Lumen-apposing metal stents for pancreatic fluid collection drainage: a review of current outcomes
DOI:
https://doi.org/10.5281/zenodo.888981Keywords:
acute pancreatitis, lumen-apposing metal stent, pseudocyst, walled-off necrosis, direct endoscopic necrosectomyAbstract
Local complications of acute pancreatitis in the form of pancreatic fluid collections are a source of substantial morbidity and mortality demanding a multidisciplinary expert approach. The use of minimally invasive methods in this setting has been associated with shortened hospital stays, decreased costs and improved outcomes. In addition, endoscopically performed necrosectomy has been used to facilitate drainage but was limited due to the lack od dedicated equipment and was performed in rare expert centers. Recently developed lumen-apposing metal stents were designed to overcome the shortcomings of previously used methods. Their diameter and biphalanged design prevents migration, facilitates drainage, and permits repeated endoscope entry into the necrotic cavity to perform direct necrosectomy. Recent reports on larger series of patients laud their technical and clinical success rate with relatively low adverse event occurrence considering the invasiveness of the procedure and the population of patients involved. The uptake of endoscopically performed drainage can be attributed to the increasing use of lumen-apposing metal stents as evident by the number reports published in recent years. Growing experience and future studies should lead to evidence based guidelines and refinement of these methods.
References
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16. Varadarajulu S, Bang JY, Sutton BS, Trevino JM, Christein JD, Wilcox CM. Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial. Gastroenterology. 2013; 145(3): 583–590.e1. doi: 10.1053/j.gastro.2013.05.046.
17. Itoi T, Binmoeller KF, Shah J, Sofuni A, Itokawa F, Kurihara T, Tsuchiya T, Ishii K, Tsuji S, Ikeuchi N, Moriyasu F. Clinical evaluation of a novel lumen-apposing metal stent for endosonography-guided pancreatic pseudocyst and gallbladder drainage (with videos). Gastrointest Endosc. 2012; 75(4): 870–876. doi: 10.1016/j.gie.2011.10.020.
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19. Petrov MS, Shanbhag S, Chakraborty M, Phillips ARJ, Windsor JA. Organ failure and infection of pancreatic necrosis as determinants of mortality in patients with acute pancreatitis. Gastroenterology. 2010; 139(3): 813–820. doi: 10.1053/j.gastro.2010.06.010.
20. Gardner TB, Chahal P, Papachristou GI, Vege SS, Petersen BT, Gostout CJ, Topazian MD, Takahashi N, Sarr MG, Baron TH. A comparison of direct endoscopic necrosectomy with transmural endoscopic drainage for the treatment of walled-off pancreatic necrosis. Gastrointest Endosc. 2009; 69(6): 1085–1094. doi: 10.1016/j.gie.2008.06.061.
21. Seifert H, Biermer M, Schmitt W, Jürgensen C, Will U, Gerlach R, Kreitmair C, Meining A, Wehrmann T, Rösch T. Transluminal endoscopic necrosectomy after acute pancreatitis: a multicentre study with long-term follow-up (the GEPARD Study). Gut. 2009; 58(9): 1260–1266. doi: 10.1136/gut.2008.163733.
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24. Gornals JB, Consiglieri CF, Busquets J, Salord S, de-la-Hera M, Secanella L, Redondo S, Pelaez N, Fabregat J. Endoscopic necrosectomy of walled-off pancreatic necrosis using a lumen-apposing metal stent and irrigation technique. Surg Endosc. 2016; 30(6): 2592–2602. doi: 10.1007/s00464-015-4505-2.
25. Parekh D. Laparoscopic-assisted pancreatic necrosectomy: A new surgical option for treatment of severe necrotizing pancreatitis. Arch Surg Chic Ill 1960. 2006; 141(9): 895-902; discussion 902-903. doi: 10.1001/archsurg.141.9.895.
26. Baron TH, Thaggard WG, Morgan DE, Stanley RJ. Endoscopic therapy for organized pancreatic necrosis. Gastroenterology. 1996; 111(3): 755–764. doi: 10.1053/gast.1996.v111.pm8780582.
27. Lang GD, Fritz C, Bhat T, Das KK, Murad FM, Early DS, Edmundowicz SA, Kushnir VM, Mullady DK. EUS-guided drainage of peripancreatic fluid collections with lumen-apposing metal stents and plastic double-pigtail stents: comparison of efficacy and adverse event rates. Gastrointest Endosc. 2017. doi: 10.1016/j.gie.2017.06.029.
28. Mukai S, Itoi T, Sofuni A, Tsuchiya T, Gotoda T, Moriyasu F. Clinical evaluation of endoscopic ultrasonography-guided drainage using a novel flared-type biflanged metal stent for pancreatic fluid collection. Endosc Ultrasound. 2015; 4(2): 120–125. doi: 10.4103/2303-9027.156738.
