Efficacy and Safety of EUS-Guided GI Anastomosis Using LAMS

Clinical success was 91% in a meta-analysis, and 9% of patients had an adverse event.

Lumen-apposing metal stents (LAMS) have taken center stage in the world of interventional endosonography. Primarily used to drain and debride pancreatic pseudocysts and walled-off pancreatic necrosis, they have also found fertile ground for their ability to create enteroenteric anastomoses (gastrogastrostomy, gastroduodenostomy, gastrojejunostomy, and enteroenterostomy).

Once an endoscopic gastrointestinal anastomosis using LAMS (EGAL) has been created, it can serve as an endoscopic conduit for a variety of GI procedures. However, these procedures are complex and are not without risk. A recent meta-analysis evaluated their efficacy and safety.

Eight studies including 269 patients who underwent an EGAL procedure were included in the analysis. …

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

Efficacy and Safety of EUS-Guided GI Anastomosis Using LAMS

Topics

Reviewing Author