Multicenter experience from the UK and Ireland of use of lumen-apposing metal stent for transluminal drainage of pancreatic fluid collections

Endoscopy International Open
Suresh Vasan VenkatachalapathyMatthew T Huggett

Abstract

Pancreatic fluid collection (PFC) is a common complication of pancreatitis for which endoscopic ultrasound-guided drainage is first-line treatment. A new single-device, lumen-apposing, covered self-expanding metal stent (LAMS) has been licensed for PFC drainage. We therefore present our multicenter experience with the LAMS for PFC drainage in a multicenter prospective case series to assess success and complication rates. All adult patients from 11 tertiary centers who had LAMS placement for PFC from July 2015 to July 2016 were included. Data including indications, technical success, clinical success, collection resolution, stent removal, early and late adverse events (AEs), mortality and recurrence at 6 months were collected. 116 patients, median age 52.5 years (range 16 - 80) and 67 % male, were treated with a single LAMS in each case. The indication was walled off necrosis (WON) in 70 and pseudocyst in 46. Median size of the PFC was 11 cm (5 - 21 cm) and the estimated median necrotic volume in WON was 30 % (5 % - 90 %). Stent insertion was technically successful in 115 (99.1 %) and clinically successful in 109 (94 %). Early serious AEs (SAEs): n = 7 sepsis, n = 1 stent blockage with food, n = 1 stent migration requiring lapar...Continue Reading

Citations

Feb 23, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kiyoyuki KobayashiTsutomu Masaki
Jan 17, 2020·Scandinavian Journal of Gastroenterology·Waseem AhmadWilson T Kwong
Nov 6, 2018·United European Gastroenterology Journal·Maria Chiara PetronePaolo Giorgio Arcidiacono
Jul 10, 2019·Frontline Gastroenterology·George GoodchildGavin J Johnson
Nov 23, 2020·Gastroenterology·Franz BrinkmannSebastian Zeissig
Aug 10, 2021·Journal of Gastroenterology and Hepatology·Saad KhanBenedict Devereaux

❮ Previous
Next ❯

Methods Mentioned

BETA
lavage
sedation

Related Concepts

Related Feeds

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.