Single-step endoscopic ultrasound-guided multiple gateway drainage of complex walled-off necrosis with lumen apposing metal stents

Antonio Gasbarrini, Vincenzo Cennamo, Maria Cristina Fabbri, Emanuele Dabizzi, Andrea Anderloni, Marta Fiscaletti, Alessandro Fugazza, Elio Jovine, Giorgio Ercolani, Carlo Fabbri

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

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.
Lingua originaleEnglish
pagine (da-a)1401-1404
Numero di pagine4
RivistaEUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY
Volume32
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • endoscopic ultrasound
  • endoscopic ultrasound-guided drainage
  • lumen-apposing metal stent
  • multiple transluminal gateway
  • walled-off necrosis

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