-
Coaxial plastic stent placement within lumen-apposing metal stents for the management of pancreatic fluid collections: a systemic review and meta-analysis
-
Jad AbiMansour, Veeravich Jaruvongvanich, Saran Velaga, Ryan Law, Andrew C. Storm, Mark Topazian, Michael J. Levy, Ryan Alexander, Eric J. Vargas, Aliana Bofill-Garica, John A. Martin, Bret T. Petersen, Barham K. Abu Dayyeh, Vinay Chandrasekhara
-
Clin Endosc 2024;57(5):595-603. Published online July 24, 2024
-
DOI: https://doi.org/10.5946/ce.2023.297
-
-
 Graphical Abstract
 Abstract
 PDF Supplementary Material PubReader ePub
 - Background
/Aims: Coaxial placement of double pigtail plastic stents (DPPS) through lumen-apposing metal stents (LAMSs) is commonly performed to reduce the risk of LAMS obstruction, bleeding, and stent migration when used for the drainage of pancreatic fluid collections (PFCs). A systematic review and meta-analysis were performed to compare the outcomes of LAMS alone and LAMS with coaxial DPPS placement in the management of PFCs.
Methods
A systematic review was conducted to identify studies comparing LAMS and LAMS/DPPS for PFC drainage. Primary outcomes included the rate of clinical success, overall adverse events (AEs), bleeding, infection, occlusion, and stent migration. The pooled effect size was summarized using a random-effects model and compared between LAMS and LAMS/DPPS by calculating odds ratios (ORs).
Results
Nine studies involving 709 patients were identified (338 on LAMS and 371 on LAMS/DPPS). LAMS/DPPS was associated with a reduced risk of stent obstruction (OR, 0.59; p=0.004) and infection (OR, 0.55; p=0.001). No significant differences were observed in clinical success (OR, 0.96; p=0.440), overall AEs (OR, 0.57; p=0.060), bleeding (OR, 0.61; p=0.120), or stent migration (OR, 1.03; p=0.480).
Conclusions
Coaxial DPPS for LAMS drainage of PFCs is associated with a reduced risk of stent occlusion and infection; however, no difference was observed in the overall AE rates or bleeding.
-
Multicenter Implementation of a New Electronic Medical Record System Leads to Longer Procedure Times and Poor Staff Satisfaction
-
Andrew C. Storm, Marvin Ryou, Christopher C. Thompson
-
Clin Endosc 2019;52(1):87-89. Published online August 21, 2018
-
DOI: https://doi.org/10.5946/ce.2018.080
-
-
PDFPubReaderePub
-
Citations
Citations to this article as recorded by  - American Society for Gastrointestinal Endoscopy guideline on informed consent for GI endoscopic procedures
Andrew C. Storm, Douglas S. Fishman, James L. Buxbaum, Nayantara Coelho-Prabhu, Mohammad A. Al-Haddad, Stuart K. Amateau, Audrey H. Calderwood, Christopher J. DiMaio, Sherif E. Elhanafi, Nauzer Forbes, Larissa L. Fujii-Lau, Terry L. Jue, Divyanshoo R. Koh
Gastrointestinal Endoscopy.2022; 95(2): 207. CrossRef
-
4,674
View
-
86
Download
-
1
Web of Science
-
1
Crossref
|
KSGE
