PMID- 28843581
OWN - NLM
STAT- MEDLINE
DCOM- 20181106
LR  - 20181106
IS  - 1097-6779 (Electronic)
IS  - 0016-5107 (Linking)
VI  - 87
IP  - 5
DP  - 2018 May
TI  - EUS-guided drainage of postsurgical fluid collections using lumen-apposing metal 
      stents: a multicenter study.
PG  - 1256-1262
LID - S0016-5107(17)32193-4 [pii]
LID - 10.1016/j.gie.2017.08.011 [doi]
AB  - BACKGROUND AND AIMS: Postsurgical fluid collections (PSFCs) are traditionally 
      drained either percutaneously or surgically. Endoscopic drainage offers several 
      advantages compared with either percutaneous or surgical approaches, including 
      avoiding repeat surgery or the need to have a percutaneous drain in place for 
      weeks. There are very little data regarding the use of lumen-apposing metal 
      stents (LAMSs) in the drainage of PSFCs. We aim to study the technical and 
      clinical success and adverse events (AEs) of using LAMSs in the drainage of 
      PSFCs. METHODS: Collaborators from 8 centers retrospectively reviewed their 
      endoscopic databases to find procedures using LAMSs for drainage of PSFCs. 
      Technical success (successful placement of LAMSs into the fluid collection), 
      clinical success (complete resolution of the fluid collection on repeat imaging 
      or endoscopy), and intraprocedure and postprocedure AEs were measured. RESULTS: 
      Forty-seven patients were identified with PSFCs after various surgeries. Thirteen 
      patients had failed previous percutaneous or surgical drainage attempts. Fluid 
      collections averaged 78.6 mm (range, 47-150 mm) in size. The most common site of 
      stent placement was transgastric, followed by rectum and duodenum. Technical 
      success rate was 93.6% and clinical success rate 89.3%. The intraprocedural AE 
      rate was 4.25% and postprocedural AE rate 6.4%. There was 1 death unrelated to 
      the procedure. CONCLUSIONS: The use of LAMSs to drain PSFCs has a high technical 
      and clinical success rate with low AEs. For collections that are favorably 
      located adjacent to the stomach, duodenum, or rectum, LAMS placement is a viable 
      alternative to repeat surgery or percutaneous drainage.
CI  - Copyright (c) 2018 American Society for Gastrointestinal Endoscopy. Published by 
      Elsevier Inc. All rights reserved.
FAU - Mudireddy, Prashant R
AU  - Mudireddy PR
AD  - Department of Gastroenterology, Geisinger Medical Center, Danville, Pennsylvania, 
      USA.
FAU - Sethi, Amrita
AU  - Sethi A
AD  - Department of Gastroenterology, Columbia University Medical Center, New York, New 
      York, USA.
FAU - Siddiqui, Ali A
AU  - Siddiqui AA
AD  - Department of Gastroenterology, Thomas Jefferson University, Philadelphia, 
      Pennsylvania, USA.
FAU - Adler, Douglas G
AU  - Adler DG
AD  - Department of Gastroenterology, University of Utah School of Medicine, Salt Lake 
      City, Utah, USA.
FAU - Nieto, Jose
AU  - Nieto J
AD  - Department of Gastroenterology, Borland-Groover Clinic, Jacksonville, Florida, 
      USA.
FAU - Khara, Harshit
AU  - Khara H
AD  - Department of Gastroenterology, Geisinger Medical Center, Danville, Pennsylvania, 
      USA.
FAU - Trindade, Arvind
AU  - Trindade A
AD  - Department of Gastroenterology, Long Island Jewish Medical Center, Northwell 
      Health System, New Hyde Park, New York, USA.
FAU - Ho, Sammy
AU  - Ho S
AD  - Department of Gastroenterology, Montefiore Medical Center, Bronx, New York, USA.
FAU - Benias, Petros C
AU  - Benias PC
AD  - Department of Gastroenterology, Long Island Jewish Medical Center, Northwell 
      Health System, New Hyde Park, New York, USA.
FAU - Draganov, Peter V
AU  - Draganov PV
AD  - Department of Gastroenterology, University of Florida, Gainesville, Florida, USA.
FAU - Yang, Dennis
AU  - Yang D
AD  - Department of Gastroenterology, University of Florida, Gainesville, Florida, USA.
FAU - Mok, Shaffer
AU  - Mok S
AD  - Department of Gastroenterology, Geisinger Medical Center, Danville, Pennsylvania, 
      USA.
FAU - Confer, Bradley
AU  - Confer B
AD  - Department of Gastroenterology, Geisinger Medical Center, Danville, Pennsylvania, 
      USA.
FAU - Diehl, David L
AU  - Diehl DL
AD  - Department of Gastroenterology, Geisinger Medical Center, Danville, Pennsylvania, 
      USA.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20170824
PL  - United States
TA  - Gastrointest Endosc
JT  - Gastrointestinal endoscopy
JID - 0010505
RN  - 0 (Metals)
SB  - IM
MH  - Abdominal Abscess/*surgery
MH  - Abscess/surgery
MH  - Adult
MH  - Aged
MH  - Bariatric Surgery
MH  - Cholecystectomy
MH  - Digestive System Surgical Procedures
MH  - Drainage/*methods
MH  - Endoscopy, Digestive System/*methods
MH  - Female
MH  - Gynecologic Surgical Procedures
MH  - Hepatectomy
MH  - Humans
MH  - Liver Transplantation
MH  - Male
MH  - Metals
MH  - Middle Aged
MH  - *Pancreatectomy
MH  - Pelvis
MH  - Postoperative Complications/*surgery
MH  - Retrospective Studies
MH  - *Stents
MH  - Young Adult
EDAT- 2017/08/28 06:00
MHDA- 2018/11/07 06:00
CRDT- 2017/08/28 06:00
PHST- 2017/04/18 00:00 [received]
PHST- 2017/08/06 00:00 [accepted]
PHST- 2017/08/28 06:00 [pubmed]
PHST- 2018/11/07 06:00 [medline]
PHST- 2017/08/28 06:00 [entrez]
AID - S0016-5107(17)32193-4 [pii]
AID - 10.1016/j.gie.2017.08.011 [doi]
PST - ppublish
SO  - Gastrointest Endosc. 2018 May;87(5):1256-1262. doi: 10.1016/j.gie.2017.08.011. 
      Epub 2017 Aug 24.