Buried lumen-apposing metal stent (LAMS) following endoscopic ultrasound-guided gallbladder drainage: the LAMS-in-LAMS rescue treatment

Ligresti, Dario; Cipolletta, F.; Amata, Michele; Cimavilla, Marta; Traina, Mario; Tarantino, Ilaria

doi:10.1055/a-0624-2050

Cited by 21 publications

(21 citation statements)

References 4 publications

(1 reference statement)

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“…In a study by Kamata et al ,[ 6 ] the metal stents were removed 4 weeks after placement in order to avoid stent migration and the recurrence of cholecystitis due to food impaction. In another study by Ligresti et al ,[ 30 ] they reported that the longer stent indwelling time resulted in a buried stent and it was rescued with the LAMS-in-LAMS technique. It seems that the indwelling time is longer than 4 weeks, which may increase the risk of a stent-related AE.…”

Section: Resultsmentioning

confidence: 99%

How to perform EUS-based cholecystolithotomy

Guo

Zhang

et al. 2020

Endosc Ultrasound

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Section: Resultsmentioning

confidence: 99%

How to perform EUS-based cholecystolithotomy

Guo

Zhang

et al. 2020

Endosc Ultrasound

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“…The successful rate of the anchor assisted group was high than the guidewire assisted group (92.9% Vs 70%, P=0.07). On the average of 12.25±2.77 (range [8][9][10][11][12][13][14][15][16][17] days after the initial BD drainage procedure, 20 patients received the per-oral cholecystoscopy via the fistula. Fistula broken was found in 2 patients in which the per-oral cholecystoscopy was applied on the ninth day after the EUS-GBD.…”

Section: Resultsmentioning

confidence: 99%

“…The average stent indwelling time before the transmural cholecystolithotomy is 12.25±2.77 days. The longer stent indwelling time may have potential risks like migration which could be treated with LAMS-in-LAMS technique 12 . the shorter time duration may not be enough for the formation of fistulous tract and increase the chance of fistula broken.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound-based transluminal cholecystolithotomy: the retrievable anchor assisted procedure

Ge¹,

Hu²,

Yang³

et al. 2019

Preprint

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Background EUS guided gallbladder drainage has gradually emerging as an option among patients with cholecystitis. Stent bridged endoscope intervention in the gallbladder was further introduced. The aim of this study was to assess the effectiveness and safety of the ECE-LAMS and this newly designed retrievable puncture anchor applied in the transmural Cholecystolithotomy. Method We retrospectively reviewed consecutive patients undergoing EUS-guided transmural cholecystoscopic therapy. The main outcome measures for the EUS-GBD procedure were techniques success and adverse events, which were also compared between guided assisted group and retrievable anchor assisted group. The main outcome measures for the transmural cholecystoscopy after EUS-GBD were the stent indwelling time, clinical success and adverse events. Results A total of 24 (15 female) patients with gallstones were received the transluminal Cholecystolithotomy. Mean age is 36.08±13.69 years old. The successful rate of the anchor assisted group was high than the guidewire assisted group (92.9% Vs 70%, P=0.07). On the average of 12.25±2.77 (range 8-17) days after the initial BD drainage procedure, 20 patients received the per-oral cholecystoscopy via the fistula. Fistula broken was found in 2 patients in which the per-oral cholecystoscopy was applied on the ninth day after the EUS-GBD. During the follow-up period (mean 314.2± 213.7 days) no GB stones recurrence or other long term complications reported. Conclusion In conclusion, we have demonstrated that EUS-assisted per-oral cholecystoscopy technique with ECE-LMAS is an efficient and safe procedure. For the EUS-GBD procedure, retrievable anchor could significantly increase the success rate compared with the guidewire.

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“…The average stent indwelling time before transmural cholecystolithotomy is 12.25±2.77 days. A longer stent indwelling time may have potential risks like migration, which could be treated with the LAMS-in-LAMS technique 13 . The shorter time duration may not be enough for the formation of the fistulous tract and increase the chance of fistula rupture.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound-based transluminal cholecystolithotomy: the retrievable anchor assisted procedure

Ge¹,

Yang

et al. 2019

Preprint

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Background Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is gradually emerging as an option among patients with cholecystitis. A stent-bridged endoscopic intervention in the gallbladder (GB) was further introduced. The aim of this study was to assess the effectiveness and safety of the electrocautery-enhanced delivery of a lumen apposing metal stent (ECE-LAMS) and this newly designed retrievable anchor (RA) applied in the transmural cholecystolithotomy. Method We retrospectively reviewed consecutive patients undergoing EUS-guided transmural cholecystoscopic therapy. The main outcome measures for the EUS-GBD procedure were technical success and adverse events, which were also compared between the guided assisted group and the RA-assisted group. The main outcome measures for transmural cholecystoscopy after EUS-GBD were the stent indwelling time, clinical success, and adverse events. Results A total of 24 (15 female) patients with gallstones received transluminal cholecystolithotomy. The mean age of the patients was 36.08±13.69 years. The success rate of the anchor-assisted group was higher than that of the guidewire-assisted group (92.9% vs. 70%, P=0.07). On an average of 12.25±2.77 (range 8-17) days after the initial GB drainage procedure, 20 patients received per-oral cholecystoscopy via the fistula. A ruptured fistula was found in 2 patients in whom the per-oral cholecystoscopy was applied on the ninth day after EUS-GBD. During the follow-up period (mean 314.2± 213.7 days), no GB stone recurrence or other long-term complications were reported. Conclusion We demonstrated that the EUS-assisted per-oral cholecystoscopy technique with ECE-LMAS is an efficient and safe procedure. For the EUS-GBD procedure, a RA could significantly increase the success rate compared with the guidewire.

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Buried lumen-apposing metal stent (LAMS) following endoscopic ultrasound-guided gallbladder drainage: the LAMS-in-LAMS rescue treatment

Cited by 21 publications

References 4 publications

How to perform EUS-based cholecystolithotomy

How to perform EUS-based cholecystolithotomy

Endoscopic ultrasound-based transluminal cholecystolithotomy: the retrievable anchor assisted procedure

Endoscopic ultrasound-based transluminal cholecystolithotomy: the retrievable anchor assisted procedure

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