TY - JOUR
T1 - Single-step endoscopic ultrasound-guided multiple gateway drainage of complex walled-off necrosis with lumen apposing metal stents
AU - Binda, C.
AU - Dabizzi, E.
AU - Anderloni, A.
AU - Cennamo, V.
AU - Fiscaletti, M.
AU - Fugazza, A.
AU - Jovine, E.
AU - Ercolani, G.
AU - Gasbarrini, Antonio
AU - Fabbri, C.
PY - 2020
Y1 - 2020
N2 - In this study we analyzed the feasibility and safety of single-step multiple transluminal gateway drainage (MTGD) for complex walled-off necrosis (WON) using lumen-apposing metal stents (LAMSs). Six patients underwent endoscopic ultrasound (EUS)-guided MTGD using two LAMSs. Technical success was 100%. The mean procedure time was 29 min. The mean number of direct endoscopic necrosectomy sessions per patient was 2. Two of six patients developed adverse events, which was bleeding in both cases and treated endoscopically and surgically, respectively. The mean hospital stay was 52.5 days. No patients had residual necrosis or WON recurrence. Although the limited number of patients, the single-step MTGD using electrocautery-LAMSs can be considered a feasible and well-tolerated treatment option for patients with complex WON. Nevertheless, larger randomized controlled studies are needed in order to confirm our data and better define the advantages of this technique.
AB - In this study we analyzed the feasibility and safety of single-step multiple transluminal gateway drainage (MTGD) for complex walled-off necrosis (WON) using lumen-apposing metal stents (LAMSs). Six patients underwent endoscopic ultrasound (EUS)-guided MTGD using two LAMSs. Technical success was 100%. The mean procedure time was 29 min. The mean number of direct endoscopic necrosectomy sessions per patient was 2. Two of six patients developed adverse events, which was bleeding in both cases and treated endoscopically and surgically, respectively. The mean hospital stay was 52.5 days. No patients had residual necrosis or WON recurrence. Although the limited number of patients, the single-step MTGD using electrocautery-LAMSs can be considered a feasible and well-tolerated treatment option for patients with complex WON. Nevertheless, larger randomized controlled studies are needed in order to confirm our data and better define the advantages of this technique.
KW - endoscopic ultrasound
KW - endoscopic ultrasound-guided drainage
KW - lumen-apposing metal stent
KW - multiple transluminal gateway
KW - walled-off necrosis
KW - endoscopic ultrasound
KW - endoscopic ultrasound-guided drainage
KW - lumen-apposing metal stent
KW - multiple transluminal gateway
KW - walled-off necrosis
UR - https://publicatt.unicatt.it/handle/10807/161161
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85090174291&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85090174291&origin=inward
U2 - 10.1097/MEG.0000000000001793
DO - 10.1097/MEG.0000000000001793
M3 - Article
SN - 0954-691X
VL - 32
SP - 1401
EP - 1404
JO - European Journal of Gastroenterology and Hepatology
JF - European Journal of Gastroenterology and Hepatology
IS - 10
ER -