PMID- 19028232
OWN - NLM
STAT- MEDLINE
DCOM- 20090505
LR  - 20220311
IS  - 1097-6779 (Electronic)
IS  - 0016-5107 (Linking)
VI  - 68
IP  - 6
DP  - 2008 Dec
TI  - Transenteric drainage of pancreatic-fluid collections with fully covered 
      self-expanding metallic stents (with video).
PG  - 1199-203
LID - 10.1016/j.gie.2008.06.015 [doi]
AB  - BACKGROUND: Drainage of pancreatic-fluid collections (PFCs) by using fully 
      covered self-expanding metallic stents (CSEMSs) offers the option of providing a 
      larger-diameter access fistula for drainage when compared with plastic stents. 
      OBJECTIVE: To evaluate the efficacy and safety of transenteric drainage of PFCs 
      by using CSEMSs. DESIGN: A prospective case series. SETTING: A tertiary-referral 
      center. PATIENTS: Between January 2007 and September 2007, 18 patients underwent 
      drainage of PFCs by using CSEMSs. Follow-up and final results were prospectively 
      recorded until May 2008. INTERVENTIONS: Placement of CSEMSs with a double-pigtail 
      stent placed alongside (4 cases) or into the CSEMS (14 cases) to prevent 
      migration. MAIN OUTCOME MEASUREMENTS: The number of sessions and time to 
      resolution of the PFCs. RESULTS: A median of 1 session was required to achieve 
      drainage (range 1-4) when using CSEMSs. Complications included superinfection 
      (5), bleeding (2), and inner migration (1). A total of 17 of 18 patients (95%) 
      responded successfully, with 14 patients (78%) achieving complete resolution of 
      their PFC. The mean (+/- SD) time of follow-up until final resolution was 77 +/- 
      80 days (range 15-310 days). CONCLUSIONS: Placement of CSEMSs seems to offer an 
      effective and safe alternative for the drainage of PFCs. A randomized controlled 
      trial should be performed to compare this technique with plastic-stent drainage.
FAU - Talreja, Jayant P
AU  - Talreja JP
AD  - Digestive Health Center of Excellence, University of Virginia Health System, 
      Charlottesville, Virginia 22908-0708, USA.
FAU - Shami, Vanessa M
AU  - Shami VM
FAU - Ku, Jennifer
AU  - Ku J
FAU - Morris, Tanya D
AU  - Morris TD
FAU - Ellen, Kristi
AU  - Ellen K
FAU - Kahaleh, Michel
AU  - Kahaleh M
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Gastrointest Endosc
JT  - Gastrointestinal endoscopy
JID - 0010505
SB  - IM
MH  - Drainage/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pancreatic Pseudocyst/*surgery
MH  - Prospective Studies
MH  - Prosthesis Design
MH  - *Stents
MH  - Video Recording
EDAT- 2008/11/26 09:00
MHDA- 2009/05/06 09:00
CRDT- 2008/11/26 09:00
PHST- 2008/04/07 00:00 [received]
PHST- 2008/06/15 00:00 [accepted]
PHST- 2008/11/26 09:00 [pubmed]
PHST- 2009/05/06 09:00 [medline]
PHST- 2008/11/26 09:00 [entrez]
AID - S0016-5107(08)02084-1 [pii]
AID - 10.1016/j.gie.2008.06.015 [doi]
PST - ppublish
SO  - Gastrointest Endosc. 2008 Dec;68(6):1199-203. doi: 10.1016/j.gie.2008.06.015.