PMID- 37722511 OWN - NLM STAT- MEDLINE DCOM- 20231216 LR - 20231216 IS - 1097-6779 (Electronic) IS - 0016-5107 (Linking) VI - 99 IP - 1 DP - 2024 Jan TI - Lumen-apposing metal stents with or without coaxial plastic stent placement for the management of pancreatic fluid collections. PG - 104-107 LID - S0016-5107(23)02877-8 [pii] LID - 10.1016/j.gie.2023.09.005 [doi] AB - BACKGROUND AND AIMS: Coaxial double-pigtail plastic stent (DPPS) placement is often performed within lumen-apposing metal stents (LAMSs) for drainage of pancreatic fluid collections (PFCs) to prevent adverse events (AEs) such as stent occlusion and bleeding. This study compares the safety and outcomes of LAMSs alone versus LAMSs with coaxial DPPSs for PFC management. METHODS: Patients undergoing drainage of a PFC with LAMSs were retrospectively identified and categorized as LAMS or LAMS/DPPS based on initial drainage strategy. The AE rate, AE type, and clinical success were extracted by chart review. RESULTS: One hundred eighty-five individuals (83 LAMS, 102 LAMS/DPPS) were identified. No significant differences were found in rates of clinical success (75.9% LAMS vs 69.6% LAMS/DDPS, P = .34) or overall AEs (15.7% LAMS vs 15.7% LAMS/DPPS, P = .825). CONCLUSIONS: In this comparative single-center study, placement of a coaxial DPPS for drainage of PFCs with LAMSs did not affect rates of AEs or clinical success. CI - Copyright (c) 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved. FAU - AbiMansour, Jad P AU - AbiMansour JP AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Jaruvongvanich, Veeravich AU - Jaruvongvanich V AD - Division of Gastroenterology and Hepatology, The Queen's Health System, Honolulu, Hawaii, USA. FAU - Velaga, Saran AU - Velaga S AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Law, Ryan J AU - Law RJ AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Storm, Andrew C AU - Storm AC AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Topazian, Mark D AU - Topazian MD AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Levy, Michael J AU - Levy MJ AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Alexander, Ryan AU - Alexander R AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Vargas, Eric J AU - Vargas EJ AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Bofill-Garcia, Aliana AU - Bofill-Garcia A AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Matin, John A AU - Matin JA AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Petersen, Bret T AU - Petersen BT AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Abu Dayyeh, Barham K AU - Abu Dayyeh BK AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Chandrasekhara, Vinay AU - Chandrasekhara V AD - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. LA - eng PT - Journal Article DEP - 20230916 PL - United States TA - Gastrointest Endosc JT - Gastrointestinal endoscopy JID - 0010505 SB - IM MH - Humans MH - Retrospective Studies MH - *Pancreatic Diseases/surgery/etiology MH - Stents/adverse effects MH - Drainage/adverse effects MH - Hemorrhage/etiology COIS- Disclosure The following authors disclosed financial relationships: R. Law: Consultant for ConMed and Medtronic; royalties from UpToDate. A. C. Storm: Consultant for Apollo Endosurgery; research support from Apollo Endosurgery and Boston Scientific. B. T. Petersen: Consultant for Olympus America; investigator for Boston Scientific and Ambu. B. K. Abu Dayyeh: Consultant for Endogenex, Endo-TAGSS, Metamodix, BFKW, USGI, Apollo Endosurgery, Medtronic, Spatz Medical, EndoGastric Solutions, Aspire Bariatrics, and Boston Scientific; research support from Cairn Diagnostics, USGI, Apollo Endosurgery, Medtronic, Spatz Medical, EndoGastric Solutions, Aspire Bariatrics, and Boston Scientific; speaker for Olympus and Johnson & Johnson. V. Chandrasekhara: Consultant for Covidien LP and Boston Scientific; shareholder in Nevakar Corporation. All other authors disclosed no financial relationships. EDAT- 2023/09/19 00:43 MHDA- 2023/12/17 09:45 CRDT- 2023/09/18 19:13 PHST- 2023/05/05 00:00 [received] PHST- 2023/08/15 00:00 [revised] PHST- 2023/09/11 00:00 [accepted] PHST- 2023/12/17 09:45 [medline] PHST- 2023/09/19 00:43 [pubmed] PHST- 2023/09/18 19:13 [entrez] AID - S0016-5107(23)02877-8 [pii] AID - 10.1016/j.gie.2023.09.005 [doi] PST - ppublish SO - Gastrointest Endosc. 2024 Jan;99(1):104-107. doi: 10.1016/j.gie.2023.09.005. Epub 2023 Sep 16.