Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Dec;66(12):2054-2056.
doi: 10.1136/gutjnl-2016-312812. Epub 2016 Aug 31.

Lumen-apposing metal stents (LAMS) for pancreatic fluid collection (PFC) drainage: may not be business as usual

Ji Young Bang  1 , Muhammad Hasan  1 , Udayakumar Navaneethan  1 , Robert Hawes  1 , Shyam Varadarajulu  1
Affiliations

Lumen-apposing metal stents (LAMS) for pancreatic fluid collection (PFC) drainage: may not be business as usual

Ji Young Bang et al. Gut. 2017 Dec.
No abstract available

Keywords: ENDOSCOPIC ULTRASONOGRAPHY; PANCREATIC DISEASE; STENTS.

PubMed Disclaimer

Conflict of interest statement

Competing interests: SV and RH are consultants for Boston Scientific Corporation and Olympus America Inc.

Figures

Figure 1
Figure 1
Endoscopic view revealed blood in the lumen-apposing metal stent (A) with EUS revealing interlacing vessels at the distal flange (B), which was treated by interventional radiology-guided coil embolisation (C).
Figure 2
Figure 2
Endoscopic view revealed mucosal overgrowth (A) over a buried lumen-apposing metal stent (LAMS), which was visualised at fluoroscopy (B). Fluoroscopic image in a patient presenting with obstructive jaundice revealed a distal biliary stricture on cholangiogram and the LAMS compressing the distal bile duct (C).
Figure 3
Figure 3
Illustration of the concept of delayed bleeding with the use of lumen-apposing metal stent (LAMS). The LAMS remains in situ with collapse of the walled-off necrosis cavity and precipitates bleeding (A), whereas the freely mobile double pigtail plastic stents gravitate towards the gastric lumen (B).
Figure 4
Figure 4
Scatter plot showing the incidence of adverse events following lumen-apposing metal stent (LAMS) insertion over time.
See this image and copyright information in PMC

Comment in

References

    1. Varadarajulu S, Bang JY, Sutton BS, et al. . Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial. Gastroenterology 2013;145:583–90. 10.1053/j.gastro.2013.05.046 - DOI - PubMed
    1. Bakker OJ, van Santvoort HC, van Brunschot S, et al. . Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis: a randomized trial. JAMA 2012;307:1053–61. 10.1001/jama.2012.276 - DOI - PubMed
    1. Vazquez-Sequeiros E, Baron TH, Pérez-Miranda M, et al. , Spanish Group for FCSEMS in Pancreas Collections. Evaluation of the short- and long-term effectiveness and safety of fully covered self-expandable metal stents for drainage of pancreatic fluid collections: results of a Spanish nationwide registry. Gastrointest Endosc 2016;84:450–7. 10.1016/j.gie.2016.02.044 - DOI - PubMed
    1. Bang JY, Hawes R, Bartolucci A, et al. . Efficacy of metal and plastic stents for transmural drainage of pancreatic fluid collections: a systematic review. Dig Endosc 2015;27:486–98. 10.1111/den.12418 - DOI - PubMed
    1. Fabbri C, Luigiano C, Marsico M, et al. . A rare adverse event resulting from the use of a lumen-apposing metal stent for drainage of a pancreatic fluid collection: “the buried stent”. Gastrointest Endosc 2015;82:585–7. 10.1016/j.gie.2015.04.035 - DOI - PubMed

LinkOut - more resources