Clin Endosc.  2023 Jan;56(1):129-131. 10.5946/ce.2022.105.

Trans-cavity lumen-apposing metal stent removal: an alternative safe modality

Affiliations
  • 1Endoscopy Unit, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, Palermo, Italy
  • 2Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Palermo, Italy


Figure

  • Fig. 1. Abdominal computed tomography scan showing the huge walled-off pancreatic necrosis (arrow).

  • Fig. 2. (A) Second lumen-apposing metal stent deployment (duodenal) for the multiple gateway technique. (B) Necrosectomy of the cavity using a device with a basket.


Reference

1. Garg R, Chaar A, Szpunar S, et al. Efficacy and safety of lumen-apposing stents for management of pancreatic fluid collections in a community hospital setting. Clin Endosc. 2020; 53:480–486.
2. Oh D, Lee JH, Song TJ, et al. Clinical outcomes of EUS-guided transluminal drainage with a novel lumen-apposing metal stent for postoperative pancreatic fluid collection after pancreatic surgery. Gastrointest Endosc. 2022; 95:735–746.
3. Yoo J, Yan L, Hasan R, et al. Feasibility, safety, and outcomes of a single-step endoscopic ultrasonography-guided drainage of pancreatic fluid collections without fluoroscopy using a novel electrocautery-enhanced lumen-apposing, self-expanding metal stent. Endosc Ultrasound. 2017; 6:131–135.
4. Gulati R, Rustagi T. Endoscopic removal and replacement of the same lumen-apposing metal stent for multiple endoscopic necrosectomy sessions. Endoscopy. 2021; 53:71–74.
5. Arvanitakis M, Dumonceau JM, Albert J, et al. Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines. Endoscopy. 2018; 50:524–546.
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