Covered bridge over troubled strictures

In this current issue of Gastrointestinal Endoscopy, Tal et al1 compare 2 different approaches for the treatment of anastomotic biliary strictures (ABSs) after orthotopic liver transplantation (OLT). The authors report the results of their prospective open-label 2-arm study comparing multiple plastic stents (MPSs) with covered self-expandable metal stents (cSEMSs). On the basis of these results, patients who undergo cSEMS placement for ABSs require fewer ERCP interventions (median ERCP sessions, 2; range, 2-12) than do patients undergoing MPS placement (median ERCP sessions, 4; range, 3-12; P < .001).

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