Analysis of adverse events with lumen apposing metal stents for drainage of pancreatic fluid collections
Background and study aims Innovations in endoscopic management of pancreatic fluid collections (PFCs) using lumen apposing metal stents (LAMS) have rendered it a preferred approach for drainage of PFCs. These advances have not come without concern for adverse events (AEs). We present our experience with LAMS for drainage of PFCs and analyze factors that contribute to LAMS-related AEs. Patients and methods From November 2015 to October 2021, a retrospective analysis was performed of patients undergoing endoscopic management of PFCs using LAMS. All AEs were classified as either early (<48 hours) or late (>48 hours). Univariate and multivariate analysis were performed using logistic regression to assess the relationship between independent variables and AEs. Results A total of 119 patients with symptomatic PFCs underwent endoscopic drainage with LAMS. There were 16 AEs (12.4%). These included systemic inflammatory response syndrome (SIRS) (n=2), stent occlusion (n=5), bleeding (n=7), and stent migration (n=2). Univariate analysis of risk of AEs showed that no variables approached statistical significance. Of the seven patients who developed bleeding, five had pseudoaneurysms following LAMS placement and underwent angioembolization by an interventional radiologist. The average time to bleeding was 9.3 days (standard deviation 7.3) with all bleeding events occurring within 3 weeks. In a multivariate model, pseudocysts and presence of paracolic gutter extension were associated with an increased risk of bleeding. Conclusions Endoscopists should be aware of the risk factors for LAMS-related bleeding and tailor their drainage strategy, including utilization of plastic stents for drainage of pseudocysts and adherence to a strict imaging interval and follow-up protocol.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Analysis of adverse events with lumen apposing metal stents for drainage of pancreatic fluid collections ; volume:11 ; number:12 ; year:2023 ; pages:E1153-E1160
Endoscopy International Open ; 11, Heft 12 (2023), E1153-E1160
- Contributor
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Pawa, Rishi
Dorrell, Robert
Nguyen, Madison
Russell, Greg
Gilliam, John
- DOI
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10.1055/a-2197-3731
- URN
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urn:nbn:de:101:1-2024012512373088770939
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:33 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Pawa, Rishi
- Dorrell, Robert
- Nguyen, Madison
- Russell, Greg
- Gilliam, John
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Lumen-apposing metal stent gastrojejunostomy for biliary drainage of an obstructive biliodigestive anastomosis
Buried lumen-apposing metal stent after gastrojejunal bypass
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Endoscopic drainage of a jejunopancreatic pseudocyst with an electrocautery-enhanced lumen-apposing metal stent
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When to remove a lumen-apposing metal stent for pancreatic fluid collections?
A novel lumen-apposing metal stent for endoscopic ultrasound-guided drainage of pancreatic fluid collections: a prospective cohort study
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Endoscopic ultrasound-guided transrectal pelvic abscess drainage using a lumen-apposing metal stent
Lumen-apposing metal stent gastrojejunostomy for biliary drainage of an obstructive biliodigestive anastomosis
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Colostomy using a percutaneous lumen-apposing metal stent
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Salvage procedure following lumen-apposing metal stent maldeployment during endoscopic ultrasound-guided biliary drainage