Endoscopic drainage of walled-off pancreatic necrosis using a novel self-expanding metal stent.
Endoscopy
; 47(10): 929-32, 2015 Oct.
Article
em En
| MEDLINE
| ID: mdl-26126156
ABSTRACT
BACKGROUND AND STUDY AIMS:
This report describes the use of a novel, fully covered, self-expanding metal stent (FCSEMS) for endoscopic ultrasound (EUS)-guided drainage of walled-off pancreatic necrosis (WON). PATIENTS ANDMETHODS:
Patients with WON, as defined by the revised Atlanta Criteria, were included in this open-lable, two-center, observational study. The WON was punctured using a cystotome, and the FCSEMS was inserted under fluoroscopic guidance. Necrosectomy procedures were performed as necessary.RESULTS:
A total of 19 patients were included. The median maximum collection size was 15âcm with a median of 50â% necrosis. A total of 14/19 patients underwent necrosectomy, requiring a median of 4 procedures. Resolution or reduction in the size of collection by at least 80â% was achieved in all patients. Percutaneous or surgical drainage was required in three patients. Five stents migrated or dislodged. One patient had abdominal pain post-procedure. Five patients died during follow-up (three from multi-organ failure, and two unrelated to pancreatitis).CONCLUSIONS:
Use of this stent is feasible and safe for drainage of WON. However, stent displacement rates were high, and improvements to the stent design are required before it can be advocated for routine use in WON.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pancreatectomia
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Drenagem
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Endoscopia do Sistema Digestório
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Pancreatite Necrosante Aguda
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Stents Metálicos Autoexpansíveis
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article