PMID- 37517962
OWN - NLM
STAT- MEDLINE
DCOM- 20231229
LR  - 20240106
IS  - 1878-3562 (Electronic)
IS  - 1590-8658 (Linking)
VI  - 56
IP  - 1
DP  - 2024 Jan
TI  - Endoscopic ultrasound-guided drainage of pancreatic collections with dedicated 
      metal stents: A nationwide, multicenter, propensity score-matched comparison.
PG  - 159-169
LID - S1590-8658(23)00762-4 [pii]
LID - 10.1016/j.dld.2023.07.012 [doi]
AB  - BACKGROUND: The new dedicated stents for endoscopic ultrasound (EUS)-guided 
      transluminal drainage of peri‑pancreatic fluid collections (PFCs) demonstrated 
      optimal efficacy and safety profiles. AIMS: This study aimed to evaluate the 
      safety, technical and clinical success, and recurrence rate of PFCs drained with 
      Lumen Apposing Metal Stent (LAMS) or Bi-Flanged Metal Stent (BFMS). METHODS: Data 
      from a multicenter series of PFCs treated with LAMS or BFMS at 30 Italian centers 
      during a 5-year period were retrieved. The rate of adverse events (AEs), 
      technical success, clinical success, PFC recurrence were evaluated. To overcome 
      biases, a 1-to-1 match was created using propensity score analysis. RESULTS: Out 
      of 476 patients, 386 were treated with LAMS and 90 with BFMS, with a median 
      follow-up of 290 days (95% CI 244 to 361). Using propensity score matching, 84 
      patients were assigned to each group. The incidence of AEs did not differ between 
      the two stents (13.1% versus 15.5%, p = 0.29), mainly bleeding or recurrence rate 
      (4.7% versus 3.5%, p = 1). Technical and clinical success in the BFMS and LAMS 
      groups were 92% versus 95% (p = 0.36) and 91% versus 94% (p = 0.64), 
      respectively. CONCLUSION: Our study demonstrates that LAMS and BFMS have 
      comparable safety profiles with similar technical and clinical success rates for 
      EUS-guided PFC drainage.
CI  - Copyright (c) 2023 Editrice Gastroenterologica Italiana S.r.l. All rights reserved.
FAU - Coluccio, Chiara
AU  - Coluccio C
AD  - Gastroenterology and Endoscopy Unit, Forli-Cesena Hospitals, AUSL Romagna, Forli, 
      47121, Italy. Electronic address: chiara.coluccio@auslromagna.it.
FAU - Facciorusso, Antonio
AU  - Facciorusso A
AD  - Section of Gastroenterology, Department of Medical Sciences, University of 
      Foggia, Foggia, 71100, Italy.
FAU - Forti, Edoardo
AU  - Forti E
AD  - Operative Endoscopy Unit, Niguarda Ca' Granda Hospital, Milano, 20100, Italy.
FAU - De Nucci, Germana
AU  - De Nucci G
AD  - Department of Gastroenterology, Salvini Hospital, Garbagnate, 20024, Italy.
FAU - Mitri, Roberto Di
AU  - Mitri RD
AD  - Gastroenterology and Endoscopy Unit, Arnas Civico Hospital, Palermo, 90100, 
      Italy.
FAU - Togliani, Thomas
AU  - Togliani T
AD  - Gastroenterology and Endoscopy Unit, ASST Carlo Poma, Mantua, 46100, Italy.
FAU - Cugia, Luigi
AU  - Cugia L
AD  - Gastroenterology and Digestive Endoscopy Department, Azienda Ospedaliero 
      Universitaria Sassari, Sassari, 07100, Italy.
FAU - Ofosu, Andrew
AU  - Ofosu A
AD  - Division of Digestive Diseases, University of Cincinnati, Cincinnati, OH, 45219, 
      USA.
