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Il Sang","family":"Shin","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University College of Medicine  Bucheon South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun Chul","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Surgery SoonChunHyang University College of Medicine  Bucheon South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaehong","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Surgery SoonChunHyang University College of Medicine  Bucheon South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae Hoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University College of Medicine  Cheonan South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Kook","family":"Yang","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University College of Medicine  Cheonan South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Deok","family":"Cho","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University College of Medicine  Seoul South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang\u2010Heum","family":"Park","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University College of Medicine  Cheonan South\u00a0Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21509"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2017.04.013"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2014.04.043"},{"key":"e_1_2_8_5_1","first-page":"407","article-title":"Multiple plastic versus fully covered metal stents for managing post\u2010liver transplantation anastomotic biliary strictures: A meta\u2010analysis of randomized controlled trials","volume":"32","author":"Tringali A","year":"2019","journal-title":"Ann 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