PMID- 31152738
OWN - NLM
STAT- MEDLINE
DCOM- 20200218
LR  - 20200218
IS  - 1097-6779 (Electronic)
IS  - 0016-5107 (Linking)
VI  - 90
IP  - 3
DP  - 2019 Sep
TI  - Efficacy of a novel lumen-apposing metal stent for the treatment of symptomatic 
      pancreatic pseudocysts (with video).
PG  - 507-513
LID - S0016-5107(19)31924-8 [pii]
LID - 10.1016/j.gie.2019.05.033 [doi]
AB  - BACKGROUND AND AIMS: Recently, a newly designed lumen-apposing metal stent (LAMS) 
      with a conventional delivery system was developed. The purpose of this study was 
      to evaluate the effectiveness and safety of a newly designed LAMS for EUS-guided 
      drainage to treat symptomatic pancreatic pseudocysts. METHODS: This prospective 
      multicenter cohort study included 34 patients with symptomatic pancreatic 
      pseudocysts from 2016 to 2017. The patients underwent EUS-guided drainage with 
      the newly designed LAMS (Niti-S SPAXUS; Taewoong Medical Co, Ltd, Ilsan, South 
      Korea). Effectiveness outcome measurements included technical success rate, 
      clinical success rate, successful stent removal rate, and procedural time. Safety 
      outcome measurements included procedure and/or stent-related adverse events (AEs) 
      and overall AEs. Patients were prospectively followed, and consecutive data were 
      collected at discharge, at stent removal, and 20 days after stent removal. 
      RESULTS: Thirty-four patients (mean age 51.7 +/- 13.3 years, 26 men) were enrolled. 
      The mean pseudocyst size was 9.23 +/- 3.54 cm. The technical success rate was 97.1% 
      (33/34). The clinical success rate was 94.1% (32/34). All stents were 
      successfully removed. The mean procedural time from needle puncture to stent 
      deployment was 10.3 +/- 5.7 minutes. Four patients (11.8%) experienced procedure 
      and/or stent-related AEs, including stent maldeployment (n = 1) and pseudocyst 
      infection (n = 3). All patients completely recovered from the AEs. Bleeding 
      caused by the stent or buried LAMS syndrome was not observed. No unplanned 
      endoscopic procedures were required. CONCLUSIONS: This study showed that 
      EUS-guided drainage using the newly designed LAMS is technically feasible and 
      effective for the treatment of symptomatic pancreatic pseudocysts. (Clinical 
      trial registration number: NCT02730663.).
CI  - Copyright (c) 2019 American Society for Gastrointestinal Endoscopy. Published by 
      Elsevier Inc. All rights reserved.
FAU - Song, Tae Jun
AU  - Song TJ
AD  - Department of Internal Medicine, Asan Medical Center, University of Ulsan College 
      of Medicine, Seoul, Republic of Korea.
FAU - Lee, Sang Soo
AU  - Lee SS
AD  - Department of Internal Medicine, Asan Medical Center, University of Ulsan College 
      of Medicine, Seoul, Republic of Korea.
FAU - Moon, Jong Ho
AU  - Moon JH
AD  - Department of Internal Medicine, SoonChunHyang University School of Medicine, 
      Bucheon, Republic of Korea.
FAU - Choi, Hyun Jong
AU  - Choi HJ
AD  - Department of Internal Medicine, SoonChunHyang University School of Medicine, 
      Bucheon, Republic of Korea.
FAU - Cho, Chang Min
AU  - Cho CM
AD  - Department of Internal Medicine, School of Medicine, Kyungpook National 
      University, Kyungpook National University Chilgok Hospital, Daegu, Republic of 
      Korea.
FAU - Lee, Kwang Hyuck
AU  - Lee KH
AD  - Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University 
      School of Medicine, Seoul, Republic of Korea.
FAU - Park, Se Woo
AU  - Park SW
AD  - Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, 
      Dongtan, Republic of Korea.
FAU - Kim, Seong-Hun
AU  - Kim SH
AD  - Department of Internal Medicine, Chonbuk National University Hospital, Jeonju, 
      Republic of Korea.
FAU - Lee, Seung Ok
AU  - Lee SO
AD  - Department of Internal Medicine, Chonbuk National University Hospital, Jeonju, 
      Republic of Korea.
FAU - Lee, Yun Nah
AU  - Lee YN
AD  - Department of Internal Medicine, SoonChunHyang University School of Medicine, 
      Bucheon, Republic of Korea.
FAU - Lee, Jong Kyun
AU  - Lee JK
AD  - Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University 
      School of Medicine, Seoul, Republic of Korea.
LA  - eng
SI  - ClinicalTrials.gov/NCT02730663
PT  - Journal Article
PT  - Video-Audio Media
DEP - 20190530
PL  - United States
TA  - Gastrointest Endosc
JT  - Gastrointestinal endoscopy
JID - 0010505
RN  - 0 (Metals)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cohort Studies
MH  - Drainage/*methods
MH  - Endoscopy, Digestive System/methods
MH  - Endosonography
MH  - Equipment Design
MH  - Female
MH  - Humans
MH  - Male
MH  - Metals
MH  - Middle Aged
MH  - Pancreatic Pseudocyst/*surgery
MH  - Postoperative Complications/epidemiology
MH  - Prospective Studies
MH  - *Stents
MH  - Surgery, Computer-Assisted
EDAT- 2019/06/04 06:00
MHDA- 2020/02/19 06:00
CRDT- 2019/06/02 06:00
PHST- 2018/10/23 00:00 [received]
PHST- 2019/05/23 00:00 [accepted]
PHST- 2019/06/04 06:00 [pubmed]
PHST- 2020/02/19 06:00 [medline]
PHST- 2019/06/02 06:00 [entrez]
AID - S0016-5107(19)31924-8 [pii]
AID - 10.1016/j.gie.2019.05.033 [doi]
PST - ppublish
SO  - Gastrointest Endosc. 2019 Sep;90(3):507-513. doi: 10.1016/j.gie.2019.05.033. Epub 
      2019 May 30.