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Systematic Reviews
©The Author(s) 2025.
World J Transplant. Dec 18, 2025; 15(4): 108413
Published online Dec 18, 2025. doi: 10.5500/wjt.v15.i4.108413
Table 2 summarizes the quality of the included studies
Ref.
Study design
Sample size
Patient age range
Intervention(s)
Outcomes reported
Quality assessment (e.g., bias, limitations)
Wang et al[40]Retrospective cohort6331-83 yearsMCT + enteral nutrition + LFD58 fully recoveredRetrospective design may introduce selection bias
Pan et al[25]Retrospective cohort58UndisclosedMCT + LFD (8/36); octreotide (36/58); TPN (12/36)Immediate CA decrease with somatostatinRetrospective; potential confounding factors not controlled
Miserachs et al[41]Retrospective Cohort3172.8 years (range not specified)LFD or MCT diet (94%); IV octreotide (6%)Nutritional interventions did not reduce drain lossesLarge sample size; retrospective design may lead to bias
Matsuura et al[8]Retrospective cohort9410.8 ± 3.6 daysLFD containing MCT; TPN + OctreotideReduced drainage volume; resolution after 19.5 ± 7.6 daysRetrospective, but included a control group
Shapiro et al[28]Case study155 yearsFasting, Somatostatin analog, TPNComplete resolution after 2 daysSingle case; limited generalizability
Ünlüsoy Aksu et al[10]Case study111 monthsFasting + diuretics + somatostatinComplete resolution after 21 daysSingle case; limited generalizability
Baran et al[1]Case study23.5-5 yearsTPN + somatostatinComplete resolution after 7 daysSmall sample size; findings may not be applicable to larger populations
Ijichi et al[42]Case study140 yearsLFD + somatostatinNo resolution after 104 days, improvement with TPNSingle case; limited generalizability
Mukerji et al[36]Case study162 yearsLFD + 12-hour TPN + octreotideNo resolution after 2 weeks; improvement with octreotideSingle case; limited generalizability
Chen et al[29]Case study156 yearsTPN + somatostatin + sirolimusComplete CA clearance after 30 daysSingle case; limited generalizability
Saab et al[43]Case study149 yearsLFD + MCTComplete resolution after 2 monthsSingle case; limited generalizability
Shiba et al[16]Case study146 yearsTPN + LFDComplete resolution after 2 monthsSingle case; limited generalizability
Saucedo-Crespo et al[44]Case Study149 yearsLFD - high protein dietComplete CA resolution after 4 daysSingle case; limited generalizability


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