1Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
2Department of Endoscopy and Endoscopic Surgery, The University of Tokyo Hospital, Tokyo, Japan
3Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Saitama, Japan
4Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan
5Department of Hepato-Biliary-Pancreatic Medicine, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan
6Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan
7Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan
8Division of Hepatobiliary and Pancreatic Diseases, Department of Gastroenterology, Hyogo Medical University, Hyogo, Japan
9Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan
10First Department of Internal Medicine, Gifu University Hospital, Gifu, Japan
11Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Hyogo, Japan
12Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan
13Third Department of Internal Medicine, University of Toyama, Toyama, Japan
© 2024 Korean Society of Gastrointestinal Endoscopy
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Conflicts of Interest
Yousuke Nakai received research grants from Boston Scientific Japan and HOYA Corporation, and honoraria from Boston Scientific Japan, Fujifilm Corporation, and Olympus Corporation. Hiroyuki Isayama received research grants from Boston Scientific Japan, Fujifilm Corporation, Fujifilm Health Care Corporation, Gadelius Medical KK, and Zeon Medical Inc., and honoraria from Boston Scientific Japan, Fujifilm Corporation, Taewoong Medical Devices, Olympus Corporation, Century Medical Inc., and Cook Medical. Ichiro Yasuda received honoraria from Gadelius Medical KK, Medicos Hirata, and Olympus Corporation. The other authors have no potential conflicts of interest to declare.
Funding
This work was supported by grants from the Japanese Foundation for Research and Promotion of Endoscopy (to Yousuke Nakai and Tomotaka Saito). Tsuyoshi Hamada was supported by the Japan Society for the Promotion of Science (JSPS) KAKENHI grants (JP19K08362 and JP22H02841) and grants from the Takeda Science Foundation and Daiichi Sankyo Company. The funders played no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Acknowledgments
We would like to appreciate the following members of the WONDERFUL study group for their valuable comments on the manuscript: Tatsuya Sato, Department of Gastroenterology, The University of Tokyo, Tokyo, Japan; Keito Nakagawa, Kentaro Suda, Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Saitama, Japan; Ryota Nakano, Shogo Ota, Division of Hepatobiliary and Pancreatic Diseases, Department of Gastroenterology, Hyogo Medical University, Hyogo, Japan; Kotaro Takeshita, Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan; Shunsuke Omoto, Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan; Senju Akihiko, Ryuichi Tezuka, Shinya Uemura, First Department of Internal Medicine, Gifu University Hospital, Gifu, Japan; Masahiro Tsujimae, Arata Sakai, Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Hyogo, Japan; Mitsuru Okuno, Yuhei Iwasa, Keisuke Iwata, Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan; Kensaku Yoshida, Akinori Maruta, Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan; Toshio Fujisawa, Sho Takahashi, Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan; and Nobuhiko Hayashi, Third Department of Internal Medicine, University of Toyama, Toyama, Japan.
Author Contributions
Conceptualization: YN, SM, TM, TH, TSas, SH, HS, MT, TI, AM, HY; Data curation: YN, SM, TM; Funding acquisition: YN, TSai; Methodology: YN; Supervision; HI, IY; Writing–original draft: YN, SM; Writing–review & editing: all authors.
Study | Year | n | LAMS type | LAMS size (mm) | Technical success (%) | Clinical success (%) | Adverse event (%) | Mean stent duration (day) | Recurrence (%) |
---|---|---|---|---|---|---|---|---|---|
Mudireddy et al.32 | 2018 | 47 | Axios | 10, 15 | 93.6 | 89.3 | 10.6 | 36 | 0 |
Yang et al.33 | 2019 | 62 | Axios | 10, 15 | 96.8 | 91.9 | 12.9 | 46.8 | 1.8 |
Storm et al.19 | 2020 | 75 | Axios | 10 | 100 | 93.0 | 25.3 | 48a) and 53b) | 5.3 |
Oh et al.34 | 2022 | 47 | Spaxus | 8, 10 | 87.2 | 78.7 | 12.8 | 47.3 | 2.1 |
Leak type | Subtype | Endoscopic interventions |
---|---|---|
I | Head (IH) | Bridging stent or NPD |
Body (IB) | Bridging stent or NPD | |
Tail (IT) | Bridging stent if duct caliber allows or cyanoacrylate/fibrin glue/other polymer injection at pancreatic tail/fistulous tract | |
II | Open proximal stump (IIO) | Bridging stent or NPD or extrapancreatic transpapillary protruding stent |
Closed proximal stump (IIC) | EUS + transmural drain of fluid collection from the distal gland into stomach/intestine or EUS-guided pancreaticogastrostomy or conversion to open+bridging stent/NPD | |
III | Proximal (IIIP) | Transpapillary protruding stent to drain the collection |
Distal (IIID) | Drain the CBD and the jejunum at the level of anastomosis EUS for transmural drain of peripancreatic collections or pancreaticogastrostomy |
Study | Year | n | LAMS type | LAMS size (mm) | Technical success (%) | Clinical success (%) | Adverse event (%) | Mean stent duration (day) | Recurrence (%) |
---|---|---|---|---|---|---|---|---|---|
Mudireddy et al.32 | 2018 | 47 | Axios | 10, 15 | 93.6 | 89.3 | 10.6 | 36 | 0 |
Yang et al.33 | 2019 | 62 | Axios | 10, 15 | 96.8 | 91.9 | 12.9 | 46.8 | 1.8 |
Storm et al.19 | 2020 | 75 | Axios | 10 | 100 | 93.0 | 25.3 | 48 |
5.3 |
Oh et al.34 | 2022 | 47 | Spaxus | 8, 10 | 87.2 | 78.7 | 12.8 | 47.3 | 2.1 |
EUS-guided drainage of an artificially created fluid collection |
EUS-guided direct fistula tract drainage |
Endoscopic rendezvous with percutaneous route |
Outside-in |
Inside-out |
EUS-guided pancreaticoenterostomy |
NPD, nasopancreatic drain; EUS, endoscopic ultrasonography; CBD, common bile duct.
EUS, endoscopic ultrasonography; LAMS, lumen-apposing metal stent. Median stent duration early (<30 days) drainage and delayed (>30 days) drainage.
EUS, endoscopic ultrasonography.