TY - JOUR
T1 - Alternative uses of lumen apposing metal stents
AU - Sharma, Prabin
AU - McCarty, Thomas R.
AU - Chhoda, Ankit
AU - Costantino, Antonio
AU - Loeser, Caroline
AU - Muniraj, Thiruvengadam
AU - Ryou, Marvin
AU - Thompson, Christopher C.
N1 - Publisher Copyright:
© 2020 Baishideng Publishing Group Co., Limited. All rights reserved.
PY - 2020/6/7
Y1 - 2020/6/7
N2 - The advent of lumen apposing metal stents (LAMS) has revolutionized the management of many complex gastroenterological conditions that previously required surgical or radiological interventions. These procedures have garnered popularity due to their minimally invasive nature, higher technical and clinical success rate and lower rate of adverse events. By virtue of their unique design, LAMS provide more efficient drainage, serve as conduit for endoscopic access, are associated with lower rates of leakage and are easy to be removed. Initially used for drainage of pancreatic fluid collections, the use of LAMS has been extended to gallbladder and biliary drainage, treatment of luminal strictures, creation of gastrointestinal fistulae, pancreaticobiliary drainage, improved access for surgically altered anatomy, and drainage of intra-abdominal and pelvic abscesses as well as post-surgical fluid collections. As new indications of endosonographic techniques and LAMS continue to evolve, this review summarizes the current role of LAMS in the management of these various complex conditions and also highlights clinical pearls to guide successful placement of LAMS.
AB - The advent of lumen apposing metal stents (LAMS) has revolutionized the management of many complex gastroenterological conditions that previously required surgical or radiological interventions. These procedures have garnered popularity due to their minimally invasive nature, higher technical and clinical success rate and lower rate of adverse events. By virtue of their unique design, LAMS provide more efficient drainage, serve as conduit for endoscopic access, are associated with lower rates of leakage and are easy to be removed. Initially used for drainage of pancreatic fluid collections, the use of LAMS has been extended to gallbladder and biliary drainage, treatment of luminal strictures, creation of gastrointestinal fistulae, pancreaticobiliary drainage, improved access for surgically altered anatomy, and drainage of intra-abdominal and pelvic abscesses as well as post-surgical fluid collections. As new indications of endosonographic techniques and LAMS continue to evolve, this review summarizes the current role of LAMS in the management of these various complex conditions and also highlights clinical pearls to guide successful placement of LAMS.
KW - Biliary drainage
KW - Gallbladder drainage
KW - Gastric access temporary for endoscopy
KW - Gastric outlet obstruction
KW - Lumen apposing metal stents
KW - Therapeutic endoscopy
KW - Walled off necrosis
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U2 - 10.3748/WJG.V26.I21.2715
DO - 10.3748/WJG.V26.I21.2715
M3 - Review article
C2 - 32550749
AN - SCOPUS:85086690740
SN - 1007-9327
VL - 26
SP - 2715
EP - 2728
JO - World Journal of Gastroenterology
JF - World Journal of Gastroenterology
IS - 21
ER -