FAU - Anderloni, Andrea
AU  - Anderloni A
AD  - Endoscopy Unit, First Department of Internal Medicine, Fondazione IRCCS 
      Policlinico San Matteo, University of Pavia, Pavia, 27100, Italy.
FAU - Tarantino, Ilaria
AU  - Tarantino I
AD  - Endoscopy Service, Department of Diagnostic and Therapeutic Services, ISMETT, 
      Palermo, 90100, Italy.
FAU - Fabbri, Carlo
AU  - Fabbri C
AD  - Gastroenterology and Endoscopy Unit, Forli-Cesena Hospitals, AUSL Romagna, Forli, 
      47121, Italy.
FAU - Crino, Stefano Francesco
AU  - Crino SF
AD  - Gastroenterology and Digestive Endoscopy Unit, The Pancreas Institute, University 
      Hospital of Verona, Verona, 37100, Italy.
CN  - I-eus group
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20230728
PL  - Netherlands
TA  - Dig Liver Dis
JT  - Digestive and liver disease : official journal of the Italian Society of 
      Gastroenterology and the Italian Association for the Study of the Liver
JID - 100958385
SB  - IM
MH  - Humans
MH  - *Pancreas/surgery
MH  - Propensity Score
MH  - Treatment Outcome
MH  - Endosonography
MH  - *Pancreatic Diseases/surgery
MH  - Drainage/adverse effects
MH  - Stents/adverse effects
MH  - Ultrasonography, Interventional
OTO - NOTNLM
OT  - Bi-flanged metal stents
OT  - Lumen-apposing metal stents
OT  - Pancreatic fluid collection
COIS- Conflict of interest There is no financial support to this study. Chiara Coluccio 
      is lecturer for Steris. Andrea Anderloni is consultant for Boston Scientific, 
      Olympus and Medtronic. Carlo Fabbri is consultant for Boston Scientific and 
      lecturer for Steris and Q3 Medical. All the other authors have no conflict of 
      interest to declare.
FIR - Binda, Cecilia
IR  - Binda C
IRAD- Gastroenterology and Endoscopy Unit, Forli-Cesena Hospitals, AUSL Romagna, Forli, 
      Italy.
FIR - Petrone, Maria Chiara
IR  - Petrone MC
IRAD- PancreatoBiliary Endoscopy and EUS Division, Pancreas Translational and Clinical 
      Research Center, San Raffaele Scientific Institute IRCCS, Milan, Italy.
FIR - Berretti, Debora
IR  - Berretti D
IRAD- Department for Gastroenterology and Digestive Endoscopy, Academic Center of 
      Udine, Udine, Italy.
FIR - Macchiarelli, Raffaele
IR  - Macchiarelli R
IRAD- GastroenterologyUnit, A.O.U.S. Policlinico S.Maria alle Scotte, Siena, Italy.
FIR - Lovera, Mauro
IR  - Lovera M
IRAD- Digestive Endoscopy Unit, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, 
      Italy.
FIR - Attili, Fabia
IR  - Attili F
IRAD- Digestive EndoscopyUnit, Fondazione Policlinico Universitario Agostino Gemelli 
      IRCCS, Rome, Italy.
FIR - D'Errico, Francesca
IR  - D'Errico F
IRAD- Gastroenterology and Endoscopy Unit, General Regional Hospital "F. Miulli", 
      Acquaviva delle Fonti, Bari, Italy.
FIR - Brancaccio, Mario Luciano
IR  - Brancaccio ML
IRAD- Division of Gastroenterology, S. Maria delle Croci Hospital, Ravenna, Italy.
FIR - Redaelli, Alessandro
IR  - Redaelli A
IRAD- Gastroenterology and Endoscopy Unit, San Gerardo Hospital, Monza, Italy.
FIR - Tasini, Enrico
IR  - Tasini E
IRAD- Gastroenterology and Digestive EndoscopyUnit, 'Santa Chiara' Hospital, Trento, 
      Italy.
