Lumen‐apposing metal stents for drainage of pancreatic fluid collections: When and for whom?

Background and Aim Although lumen‐apposing metal stents (LAMS) are increasingly being used for drainage of pancreatic fluid collections (PFC), their advantage over plastic stents is unclear. Methods In this retrospective case–control study, 20 patients who underwent PFC drainage using LAMS were matc...

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Bibliographic Details
Published in:Digestive endoscopy 2017-01, Vol.29 (1), p.83-90
Main Authors: Bang, Ji Young, Hasan, Muhammad K., Navaneethan, Udayakumar, Sutton, Bryce, Frandah, Wesam, Siddique, Sameer, Hawes, Robert H., Varadarajulu, Shyam
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Case-Control Studies
Child
Drainage - methods
endoscopic ultrasound
Endosonography - methods
Female
Humans
lumen‐apposing metal stent
Male
Middle Aged
Pancreatic Diseases - surgery
pancreatic fluid collection
plastic stent
Retrospective Studies
Stents
Surgery, Computer-Assisted - methods
walled‐off necrosis
Young Adult
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Summary:Background and Aim Although lumen‐apposing metal stents (LAMS) are increasingly being used for drainage of pancreatic fluid collections (PFC), their advantage over plastic stents is unclear. Methods In this retrospective case–control study, 20 patients who underwent PFC drainage using LAMS were matched with 40 patients treated with plastic stents according to PFC type (walled‐off necrosis [WON] vs pseudocyst) and procedural technique (conventional vs multi‐gate). Main outcome measures were treatment success, reintervention, clinical and stent‐related adverse events, procedural duration, length of hospital stay (LOS) and hospital costs. Results At median follow up of 570 days, except for median procedural duration (8.5 vs 25 min, P 
ISSN:0915-5635
1443-1661
DOI:10.1111/den.12681