Endoscopic drainage of an infected post-surgical abdominal fluid collection using a lumen-apposing metal stent

Trindade, Arvind J.; Hillman, Yonatan; Wang, John H.; Benias, Petros C.; Miller, Larry S.

doi:10.1055/s-0043-119980

Cited by 2 publications

(3 citation statements)

References 2 publications

(2 reference statements)

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“…Trindade and colleagues also had a case of a patient with a 7.4 cm fluid collection unable to be drained by the interventional radiology service. Successful LAMS placement led to resolution of symptoms within 24 hours 71…”

Section: Lams For Drainage Of Postsurgical Fluid Collections (Psfcs)mentioning

confidence: 99%

“…Successful LAMS placement led to resolution of symptoms within 24 hours. 71 Pelvic abscesses can arise as a surgical complication or disease process such as inflammatory bowel disease, sexual transmitted diseases, perforated appendicitis, and ischemic bowel disease. 72 Historically, these abscesses have been drained surgically or percutaneously under ultrasound guidance or computed tomography guidance.…”

Section: Lams For Gbdmentioning

confidence: 99%

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Novel Uses of Lumen-apposing Metal Stents

Bhenswala

Lakhana

Gress

et al. 2021

Journal of Clinical Gastroenterology

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The field of therapeutic endoscopy has seen many recent advancements. One such emerging field is the use of lumen-apposing metal stents (LAMS). Although a few LAMS have been developed, the most commonly reviewed and the only Food and Drug Administration (FDA)-approved LAMS is the Axios stent by Boston Scientific. In 2013, LAMS were initially approved by the FDA for the management of pancreatic fluid collection drainage in the presence walled-off necrosis. Pancreatic fluid collections are traditionally drained with either a plastic stent or a covered biliary self-expanding metal stent. Plastic stents have a double pigtail feature which prevents stent migration. However, their narrow lumen poses limitations as it can lead to early stent occlusion. Fully covered metal stents have larger diameters, allowing improved drainage and decreased stent occlusion but their tubular shape is prone to migration. Consequently, this results in leakage, and frequent retrievals. Over the years, due to their versatility, LAMS now have many off label uses. This includes management of gastric outlet obstruction, superior mesenteric artery syndrome, strictures, gallbladder drainage, and postsurgical collection drainage. In this review, we will be discussing the FDA approved and the nonapproved uses of LAMS.

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Section: Lams For Drainage Of Postsurgical Fluid Collections (Psfcs)mentioning

confidence: 99%

Section: Lams For Gbdmentioning

confidence: 99%

Novel Uses of Lumen-apposing Metal Stents

Bhenswala

Lakhana

Gress

et al. 2021

Journal of Clinical Gastroenterology

View full text Add to dashboard Cite

show abstract

“…1 Prior studies have established the efficacy and safety of lumen-apposing metal stents (LAMSs) in PSFCs. [1][2][3][4] In the video accompanying this case report (Video 1, available online at www. giejournal.org), we demonstrate the transjejunal placement of a 6-mm LAMS for drainage of an infected postsurgical fluid collection.…”

Section: Introductionmentioning

confidence: 99%