Lumen-apposing covered self-expanding metallic stent for symptomatic pancreatic fluid collections: assessment of outcomes and complications with CT and MRI

A Practical Approach to Management of Acute Pancreatitis: Similarities and Dissimilarities of Disease in Children and Adults

“…In prior decades, this was managed by percutaneous drainage or surgical debridement. The current standard of care for management of these pancreatic collections in adults is EUS-guided drainage of the fluid collection with plastic or lumen apposing metallic stents (LAMS) when the collection is mature [46][47][48]. Acute pancreatitis without necrosis typically does not result in severe complications in children, and severe necrotizing pancreatitis is less common in children relative to adults [28,49].…”

Interventional Radiology Management of Vascular Complications From Gastrointestinal Interventions

“…Increased rate of bleeding was corroborated in another retrospective comparison showing a significantly increased rate of bleeding in LAMS compared with DPS (19% vs. 1%, P = 0.0003) 9. In retrospective reviews of bleeding complications related to LAMS, 6.2% of patients (6/97) underwent embolization after LAMS in one study; in another study, 17.9% (5/28) required embolization 10…”

Therapeutic Upper Gastrointestinal Endoscopy in Pediatric Gastroenterology

“…Subsequently, either straight ERCP plastic stents or pig-tailed stents can be inserted into the pseudocyst and left in situ (Figure 12D). Recently, the temporary placement of selfexpanding metal stents has been reported (AXIOS, Figure 12E) (100,101). Fluid will then follow the path of least resistance, and the presumed communication with the pancreatic duct will close, preventing further accumulation of pancreatic fluid in the cyst.…”