Endoscopic drainage of pancreatic fluid collections using a fully covered expandable metal stent with antimigratory fins

Isaac Raijman, Paul R. Tarnasky, Sandeep Patel, Douglas S. Fishman, Sri Naveen Surapaneni, Laura Rosenkranz, Jayant P. Talreja, Dang Nguyen, Monica Gaidhane, Michel Kahaleh

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Background and Objectives: Endoscopic drainage is the first consideration in treating pancreatic fluid collections (PFCs). Recent data suggests it may be useful in complicated PFCs as well. Most of the available data assess the use of plastic stents, but scarce data exists on metal stent management of PFCs. The aim of our study to evaluate the efficacy and safety of a metal stent in the management of PFCs. Patients and Methods: Data were collected prospectively on 47 patients diagnosed with PFCs from March 2007 to August 2011 at 3 tertiary care centers. These patients underwent endoscopic transmural placement of a fully covered self-expanding metal stent (FCSEMS) with antimigratory fins of 10 mm diameter. Results: The stent was successfully placed in all patients, and left in place an average of 13 weeks (range 0.4-36 weeks). Etiology of the PFC was biliary pancreatitis (23), pancreas divisum (2), trauma (4), hyperlipidemia (3), alcoholic (8), smoking (2), idiopathic (4), and medication-induced (1). PFCs resolved in 36 patients, for an overall success rate of 77%. Complications included fever (3), stent migration (2) and abdominal pain (1). Conclusions: The use of FCSEMS is successful in the majority of patients with low complication rates. A large sample-sized RCT is needed to confirm if the resolution of PFCs is long-standing.

Original languageEnglish (US)
Pages (from-to)213-218
Number of pages6
JournalEndoscopic Ultrasound
Volume4
Issue number3
DOIs
StatePublished - 2015

Keywords

  • Endoscopy
  • Fully covered self-expanding metal stent with antimigratory fins
  • Pancreatic fluid collections
  • Transmural

ASJC Scopus subject areas

  • Hepatology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Fingerprint

Dive into the research topics of 'Endoscopic drainage of pancreatic fluid collections using a fully covered expandable metal stent with antimigratory fins'. Together they form a unique fingerprint.

Cite this