Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting
Background/Aims Endoscopic ultrasound-guided transmural drainage and necrosectomy employing lumen-apposing metal stent (LAMS) are used for treating pancreatic fluid collections (PFCs) with excellent results from academic centers. Herein, we report the efficacy and safety of LAMS in the treatment of...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hoon Jai Chun
2020-07-01
|
Series: | Clinical Endoscopy |
Subjects: | |
Online Access: | http://www.e-ce.org/upload/pdf/ce-2019-116.pdf |
id |
doaj-06bfa28b39a549619aa3f4910e247b6d |
---|---|
record_format |
Article |
spelling |
doaj-06bfa28b39a549619aa3f4910e247b6d2020-11-25T03:31:57ZengHoon Jai ChunClinical Endoscopy2234-24002234-24432020-07-0153448048610.5946/ce.2019.1167286Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital SettingRajat Garg0Abdelkader Chaar1Susan Szpunar2Babu P. Mohan3Mohammed Barawi4 Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA Department of Internal Medicine, Ascension St. John Hospital, Detroit, MI, USA Department of Biomedical Investigations and Research, Ascension St. John Hospital, Detroit, MI, USA Department of Internal Medicine, University of Alabama, Tuscaloosa, AL, USA Division of Gastroenterology and Hepatology, Ascension St. John Hospital, Detroit, MI, USABackground/Aims Endoscopic ultrasound-guided transmural drainage and necrosectomy employing lumen-apposing metal stent (LAMS) are used for treating pancreatic fluid collections (PFCs) with excellent results from academic centers. Herein, we report the efficacy and safety of LAMS in the treatment of PFCs at a community hospital. Methods We retrospectively reviewed the etiology of pancreatitis, type and size of PFCs, length of procedure, technical success, clinical success, adverse events, and stent removal. The primary outcome was the rate of clinical success, and secondary outcomes were technical success and adverse events. Results Twenty-seven patients with a mean age of 54.1±6.5 years were included, 44% of which were men. The mean size of the PFCs was 9.7±5.0 cm (range, 3–21). The most common etiology of pancreatitis was alcohol (44%) followed by idiopathic causes (30%) and presence of gallstones (22%). The diagnosis was pseudocyst in 44.4% (12/27) and walled off necrosis in 55.6% (15/27) of patients. There was 100% technical success without any complications. Clinical success was achieved in 22 of 27 patients (81.5%) who underwent stent removal. Conclusions Our study is the first to report that endoscopic therapy of PFCs using LAMS is safe and effective even in a community hospital setting with limited resources and support compared to large academic centers.http://www.e-ce.org/upload/pdf/ce-2019-116.pdfendoscopic ultrasoundlumen-apposing metal stentpancreatic fluid collectionpancreatic pseudocystself-expandable metallic stents |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rajat Garg Abdelkader Chaar Susan Szpunar Babu P. Mohan Mohammed Barawi |
spellingShingle |
Rajat Garg Abdelkader Chaar Susan Szpunar Babu P. Mohan Mohammed Barawi Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting Clinical Endoscopy endoscopic ultrasound lumen-apposing metal stent pancreatic fluid collection pancreatic pseudocyst self-expandable metallic stents |
author_facet |
Rajat Garg Abdelkader Chaar Susan Szpunar Babu P. Mohan Mohammed Barawi |
author_sort |
Rajat Garg |
title |
Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting |
title_short |
Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting |
title_full |
Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting |
title_fullStr |
Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting |
title_full_unstemmed |
Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting |
title_sort |
efficacy and safety of lumen-apposing stents for management of pancreatic fluid collections in a community hospital setting |
publisher |
Hoon Jai Chun |
series |
Clinical Endoscopy |
issn |
2234-2400 2234-2443 |
publishDate |
2020-07-01 |
description |
Background/Aims Endoscopic ultrasound-guided transmural drainage and necrosectomy employing lumen-apposing metal stent (LAMS) are used for treating pancreatic fluid collections (PFCs) with excellent results from academic centers. Herein, we report the efficacy and safety of LAMS in the treatment of PFCs at a community hospital. Methods We retrospectively reviewed the etiology of pancreatitis, type and size of PFCs, length of procedure, technical success, clinical success, adverse events, and stent removal. The primary outcome was the rate of clinical success, and secondary outcomes were technical success and adverse events. Results Twenty-seven patients with a mean age of 54.1±6.5 years were included, 44% of which were men. The mean size of the PFCs was 9.7±5.0 cm (range, 3–21). The most common etiology of pancreatitis was alcohol (44%) followed by idiopathic causes (30%) and presence of gallstones (22%). The diagnosis was pseudocyst in 44.4% (12/27) and walled off necrosis in 55.6% (15/27) of patients. There was 100% technical success without any complications. Clinical success was achieved in 22 of 27 patients (81.5%) who underwent stent removal. Conclusions Our study is the first to report that endoscopic therapy of PFCs using LAMS is safe and effective even in a community hospital setting with limited resources and support compared to large academic centers. |
topic |
endoscopic ultrasound lumen-apposing metal stent pancreatic fluid collection pancreatic pseudocyst self-expandable metallic stents |
url |
http://www.e-ce.org/upload/pdf/ce-2019-116.pdf |
work_keys_str_mv |
AT rajatgarg efficacyandsafetyoflumenapposingstentsformanagementofpancreaticfluidcollectionsinacommunityhospitalsetting AT abdelkaderchaar efficacyandsafetyoflumenapposingstentsformanagementofpancreaticfluidcollectionsinacommunityhospitalsetting AT susanszpunar efficacyandsafetyoflumenapposingstentsformanagementofpancreaticfluidcollectionsinacommunityhospitalsetting AT babupmohan efficacyandsafetyoflumenapposingstentsformanagementofpancreaticfluidcollectionsinacommunityhospitalsetting AT mohammedbarawi efficacyandsafetyoflumenapposingstentsformanagementofpancreaticfluidcollectionsinacommunityhospitalsetting |
_version_ |
1724570620984819712 |