Use of Lumen-Apposing Stents for the Treatment of Postsurgical Fluid Collections: A Case Series and a Review of Literature

Case Reports in Gastrointestinal Medicine
Priyanka PriyankaJohn Nasr

Abstract

Lumen-apposing metal stents (LAMS) use in gastrointestinal endoscopy has been on the rise for various indications for the last few years. Currently, LAMS is a well-established treatment for post-pancreatitis peri-pancreatic fluid collections and walled-off necrosis (WON), but it is still not a standard of care in the treatment of post-surgical fluid collections (PSFC). Most of the earlier studies for treatment of PSFC utilized double pigtail plastic stents (DPS). We present a series of 3 cases where LAMS was successfully used for PSFC drainage. The cases include a patient with perigastric abscess after Whipple's procedure, a case of peri-pancreatic collection after distal pancreatectomy, and a patient with peri-pancreatic fluid collection after right partial hepatectomy and splenectomy due to lacerations from a motor vehicle accident.

References

Aug 8, 2009·Gastrointestinal Endoscopy·Shyam VaradarajuluJohn D Christein
Jun 28, 2011·AJR. American Journal of Roentgenology·Carmel G CroninRonald S Arellano
Jan 4, 2012·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Stefan SeewaldNib Soehendra
May 29, 2012·Journal of the American College of Surgeons·Nabeel AzeemMichael L Kendrick
Oct 2, 2012·Gastrointestinal Endoscopy·Tarun GuptaJacques Devière
Oct 9, 2013·Journal of the American College of Surgeons·Amy TilaraMark Schattner
Jun 16, 2014·Gastrointestinal Endoscopy·Claudia F ConsiglieriJoan B Gornals
Oct 8, 2014·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Raj J ShahMichel Kahaleh
May 18, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Reem Z SharaihaAli A Siddiqui

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Citations

Jan 5, 2021·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Íñigo Roa EsparzaÁngel Barturen Barroso
Oct 13, 2021·Zeitschrift für Gastroenterologie·Bo-Wen OuyangBeiping Zhang

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Methods Mentioned

BETA
pancreatectomy
gastric bypass

Software Mentioned

LAMS

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