29. Bang JY, Hasan M, Navaneethan U, Hawes R, Varadarajulu S. Lumen-apposing metal stents (LAMS) for pancreatic fluid collection (PFC) drainage: may not be business as usual. Gut. 2016. doi: 10.1136/gutjnl-2016-312812.
30. Capone P, Petrone MC, Dabizzi E, Mariani A, Arcidiacono PG. Endoscopic ultrasound-guided drainage of a pancreatic fluid collection using a novel lumen-apposing metal stent complicated by stent occlusion. Endoscopy. 2016; 48 Suppl 1: E203. doi: 10.1055/s-0042-108572.
31. Adler DG, Siddiqui AA. Nobody really knows how to perform endoscopic necrosectomy. Endosc Ultrasound. 2017; 6(3): 147–148. doi: 10.4103/2303-9027.208178.
2. Freeman ML, Werner J, van Santvoort HC, Baron TH, Besselink MG, Windsor JA, Horvath KD, vanSonnenberg E, Bollen TL, Vege SS, International Multidisciplinary Panel of Speakers and Moderators. Interventions for necrotizing pancreatitis: summary of a multidisciplinary consensus conference. Pancreas. 2012; 41(8): 1176–1194. doi: 10.1097/MPA.0b013e318269c660.
3. ASGE Standards of Practice Committee, Muthusamy VR, Chandrasekhara V, Acosta RD, Bruining DH, Chathadi KV, Eloubeidi MA, Faulx AL, Fonkalsrud L, Gurudu SR, Khashab MA, Kothari S, Lightdale JR, Pasha SF, Saltzman JR, Shaukat A, Wang A, Yang J, Cash BD, DeWitt JM. The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections. Gastrointest Endosc. 2016; 83(3): 481–488. doi: 10.1016/j.gie.2015.11.027.
4. Kumar N, Conwell DL, Thompson CC. Direct endoscopic necrosectomy versus step-up approach for walled-off pancreatic necrosis: comparison of clinical outcome and health care utilization. Pancreas. 2014; 43(8): 1334–1339. doi: 10.1097/MPA.0000000000000213.
5. Bakker OJ, van Santvoort HC, van Brunschot S, Geskus RB, Besselink MG, Bollen TL, van Eijck CH, Fockens P, Hazebroek EJ, Nijmeijer RM, Poley J-W, van Ramshorst B, Vleggaar FP, Boermeester MA, Gooszen HG, Weusten BL, Timmer R, Dutch Pancreatitis Study Group. Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis: a randomized trial. JAMA. 2012; 307(10): 1053–1061. doi: 10.1001/jama.2012.276.
6. Fabbri C, Luigiano C, Cennamo V, Polifemo AM, Barresi L, Jovine E, Traina M, D’Imperio N, Tarantino I. Endoscopic ultrasound-guided transmural drainage of infected pancreatic fluid collections with placement of covered self-expanding metal stents: a case series. Endoscopy. 2012; 44(4): 429–433. doi: 10.1055/s-0031-1291624.
7. Bang JY, Hasan MK, Navaneethan U, Sutton B, Frandah W, Siddique S, Hawes RH, Varadarajulu S. Lumen-apposing metal stents for drainage of pancreatic fluid collections: When and for whom? Dig Endosc Off J Jpn Gastroenterol Endosc Soc. 2017; 29(1): 83–90. doi: 10.1111/den.12681.
8. Walter D, Will U, Sanchez-Yague A, Brenke D, Hampe J, Wollny H, López-Jamar JME, Jechart G, Vilmann P, Gornals JB, Ullrich S, Fähndrich M, de Tejada AH, Junquera F, Gonzalez-Huix F, Siersema PD, Vleggaar FP. A novel lumen-apposing metal stent for endoscopic ultrasound-guided drainage of pancreatic fluid collections: a prospective cohort study. Endoscopy. 2015; 47(1): 63–67. doi: 10.1055/s-0034-1378113.
9. Shah RJ, Shah JN, Waxman I, Kowalski TE, Sanchez-Yague A, Nieto J, Brauer BC, Gaidhane M, Kahaleh M. Safety and efficacy of endoscopic ultrasound-guided drainage of pancreatic fluid collections with lumen-apposing covered self-expanding metal stents. Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc. 2015; 13(4): 747–752. doi: 10.1016/j.cgh.2014.09.047.
