EUS-guided drainage of pancreatic fluid collections using lumen apposing metal stents: An international, multicenter experience.
Dig Liver Dis
; 51(11): 1557-1561, 2019 11.
Article
in En
| MEDLINE
| ID: mdl-31272934
ABSTRACT
INTRODUCTION:
Lumen apposing metal stents (LAMS) have been used increasingly for drainage of pancreatic fluid collections (PFC). We present an international, multicenter study evaluating the safety and efficacy of LAMS in PFCs.METHODS:
Consecutive patients undergoing LAMS placement for PFC at 12 international centers were included (ClinicalTrials.gov NCT01522573). Demographics, clinical history, and procedural details were recorded. Technical success was defined as successful LAMS deployment. Clinical success was defined as PFC resolution at three-month follow-up.RESULTS:
192 patients were included (140 males (72.9%), mean-age 53.8â¯years), with mean follow-up of 4.2â¯months⯱â¯3.8. Mean PFC size was 11.9â¯cm (range 2-25). The median number of endoscopic interventions was 2 (range 1-14). Etiologies for PFC were gallstone (nâ¯=â¯82, 42.7%), alcohol (nâ¯=â¯50, 26%), idiopathic (nâ¯=â¯26, 13.5%), and other (nâ¯=â¯34, 17.7%). Technical success was achieved in 189 patients (98.4%). Clinical success was observed in 125 of 135 patients (92.6%). Adverse events included bleeding (nâ¯=â¯11, 5.7), infection (nâ¯=â¯2, 1%), and perforation (nâ¯=â¯2, 1%). Three or more endoscopy sessions were a positive predictor for PFC resolution and the only significant predictor for AEs.CONCLUSION:
LAMS has a high technical and clinical success rate with a low rate of AEs. PFC drainage via LAMS provides a minimally invasive, safe, and efficacious procedure for PFC resolution.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pancreatic Pseudocyst
/
Stents
/
Drainage
/
Hemorrhage
Type of study:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Dig Liver Dis
Journal subject:
GASTROENTEROLOGIA
Year:
2019
Document type:
Article
Affiliation country:
United States