Endoscopic transluminal drainage of walled-off necrosis: Does size matter?

Voermans, Rogier P.; Fockens, Paul

doi:10.1016/j.gie.2015.12.032

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…Despite the limited data and the preliminary results, a recent meta-analysis [ 18 ] comparing EUS-guided biliary drainage and percutaneous transhepatic biliary drainage concluded that EUS procedure should be preferred because of its higher clinical success and lower complication and reintervention rates. Concerns about the safety and efficacy of specifically designed devices for transmural EUS-guided drainage such as LAMS have recently been raised in the literature [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound-guided transmural drainage by cauterytipped lumen-apposing metal stent: exploring the possible indications

Anderloni¹,

Léo

Carrara³

et al. 2018

aog

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BackgroundThe recently introduced Hot AXIOS™ system for endoscopic ultrasound (EUS)-guided transenteric drainage has the potential to change interventional endoscopy significantly. The aim of our study was to assess the effectiveness and safety of this new type of lumen-apposing metal stent (LAMS) with cautery system for pancreatic collection, and gallbladder and biliary tree drainage.MethodsWe retrospectively reviewed consecutive patients undergoing EUS-guided drainage by LAMS with cautery system in a tertiary-care academic medical center between March 2014 and March 2017. All patients were included in our prospectively maintained institutional EUS database. The main outcome measures were technical success, clinical effectiveness, and adverse events.ResultsA total of 45 patients (20 men, mean age 69.6 years) underwent LAMS placement. Indications were pancreatic fluid collections (19 patients, 42.2%), acute cholecystitis (10 patients, 22.2%), and biliary drainage (16 patients, 35.5%). Technical success was achieved in all patients except one (97.7%). Clinical success was achieved in 86.4% (38/44) of cases and adverse events occurred in 5 (11.4%) of patients.ConclusionsIn our experience, EUS-guided LAMS placement performed by expert endoscopists was feasible and effective in the endoscopic management of pancreatic fluid collection, and biliary and gallbladder drainage. Optimization of transmural drainage by new dedicated devices could improve efficacy and safety in appropriately selected patients.

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Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound-guided transmural drainage by cauterytipped lumen-apposing metal stent: exploring the possible indications

Anderloni¹,

Léo

Carrara³

et al. 2018

aog

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“…The most commonly used procedure involves transmural insertion of several plastic stents to maintain the patency of the pancreaticogastric or pancreaticoduodenal cystostomy and to ensure undisturbed outflow of the fluid from the collection cavity into the gastrointestinal tract [ 15 – 18 ]. The wider the fistula, the more efficient is the transmural drainage [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

The Role of Lumen-Apposing Metal Stents in Transmural Endoscopic Drainage of Postinflammatory Pancreatic and Peripancreatic Fluid Collections

Jagielski

Jackowski

2021

Gastroenterology Research and Practice

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Rapid development of advanced gastrointestinal endoscopic techniques contributed to the appearance of new biomedical materials including polymers, which are used for the production of different types of endoprostheses. Endotherapy (ET) of postinflammatory pancreatic and peripancreatic fluid collections (PPFCs) with the use of lumen-apposing metal stent (LAMS) is an effective method of treatment. This paper describes the high efficacy of ET and its potential complications, which are mostly related to the design of the LAMS used. The high efficacy of LAMS in the transmural drainage of PPFCs is associated with lower safety of treatment. Complications of ET presented in the manuscript are mainly related to endoprosthesis’ construction. This paper presents possible directions of development in the field of transmural LAMSs, which in the future may contribute to the invention of an innovative type of LAMS based on new biomedical technologies. Possibly, subsequent novel endoprosthesis projects, based on the above results, will be able to meet the current needs and requirements associated with endoscopic transmural drainage procedures in cases of postinflammatory PPFCs. The ultimate goal is to improve safety of minimally invasive techniques for treatment of the local consequences of pancreatitis.

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“…[1][2][3] In 2012, it was revised, and pancreatic inflammatory collections were reclassified. Acute fluid collections include those which are not completely encapsulated and which appear within four weeks from the initial presentation.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive endoscopic treatment of necrotizing pancreatitis: A case report with images and review of the literature

Moura¹,

Barros²,

Oliveira³

et al. 2017

Rev. Assoc. Med. Bras.

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Necrotizing pancreatitis with fluid collections can occur as a complication of acute pancreatitis. The management of these patients depends on the severity and involves multiple medical treatment modalities, as clinical intensive care and surgical intervention. In this article, we show a severe case of walled-off pancreatic necrosis that was conducted by endoscopic drainage with great clinical outcome.

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Endoscopic transluminal drainage of walled-off necrosis: Does size matter?

Cited by 5 publications

References 12 publications

Endoscopic ultrasound-guided transmural drainage by cauterytipped lumen-apposing metal stent: exploring the possible indications

Endoscopic ultrasound-guided transmural drainage by cauterytipped lumen-apposing metal stent: exploring the possible indications

The Role of Lumen-Apposing Metal Stents in Transmural Endoscopic Drainage of Postinflammatory Pancreatic and Peripancreatic Fluid Collections

Minimally invasive endoscopic treatment of necrotizing pancreatitis: A case report with images and review of the literature

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