Novel 15-mm-long lumen-apposing metal stent for endoscopic ultrasound-guided drainage of pancreatic fluid collections located ≥10 mm from the luminal wall.
Endoscopy
; 54(7): 706-711, 2022 07.
Article
em En
| MEDLINE
| ID: mdl-34905796
ABSTRACT
BACKGROUND:
Endoscopic ultrasound (EUS)-guided drainage of pancreatic fluid collections (PFCs) by cautery-enhanced lumen-apposing metal stents (LAMS) has largely been limited to collections located <â10âmm from the luminal wall. We present outcomes of the use of a novel 15-mm-long cautery-enhanced LAMS for drainage of PFCs located ≥â10âmm away.METHODS:
This international, multicenter study analyzed all adults with PFCs located ≥â10âmm from the luminal wall who were treated by EUS-guided drainage using the 15-mm-long cautery-enhanced LAMS. The primary outcome was technical success. Secondary outcomes included clinical success (decrease in PFC size byâ≥â50â% at 30 days and resolution of clinical symptoms without surgical intervention), complications, and recurrence.RESULTS:
35 patients (median age 57 years; interquartile range [IQR] 47-64 years; 49â% male) underwent novel LAMS placement for drainage of PFCs (26 walled-off necrosis, 9 pseudocysts), measuring 85âmm (IQR 64-117) maximal diameter and located 11.8âmm (IQR 10-12.3; range 10-14) from the gastric/duodenal wall. Technical and clinical success were high (both 97â%), with recurrence in one patient (3â%) at a median follow-up of 123 days (58-236). Three complications occurred (9â%; one mild, two moderate).CONCLUSIONS:
The 15-mm-long cautery-enhanced LAMS was feasible and safe for drainage of PFCs located 10-14âmm from the luminal wall.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Pseudocisto Pancreático
Tipo de estudo:
Clinical_trials
Limite:
Female
/
Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article