Amol Bapaye1, Takao Itoi2, Pradermchai Kongkam3, Nachiket Dubale1, Shuntaro Mukai2. 1. Department of Digestive Diseases and Endoscopy, Deenanath Mangeshkar Hospital and Research Center, Pune, India. 2. Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. 3. Department of Internal Medicine, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand.
Abstract
BACKGROUND AND AIM: Endoscopic transmural drainage (ETMD) of peripancreatic fluid collections (PFC) is an effective alternative to surgical drainage. Conventional drainage using plastic stents has its limitations. A wide-bore short-length wide flange fully covered self-expandable metallic stent (FCSEMS) has recently been developed. The present study evaluates the efficacy of this new FCSEMS for ETMD of PFC. METHODS: This was a retrospective, multicenter study. Patients with PFC undergoing endoscopic ultrasound (EUS)-guided drainage of PFC using specially designed FCSEMS were included. Parameters evaluated were technical success of stent placement, clinical success as defined by resolution of PFC without any further surgical intervention, ability to carry out endoscopic necrosectomy, complications and feasibility of endoscopic stent removal. RESULTS: Twenty-one PFC in 19 patients were drained using FCSEMS. Technical and clinical success for drainage was seen in all patients (100%). Endoscopic necrosectomy was carried out in seven (33%) PFC. Complications occurred in two patients (10.5%). Stents could be endoscopically removed in all patients (100%). CONCLUSIONS: The new specially designed FCSEMS is safe and effective for drainage of PFC. Necrosectomy can be carried out through the stent. Stent can be removed endoscopically at the end of the treatment period.
BACKGROUND AND AIM: Endoscopic transmural drainage (ETMD) of peripancreatic fluid collections (PFC) is an effective alternative to surgical drainage. Conventional drainage using plastic stents has its limitations. A wide-bore short-length wide flange fully covered self-expandable metallic stent (FCSEMS) has recently been developed. The present study evaluates the efficacy of this new FCSEMS for ETMD of PFC. METHODS: This was a retrospective, multicenter study. Patients with PFC undergoing endoscopic ultrasound (EUS)-guided drainage of PFC using specially designed FCSEMS were included. Parameters evaluated were technical success of stent placement, clinical success as defined by resolution of PFC without any further surgical intervention, ability to carry out endoscopic necrosectomy, complications and feasibility of endoscopic stent removal. RESULTS: Twenty-one PFC in 19 patients were drained using FCSEMS. Technical and clinical success for drainage was seen in all patients (100%). Endoscopic necrosectomy was carried out in seven (33%) PFC. Complications occurred in two patients (10.5%). Stents could be endoscopically removed in all patients (100%). CONCLUSIONS: The new specially designed FCSEMS is safe and effective for drainage of PFC. Necrosectomy can be carried out through the stent. Stent can be removed endoscopically at the end of the treatment period.
Authors: Andrea Anderloni; Carlo Fabbri; Jose Nieto; Will Uwe; Markus Dollhopf; José Ramón Aparicio; Manuel Perez-Miranda; Ilaria Tarantino; Alexander Arlt; Frank Vleggaar; Geoffrey Vanbiervliet; Jochen Hampe; Michel Kahaleh; Juan J Vila; Barham K Abu Dayyeh; Andrew C Storm; Alessandro Fugazza; Cecilia Binda; Antoine Charachon; Sergio Sevilla-Ribota; Amy Tyberg; Moran Robert; Sachin Wani; Alessandro Repici; Amrita Sethi; Mouen A Khashab; Rastislav Kunda Journal: Surg Endosc Date: 2020-04-22 Impact factor: 4.584
Authors: Maria Chiara Petrone; Livia Archibugi; Edoardo Forti; Rita Conigliaro; Roberto Di Mitri; Ilaria Tarantino; Carlo Fabbri; Alberto Larghi; Sabrina Gloria Giulia Testoni; Massimiliano Mutignani; Paolo Giorgio Arcidiacono Journal: United European Gastroenterol J Date: 2018-06-17 Impact factor: 4.623