Endoscopic ultrasound (EUS) guided choledocoduodenostomy in a patient with irresecable pancreas cancer and biliar obstruction using a luminal apposing metal stent (LAMS)

Pinto-Carta, Renzo; Solano, Jaime; Cabrera, Luis Felipe; Sánchez, Á.; Moreno, L Paula; Pedraza, Mauricio

doi:10.1016/j.ijscr.2020.07.041

International Journal of Surgery Case Reports

2020

DOI: 10.1016/j.ijscr.2020.07.041

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Endoscopic ultrasound (EUS) guided choledocoduodenostomy in a patient with irresecable pancreas cancer and biliar obstruction using a luminal apposing metal stent (LAMS)

Renzo Pinto-Carta

Jaime Solano

Luis Felipe Cabrera

et al.

Abstract: Highlights The ERCP is the election treatment of biliary obstruction syndrome. EUS-DB is an alternative to PTBD with high technical and clinical success rate. EUS-DB is a safe and feasible procedure, providing a better quality of life to the patient.

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“…ERCP might fail owing to altered anatomy of the major papilla. In addition, it might be impractical in some cases, such as in patients with previous gastric surgery (9)(10)(11). Endoscopic US-guided PD drainage provides access to the PD.…”

mentioning

confidence: 99%

Image-Guided Percutaneous Pancreatic Duct Drainage: A 10-Year Observational Study

Mizandari

Azrumelashvili

Keshavarz

et al. 2021

Journal of Vascular and Interventional Radiology

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mentioning

confidence: 99%

Image-Guided Percutaneous Pancreatic Duct Drainage: A 10-Year Observational Study

Mizandari

Azrumelashvili

Keshavarz

et al. 2021

Journal of Vascular and Interventional Radiology

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Safety and efficacy of lumen-apposing metal stents and double-pigtail plastic stents for endoscopic ultrasound-guided drainage of walled-off necrosis; a systematic review and meta-analysis

Khizar

et al. 2023

Annals of Medicine

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Background Patients with walled-off necrosis (WON) are still challenging to treat safely and effectively. Recently, double-pigtail plastic stents (DPS), bi-flanged metallic stents (BFMS), and lumen-apposing metal stents (LAMS) have been employed with endoscopic ultrasound-guided (EUS-guided) drainage. However, there is little solid evidence to support the effectiveness and safety of using stents. This study aims to compare the outcomes of the LAMS and the PS. Method Till July 2022, a thorough database search was done, and studies that met the criteria were chosen. By using the RevMan software, the technical and clinical success and other secondary outcomes were calculated. Subgroup analysis was performed between the LAMS and the BFMS. Results Fifteen studies (two randomized controlled trials and thirteen observational) with 687 patients receiving metal stents and 771 patients receiving plastic stents were selected for final analysis. There was no significant risk of bias or publication bias. The odds ratios (OR) for technical and clinical success were 0.36 (95% confidence interval (95% CI) 0.08, 1.52) and 2.26 (95%CI 1.62, 3.15), respectively. The OR for overall adverse events was 0.74 (95% CI 0.41, 1.34). In subgroup analysis, the LAMS and the BFMS showed the same outcomes. Conclusion Compared to DPS, LAMS had better clinical outcomes and fewer side effects when treating patients with WON.

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Choledochoduodenostomy with LAMS (Hot-Axios type) for malignant obstructive jaundice � An increasingly used technique

Torres¹,

Villalba²,

Lucas³

et al. 2022

Rev Esp Enferm Dig

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Endoscopic ultrasound (EUS) guided choledocoduodenostomy in a patient with irresecable pancreas cancer and biliar obstruction using a luminal apposing metal stent (LAMS)

Abstract: Highlights The ERCP is the election treatment of biliary obstruction syndrome. EUS-DB is an alternative to PTBD with high technical and clinical success rate. EUS-DB is a safe and feasible procedure, providing a better quality of life to the patient.

Cited by 3 publications

References 12 publications

Image-Guided Percutaneous Pancreatic Duct Drainage: A 10-Year Observational Study

Image-Guided Percutaneous Pancreatic Duct Drainage: A 10-Year Observational Study

Safety and efficacy of lumen-apposing metal stents and double-pigtail plastic stents for endoscopic ultrasound-guided drainage of walled-off necrosis; a systematic review and meta-analysis

Choledochoduodenostomy with LAMS (Hot-Axios type) for malignant obstructive jaundice � An increasingly used technique

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