Salvaging a malpositioned fully covered self-expanding metal stent for pancreatic fluid collection drainage

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Salvaging a malpositioned fully covered self-expanding metal stent for pancreatic fluid collection drainage.

A 44-year-old man presentedwith a large, symptomatic pancreatic fluid collection (PFC) 6 weeks after an episode of alcoholrelated acute necrotizing pancreatitis. Imaging confirmed an area of walled-off necrosis (WON) measuring 15×12mm and containing solid debris. He underwent endoscopic ultrasound (EUS)-guided drainage with the aim of placing a dedicated fully covered self-expanding metal stent...

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EUS-Guided Drainage of Pancreatic Fluid Collections Using Fully Covered Self-Expandable Metal Stents.

KB Endoscopic treatment of pancreatic fluid collections involves internal drainage of the collection into the bowel lumen. Historically, in order to perform endoscopic drainage, 3 conditions have to be met. First, the fluid collection has to be reasonably mature (ie, it has to have a well-defined wall and be primarily liquid in content). Second, the wall of the fluid collection has to be adhere...

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Esophageal fully covered self-expanding metal stent for combined treatment of an aortoesophageal fistula.

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Endoscopic management of chronic pancreatitis with a fully covered self-expanding metal stent and laser lithotripsy.

The patient was a 58-year-old man with a long-standing history of alcohol abuse and chronic pancreatitis leading to multiple hospitalizations. He continued to have pain despite conservative management, pain control, and alcohol cessation. His chronic pancreatitis and pancreatic duct (PD) stones resulted in a tight PD stricture at the head of the pancreas. Multiple prior attempts at conventional...

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Safety and efficacy of endoscopic ultrasound-guided drainage of pancreatic fluid collections with lumen-apposing covered self-expanding metal stents.

BACKGROUND & AIMS Plastic stents, placed via endoscopy to drain pancreatic fluid collections (PFCs), require repeat access. Covered metal stents are larger in diameter and can be inserted in a single step, but can migrate. We evaluated the safety and efficacy of a lumen-apposing, covered, self-expanding metal stent (LACSEMS) for PFC drainage. METHODS We performed a prospective study of the ou...

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ژورنال

عنوان ژورنال: Endoscopy

سال: 2016

ISSN: 0013-726X,1438-8812

DOI: 10.1055/s-0042-106966