10. Chandran S, Efthymiou M, Kaffes A, Chen JW, Kwan V, Murray M, Williams D, Nguyen NQ, Tam W, Welch C, Chong A, Gupta S, Devereaux B, Tagkalidis P, Parker F, Vaughan R. Management of pancreatic collections with a novel endoscopically placed fully covered self-expandable metal stent: a national experience (with videos). Gastrointest Endosc. 2015; 81(1): 127–135. doi: 10.1016/j.gie.2014.06.025.
11. Siddiqui AA, Adler DG, Nieto J, Shah JN, Binmoeller KF, Kane S, Yan L, Laique SN, Kowalski T, Loren DE, Taylor LJ, Munigala S, Bhat YM. EUS-guided drainage of peripancreatic fluid collections and necrosis by using a novel lumen-apposing stent: a large retrospective, multicenter U.S. experience (with videos). Gastrointest Endosc. 2016; 83(4): 699–707. doi: 10.1016/j.gie.2015.10.020.
12. Sharaiha RZ, Tyberg A, Khashab MA, Kumta NA, Karia K, Nieto J, Siddiqui UD, Waxman I, Joshi V, Benias PC, Darwin P, DiMaio CJ, Mulder CJ, Friedland S, Forcione DG, Sejpal DV, Gonda TA, Gress FG, Gaidhane M, Koons A, DeFilippis EM, Salgado S, Weaver KR, Poneros JM, Sethi A, Ho S, Kumbhari V, Singh VK, Tieu AH, Parra V, Likhitsup A, Womeldorph C, Casey B, Jonnalagadda SS, Desai AP, Carr-Locke DL, Kahaleh M, Siddiqui AA. Endoscopic Therapy With Lumen-apposing Metal Stents Is Safe and Effective for Patients With Pancreatic Walled-off Necrosis. Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc. 2016; 14(12): 1797–1803. doi: 10.1016/j.cgh.2016.05.011.
13. Rinninella E, Kunda R, Dollhopf M, Sanchez-Yague A, Will U, Tarantino I, Gornals Soler J, Ullrich S, Meining A, Esteban JM, Enz T, Vanbiervliet G, Vleggaar F, Attili F, Larghi A. EUS-guided drainage of pancreatic fluid collections using a novel lumen-apposing metal stent on an electrocautery-enhanced delivery system: a large retrospective study (with video). Gastrointest Endosc. 2015; 82(6): 1039–1046. doi: 10.1016/j.gie.2015.04.006.
14. Lakhtakia S, Basha J, Talukdar R, Gupta R, Nabi Z, Ramchandani M, Kumar BVN, Pal P, Kalpala R, Reddy PM, Pradeep R, Singh JR, Rao GV, Reddy DN. Endoscopic ‘step-up approach’ using a dedicated biflanged metal stent reduces the need for direct necrosectomy in walled-off necrosis (with videos). Gastrointest Endosc. 2017; 85(6): 1243–1252. doi: 10.1016/j.gie.2016.10.037.
15. Vazquez-Sequeiros E, Baron TH, Pérez-Miranda M, Sánchez-Yagüe A, Gornals J, Gonzalez-Huix F, de la Serna C, Gonzalez Martin JA, Gimeno-Garcia AZ, Marra-Lopez C, Castellot A, Alberca F, Fernandez-Urien I, Aparicio JR, Legaz ML, Sendino O, Loras C, Subtil JC, Nerin J, Perez-Carreras M, Diaz-Tasende J, Perez G, Repiso A, Vilella A, Dolz C, Alvarez A, Rodriguez S, Esteban JM, Juzgado D, Albillos A, 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(3): 450–457.e2. doi: 10.1016/j.gie.2016.02.044.
16. Varadarajulu S, Bang JY, Sutton BS, Trevino JM, Christein JD, Wilcox CM. Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial. Gastroenterology. 2013; 145(3): 583–590.e1. doi: 10.1053/j.gastro.2013.05.046.
17. Itoi T, Binmoeller KF, Shah J, Sofuni A, Itokawa F, Kurihara T, Tsuchiya T, Ishii K, Tsuji S, Ikeuchi N, Moriyasu F. Clinical evaluation of a novel lumen-apposing metal stent for endosonography-guided pancreatic pseudocyst and gallbladder drainage (with videos). Gastrointest Endosc. 2012; 75(4): 870–876. doi: 10.1016/j.gie.2011.10.020.
18. Bang JY, Wilcox CM, Trevino JM, Ramesh J, Hasan M, Hawes RH, Varadarajulu S. Relationship between stent characteristics and treatment outcomes in endoscopic transmural drainage of uncomplicated pancreatic pseudocysts. Surg Endosc. 2014; 28(10): 2877–2883. doi: 10.1007/s00464-014-3541-7.
