Double-Pigtail Stent Through LAMS Might Reduce Infection in Pancreatic Pseudocyst

Nonrandomized data from a single center suggest this possibility.

Despite the widespread dissemination of lumen-apposing metal stents (LAMSs) into clinical practice of interventional endoscopy, many concerns remain, including clogging of LAMSs, which can result in infection.

In a recent single-center, retrospective study, researchers evaluated the effect of placing a double-pigtail stent in a LAMS on pancreatic pseudocyst resolution and risk for infection in 47 patients. Half of patients underwent pseudocyst draining by LAMS alone and the other half with a double-pigtail stent through the LAMS.

Technical success was achieved in 98% of patients. (There was one perforation at deployment.) Excluding that one patient, pseudocyst resolution was observed in 96%. The rate of pseudocyst infection requiring reinterv…

Reviewing Author

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Double-Pigtail Stent Through LAMS Might Reduce Infection in Pancreatic Pseudocyst

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Reviewing Author