FIR - Ballare, Marco
IR  - Ballare M
IRAD- Department of Gastroenterology, 'Maggiore della Carita' Hospital, Novara, Italy.
FIR - Coppola, Franco
IR  - Coppola F
IRAD- Digestive Endoscopy Unit, Division of Gastroenterology, ASL TO4, Turin, Italy.
FIR - Leone, Nicola
IR  - Leone N
IRAD- Digestive Endoscopy Unit, Humanitas Gradenigo, Turin, Italy.
FIR - Grassia, Roberto
IR  - Grassia R
IRAD- Gastroenterology and Digestive Endoscopy Unit, ASST Cremona, Cremona, Italy.
FIR - Fusaroli, Pietro
IR  - Fusaroli P
IRAD- Department of Medical and Surgical Sciences, Gastroenterology Unit, University of 
      Bologna/Hospital of Imola, Imola, Italy.
FIR - DeAngelis, Claudio
IR  - DeAngelis C
IRAD- Gastroenterologyand Endoscopy Unit, AOU Citta della Salute e della Scienza, 
      University of Turin, Turin, Italy.
FIR - Cipolletta, Fabio
IR  - Cipolletta F
IRAD- Division ofGastroenterology, Ospedale del Mare, Naples, Italy.
FIR - Manno, Mauro
IR  - Manno M
IRAD- Digestive Endoscopy Unit, USL Modena, Carpi Hospital, Italy.
FIR - Badas, Roberta
IR  - Badas R
IRAD- Digestive Endoscopy Unit, University Hospital, Cagliari, Italy.
FIR - Pollino, Valeria
IR  - Pollino V
IRAD- Department of Endoscopic Surgery, Brotzu Hospital, Cagliari, Italy.
FIR - Camellini, Lorenzo
IR  - Camellini L
IRAD- Unit of Gastroenterology, ASL 5Spezzino, La Spezia, Italy.
FIR - Bernardoni, Laura
IR  - Bernardoni L
IRAD- Diagnostic and Interventional Endoscopy of Pancreas, Pancreas Institute, 
      University of Verona, Italy.
FIR - Conte, Elisabetta
IR  - Conte E
IRAD- Gastroenterology and Endoscopy Unit, Arnas Civico Hospital, Palermo, 90100, 
      Italy.
FIR - Lisotti, Andrea
IR  - Lisotti A
IRAD- Department of Medical and Surgical Sciences, Gastroenterology Unit, University of 
      Bologna/Hospital of Imola, Imola, Italy.
FIR - Mutignani, Massimiliano
IR  - Mutignani M
IRAD- Operative Endoscopy Unit, Niguarda Ca' Granda Hospital, Milano, 20100, Italy.
FIR - Traina, Mario
IR  - Traina M
IRAD- Endoscopy Service, Department of Diagnostic and Therapeutic Services, ISMETT, 
      Palermo, 90100, Italy.
FIR - Arcidiacono, Paolo Giorgio
IR  - Arcidiacono PG
IRAD- PancreatoBiliary Endoscopy and EUS Division, Pancreas Translational and Clinical 
      Research Center, San Raffaele Scientific Institute IRCCS, Milan, Italy.
EDAT- 2023/07/31 00:41
MHDA- 2023/12/29 06:42
CRDT- 2023/07/30 21:56
PHST- 2023/04/12 00:00 [received]
PHST- 2023/07/08 00:00 [revised]
PHST- 2023/07/11 00:00 [accepted]
PHST- 2023/12/29 06:42 [medline]
PHST- 2023/07/31 00:41 [pubmed]
PHST- 2023/07/30 21:56 [entrez]
AID - S1590-8658(23)00762-4 [pii]
AID - 10.1016/j.dld.2023.07.012 [doi]
PST - ppublish
SO  - Dig Liver Dis. 2024 Jan;56(1):159-169. doi: 10.1016/j.dld.2023.07.012. Epub 2023 
      Jul 28.