Case Reports in Gastrointestinal Medicine / 2019 / Article / Tab 1

Case Report

Use of Lumen-Apposing Stents for the Treatment of Postsurgical Fluid Collections: A Case Series and a Review of Literature

Table 1


Authors, Year, PlaceNumber of patients, Study designIndicationStent type and route, sizeAverage size of collection Success rate
(TS, CS)
Time to resolution (TRL) and stent removal (TRO)Average follow upComplication rateComplications

Mudireddy et al. 2018
US
Multi
center, retro
spective, n=47
Pancreatic surgery
Extra
pancreatic surgery
Previous failed PCD or surgical drainage
(13/47)
LAMS
Hot 76%
Cold
24%
TG 72%
TR 17%
TD
11%
15mm 70%
10 mm 30%
78.6 mm
TS-93.6%
(overall)
TS- 100%
(pancreatic)
CS-89.3%
(overall)
CS- 96%
(pancreatic)
Necrosectomy 6
TRL- 27.4 d
TRO- 36 d
1-8 weeksIntra-procedural
4.25%
Post-procedural
6.4%
Intra-procedural
Stent mis deployment
N=2,
Post procedural
Perforation, N=1
Stent migration
N=1
Infection
N=1

Donatelli et al
2017
Single center, Retrospective,
N=32
Post pancreatic
N=10
(31%)
DPSTS 100%
CS 93.4%
13.5 monthsImmediate 12.5 %Bleeding
N=1
Stent migration
N=3(all rectal)

Tellez-Avilla
2015
Retrospective
N=43
Pancreatic 4/13
(30.8%)
Prior PCD 2/13
DPS
Mean size 6.5 cm
TG 87.5%
TD 12.5 %
TS 100%
CS 100%
None

Gupta
2012
Europe
Retrospective,
N=43
Pancreatic surg 57%
Extrapancreatic surgery
Previous failed PCD or surgical drainage
13/47
DPS
TG 85.7%
TD 6%
TS
CS 80% -8 weeks
CS 90% later follow up
60 weeks14.6%Early:
Bleeding
N=4
Stent migration
Late:
Colonic fistula
N=1

Azeem
2012
Mayo
Retrospective,
Total
N=48
PCD
N= 33
EUS GD
N=15
Post pancreatic tail resectionDPS
FCSEMS(n=1)
TP 12/21
TG 13 /21
TD 3/21
Debridement 2/48
7 cm
TS 100%
CS 80%
9.6%Delayed bleeding n=2
Stent migration n=1

Varadarajulu 2009
Alabama
Prospective, case series.
N=10
Post-distal pancreatectomy
Prior PCD
N=1
DPS
TG
9 /10
TO 1/10
91.4mm
TS 100%
CS 90%
TRL
8 wk
TRO
8 wk
151Stent migration n=1

Varadarajulu, 2011
Alabama
Retrospective,
N=20
Post-distal pancreatectomy
Prior PCD or
pancreatic stents 10/20
DPS
TG
85%
TO
15%
78.5 mm
TS 100%
CS 100%
199 daysNone

Kwon
2013
MSKCC
Retrospective
Total
N=23
PCD
N= 12
EUS –GD
N= 9 including (3 with prev PCD)
Post-distal pancreatectomy
Previous PCD 3/23
DPPS
TG
Necrosectomy
4/12
89 mm
TS 100%
CS 100%
TRL 57 daysIntra-procedural none
Post-procedure
Small bowel obstruction
N=1
Bleeding gastric ulcer
N=1

TS: technical success, CS: clinical success, TRL: time to resolution, TRO: time to removal, PCD: percutaneous drainage, LAMS: lumen-apposing metal stent, TG: transgastric, TD: transduodenal, TR: transrectal, TO: transesophageal, DPS: double pigtail stent, FCSEMS: fully covered self-expanding metal stent, and EUS-GD: endoscopic ultrasound-guided drainage.

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