19. Petrov MS, Shanbhag S, Chakraborty M, Phillips ARJ, Windsor JA. Organ failure and infection of pancreatic necrosis as determinants of mortality in patients with acute pancreatitis. Gastroenterology. 2010; 139(3): 813–820. doi: 10.1053/j.gastro.2010.06.010.
20. Gardner TB, Chahal P, Papachristou GI, Vege SS, Petersen BT, Gostout CJ, Topazian MD, Takahashi N, Sarr MG, Baron TH. A comparison of direct endoscopic necrosectomy with transmural endoscopic drainage for the treatment of walled-off pancreatic necrosis. Gastrointest Endosc. 2009; 69(6): 1085–1094. doi: 10.1016/j.gie.2008.06.061.
21. Seifert H, Biermer M, Schmitt W, Jürgensen C, Will U, Gerlach R, Kreitmair C, Meining A, Wehrmann T, Rösch T. Transluminal endoscopic necrosectomy after acute pancreatitis: a multicentre study with long-term follow-up (the GEPARD Study). Gut. 2009; 58(9): 1260–1266. doi: 10.1136/gut.2008.163733.
22. Yasuda I, Nakashima M, Iwai T, Isayama H, Itoi T, Hisai H, Inoue H, Kato H, Kanno A, Kubota K, Irisawa A, Igarashi H, Okabe Y, Kitano M, Kawakami H, Hayashi T, Mukai T, Sata N, Kida M, Shimosegawa T. Japanese multicenter experience of endoscopic necrosectomy for infected walled-off pancreatic necrosis: The JENIPaN study. Endoscopy. 2013; 45(8): 627–634. doi: 10.1055/s-0033-1344027.
23. Stecher SS, Simon P, Friesecke S, Glitsch A, Kühn JP, Lerch MM, Mayerle J. Delayed severe bleeding complications after treatment of pancreatic fluid collections with lumen-apposing metal stents. Gut. 2017; 66(10): 1871–1872. doi: 10.1136/gutjnl-2016-313562.
24. Gornals JB, Consiglieri CF, Busquets J, Salord S, de-la-Hera M, Secanella L, Redondo S, Pelaez N, Fabregat J. Endoscopic necrosectomy of walled-off pancreatic necrosis using a lumen-apposing metal stent and irrigation technique. Surg Endosc. 2016; 30(6): 2592–2602. doi: 10.1007/s00464-015-4505-2.
25. Parekh D. Laparoscopic-assisted pancreatic necrosectomy: A new surgical option for treatment of severe necrotizing pancreatitis. Arch Surg Chic Ill 1960. 2006; 141(9): 895-902; discussion 902-903. doi: 10.1001/archsurg.141.9.895.
26. Baron TH, Thaggard WG, Morgan DE, Stanley RJ. Endoscopic therapy for organized pancreatic necrosis. Gastroenterology. 1996; 111(3): 755–764. doi: 10.1053/gast.1996.v111.pm8780582.
27. Lang GD, Fritz C, Bhat T, Das KK, Murad FM, Early DS, Edmundowicz SA, Kushnir VM, Mullady DK. EUS-guided drainage of peripancreatic fluid collections with lumen-apposing metal stents and plastic double-pigtail stents: comparison of efficacy and adverse event rates. Gastrointest Endosc. 2017. doi: 10.1016/j.gie.2017.06.029.
28. Mukai S, Itoi T, Sofuni A, Tsuchiya T, Gotoda T, Moriyasu F. Clinical evaluation of endoscopic ultrasonography-guided drainage using a novel flared-type biflanged metal stent for pancreatic fluid collection. Endosc Ultrasound. 2015; 4(2): 120–125. doi: 10.4103/2303-9027.156738.
29. Bang JY, Hasan M, Navaneethan U, Hawes R, Varadarajulu S. Lumen-apposing metal stents (LAMS) for pancreatic fluid collection (PFC) drainage: may not be business as usual. Gut. 2016. doi: 10.1136/gutjnl-2016-312812.
30. Capone P, Petrone MC, Dabizzi E, Mariani A, Arcidiacono PG. Endoscopic ultrasound-guided drainage of a pancreatic fluid collection using a novel lumen-apposing metal stent complicated by stent occlusion. Endoscopy. 2016; 48 Suppl 1: E203. doi: 10.1055/s-0042-108572.
31. Adler DG, Siddiqui AA. Nobody really knows how to perform endoscopic necrosectomy. Endosc Ultrasound. 2017; 6(3): 147–148. doi: 10.4103/2303-9027.208178.
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2017-06-30
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Pavić, T., Kralj, D., & Hrabar, D. (2017). Lumen-apposing metal stents for pancreatic fluid collection drainage: a review of current outcomes. BioMedicine and Surgery, 1(2), 88–93. https://doi.org/10.5281/zenodo.888981
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