0000000000189776

AUTHOR

Sofia K. Mylona

showing 2 related works from this author

Orthotopic Liver Transplantation: T-Tube or Not T-Tube? Systematic Review and Meta-Analysis of Results

2009

Background The purpose of this study was to compare outcomes after duct-to-duct anastomoses with or without biliary T-tube in orthotopic liver transplantation. Methods We pooled the outcomes of 1027 patients undergoing choledocho-choledochostomy with or without T-tube in 9 of 46 screened trials by means of fixed or random effects models. Results The "without T-tube" and "with T-tube" groups had equivalent outcomes for: anastomotic bile leaks or fistulas, choledocho-jejunostomy revisions, dilatation and stenting, hepatic artery thromboses, retransplantation, and mortality due to biliary complications. The "without T-tube" group had better outcomes when considering "fewer episodes of cholangi…

Malemedicine.medical_specialtyQuality Assurance Health Caremedicine.medical_treatmentPeritonitisGallbladder DiseasesPeritonitisLiver transplantationAnastomosisPostoperative ComplicationsOdds RatiomedicineHumansRetrospective StudiesTransplantationbusiness.industryIncidence (epidemiology)Anastomosis SurgicalRetrospective cohort studyOdds ratioRandom effects modelmedicine.diseaseLiver TransplantationSurgeryCholedochostomyMeta-analysisPractice Guidelines as TopicDisease ProgressionFemalebusinessTransplantation
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Corticosteroid-free immunosuppression in liver transplantation: a meta-analysis and meta-regression of outcomes.

2009

To examine the impact of steroid withdrawal from the immunosuppression protocols in liver transplantation. The electronic databases Medline, Embase, Pubmed and the Cochrane Library were searched. Meta-analysis pooled the effects of outcomes of a total of 2590 patients enrolled into 21 randomized controlled trials (RCTs), using classic and modern meta-analytic methods. Meta-analysis of RCTs addressing patients transplanted for any indication showed no differences between corticosteroid-free immunosuppression and steroid-based protocols in most of the analyzed outcomes. More importantly, steroid-free cohorts appeared to benefit in terms of de novo diabetes mellitus development [R.R = 1.86 (1.…

Graft Rejectionmedicine.medical_specialtymedicine.medical_treatmentCochrane LibraryLiver transplantationlaw.inventionRandomized controlled triallawAdrenal Cortex HormonesInternal medicinemedicineHumansRandomized Controlled Trials as TopicHepatitisImmunosuppression TherapyTransplantationEvidence-Based Medicinebusiness.industryGraft SurvivalImmunosuppressionHepatitis Cmedicine.diseaseHepatitis CSurgeryLiver TransplantationTransplantationTreatment OutcomeMeta-analysisRegression AnalysisbusinessImmunosuppressive AgentsTransplant international : official journal of the European Society for Organ Transplantation
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