Endoscopic ultrasound-guided treatment of pancreatic fluid collections with lumen apposing metallic stents: lessons learned

Clinical Journal of Gastroenterology
Rodrigo Cañada SurjanJosé Celso Ardengh

Abstract

Pancreatic fluid collections are common pancreatitis complications that frequently require drainage. Endoscopic ultrasound-guided placement of expandable lumen apposing metallic stents has recently emerged as an effective and less invasive treatment option. It is associated with less morbidity, lower costs, and faster clinical recovery than other therapeutic modalities. Nevertheless, this procedure may result in severe complications such as bleeding, buried stent syndrome, and prosthesis dislodgement (with perforation and peritoneal leakage). We performed 108 EUS-guided drainages with lumen apposing metallic stents for the treatment of pancreatic fluid collections with 8 complications and only two cases that required urgent surgical procedures resulting in one fatality. We present this two severe complications submitted to surgical treatment and discuss potential signs of alarm that must be taken under consideration before choosing a treatment modality.

References

Feb 21, 2009·Gastrointestinal Endoscopy·Stefan SeewaldUNKNOWN EUS 2008 Working Group
Jun 17, 2010·Digestive Surgery·Koji TezukaWataru Kimura
Mar 15, 2012·JAMA : the Journal of the American Medical Association·O Joe Hines, Graham W Donald
Apr 24, 2012·World Journal of Gastrointestinal Endoscopy·Ilaria TarantinoMario Traina
Oct 27, 2012·Gut·Peter A BanksUNKNOWN Acute Pancreatitis Classification Working Group
Feb 24, 2016·World Journal of Gastroenterology : WJG·Amy TybergMichel Kahaleh
May 11, 2017·World Journal of Gastroenterology : WJG·Zaheer NabiD Nageshwar Reddy
Oct 6, 2017·World Journal of Gastrointestinal Endoscopy·Michael L DeSimoneTyler M Berzin
Oct 6, 2017·World Journal of Gastrointestinal Endoscopy·Si-Jie HaoDe-Liang Fu

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Citations

Jul 15, 2020·Scandinavian Journal of Gastroenterology·Giulia MarchettiJosé Celso Ardengh

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