1. Transenteric drainage of pancreatic-fluid collections with fully covered self-expanding metallic stents (with video)
- Author
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Talreja JP, Shami VM, Ku J, Morris TD, Ellen K, and Kahaleh M
- Abstract
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. [ABSTRACT FROM AUTHOR]
- Published
- 2008
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