Management of infected post-pancreatic resection fluid collections under endoscopic ultrasound guidance using lumen apposing metal stent: a case series and review of the literature
Management of infected post-pancreatic resection fluid collections under endoscopic ultrasound guidance using lumen apposing metal stent: a case series and review of the literature
Backgrounds/Aims: Post-operative pancreatic fistulas (POPF) and fluid collections (POPFC) remain significant sources of morbidity and mortality after pancreatic resections. There remains a paucity of literature describing endoscopic ultrasound (EUS) guided drainage of POPFC using a Hot AXIOS™ lumen apposing metal stent (LAMS).
Methods: We conducted a retrospective study, encompassing all consecutive patients with POPFC managed using Hot AXIOS™ LAMS at our institution between January 2017 and December 2019. Primary outcome measures were technical and clinical success. Secondary outcome measures were adverse events and recurrence rates.
Results: Five patients underwent EUS guided drainage using Hot AXIOS™ LAMS during the study period. Mean age of patients was 67.8 ± 2.16 years. The majority (60.0%) of patients were males. Median duration of symptom onset after surgery was 9 days. All patients presented with abdominal pain. Median size of the collection measured on computed tomography was 91 mm. Median interval time between symptom onset and EUS drainage was 30 days. Two patients required percutaneous drainage prior to EUS guided drainage. Technical and clinical success were achieved for all patients. No adverse events were observed. Median duration of follow-up was 90 days. No recurrence of collection occurred during the follow-up period.C
Conclusions: EUS guided drainage of POPFC using Hot AXIOS™ LAMS is a safe and effective treatment modality with technical and clinical success rates of 100% in our experience.
500-508
Chhabra, Puneet
47b4e886-1d5e-437c-87bc-f018ba87a610
Maher, Ben
d2b726ca-deab-4ccb-b942-cab2134c669e
Trivedi, Dharmadev
ee82a794-8604-4e7b-be90-1b2f1364e835
Karavias, Dimitrios
ec27bb13-8e06-45f2-9ea0-2dc5b4c45fce
Arshad, Ali
7f34faaa-5ff4-4307-9282-f352b37e9435
Wright, Mark
43325ef9-3459-4c75-b3bf-cf8d8dac2a21
Tehami, Nadeem
c3669784-48eb-406d-b62b-8a660e9d15b4
30 November 2021
Chhabra, Puneet
47b4e886-1d5e-437c-87bc-f018ba87a610
Maher, Ben
d2b726ca-deab-4ccb-b942-cab2134c669e
Trivedi, Dharmadev
ee82a794-8604-4e7b-be90-1b2f1364e835
Karavias, Dimitrios
ec27bb13-8e06-45f2-9ea0-2dc5b4c45fce
Arshad, Ali
7f34faaa-5ff4-4307-9282-f352b37e9435
Wright, Mark
43325ef9-3459-4c75-b3bf-cf8d8dac2a21
Tehami, Nadeem
c3669784-48eb-406d-b62b-8a660e9d15b4
Chhabra, Puneet, Maher, Ben, Trivedi, Dharmadev, Karavias, Dimitrios, Arshad, Ali, Wright, Mark and Tehami, Nadeem
(2021)
Management of infected post-pancreatic resection fluid collections under endoscopic ultrasound guidance using lumen apposing metal stent: a case series and review of the literature.
Annals of hepato-biliary-pancreatic surgery, 25 (4), .
(doi:10.14701/ahbps.2021.25.4.500).
Abstract
Backgrounds/Aims: Post-operative pancreatic fistulas (POPF) and fluid collections (POPFC) remain significant sources of morbidity and mortality after pancreatic resections. There remains a paucity of literature describing endoscopic ultrasound (EUS) guided drainage of POPFC using a Hot AXIOS™ lumen apposing metal stent (LAMS).
Methods: We conducted a retrospective study, encompassing all consecutive patients with POPFC managed using Hot AXIOS™ LAMS at our institution between January 2017 and December 2019. Primary outcome measures were technical and clinical success. Secondary outcome measures were adverse events and recurrence rates.
Results: Five patients underwent EUS guided drainage using Hot AXIOS™ LAMS during the study period. Mean age of patients was 67.8 ± 2.16 years. The majority (60.0%) of patients were males. Median duration of symptom onset after surgery was 9 days. All patients presented with abdominal pain. Median size of the collection measured on computed tomography was 91 mm. Median interval time between symptom onset and EUS drainage was 30 days. Two patients required percutaneous drainage prior to EUS guided drainage. Technical and clinical success were achieved for all patients. No adverse events were observed. Median duration of follow-up was 90 days. No recurrence of collection occurred during the follow-up period.C
Conclusions: EUS guided drainage of POPFC using Hot AXIOS™ LAMS is a safe and effective treatment modality with technical and clinical success rates of 100% in our experience.
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Published date: 30 November 2021
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Local EPrints ID: 477507
URI: http://eprints.soton.ac.uk/id/eprint/477507
ISSN: 2508-5859
PURE UUID: 9aa78e1a-d9d7-4dd2-9f4f-41474f4d9ae1
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Date deposited: 07 Jun 2023 16:58
Last modified: 17 Mar 2024 02:14
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Author:
Puneet Chhabra
Author:
Ben Maher
Author:
Dharmadev Trivedi
Author:
Dimitrios Karavias
Author:
Ali Arshad
Author:
Mark Wright
Author:
Nadeem Tehami
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