scholarly journals Endoscopic management of metal stent migration after walled-off necrosis drainage for 3 months (with video)

2020 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Jie Chen ◽  
Zhao-Shen Li ◽  
Chun-Ping Zhu ◽  
Jie-Fang Guo ◽  
Yun-Feng Wang ◽  
...  
Keyword(s):  
Stent Migration ◽  
Endoscopic Management ◽  
Metal Stent ◽  
Walled Off Necrosis

scholarly journals Management of walled-off necrosis with nasocystic irrigation with hydrogen peroxide versus biflanged metal stent: randomized controlled trial

2021 ◽  
Vol 09 (07) ◽  
pp. E1108-E1115
Author(s):  
Sudhir Maharshi ◽  
Shyam Sunder Sharma ◽  
Sandeep Ratra ◽  
Bharat Sapra ◽  
Dhruv Sharma
Keyword(s):  
Hydrogen Peroxide ◽  
Adverse Events ◽  
Clinical Success ◽  
Controlled Trial ◽  
Procedure Time ◽  
Metal Stent ◽  
Technical Success ◽  
Group A ◽  
Group B ◽  
Walled Off Necrosis

Abstract Background and study aims Walled-off necrosis (WON) is a known complication of acute necrotizing pancreatitis (ANP). There is no study comparing nasocystic irrigation with hydrogen peroxide (H2O2) versus biflanged metal stent (BMS) in the management of WON. The aim of this study was to compare the clinical efficacy of both the treatment strategies. Patients and methods This study was conducted on patients with symptomatic WON who were randomized to nasocystic irrigation with H2O2 (Group A) and BMS placement (Group B). Primary outcomes were clinical and technical success while secondary outcomes were procedure time, adverse events, need for additional procedures, duration of hospitalization, and mortality. Results Fifty patients were randomized into two groups. Group A (n = 25, age 37.8 ± 17.6 years, 16 men) and Group B (n = 25, age 41.8 ± 15.2 years, 17 men). There were no significant differences in baseline characteristics between the two groups. The most common etiology of pancreatitis was alcohol, observed in 27 (54 %) patients. Technical success (100 % vs 96 %, P = 0.98), clinical success (84 % vs 76 %, P = 0.76), requirement of additional procedures (16 % vs 24 %, P = 0.70) and adverse events (4 vs 7, P = 0.06) were comparable in both the groups. The duration to clinical success (34.4 ± 12 vs 14.8 ± 10.8 days, P = 0.001) and procedure time (36 ± 15 vs 18 ± 12 minutes, P = 0.01) were longer in Group A compared to Group B. Conclusions Nasocystic irrigation with H2O2 and BMS are equally effective in the management of WON but time to clinical success and procedure time is longer with nasocystic irrigation.

Endoscopic management of walled-off necrosis complicated by colocystic fistula

2016 ◽  
Vol 84 (5) ◽  
pp. 864-865
Author(s):  
Mahesh K. Goenka ◽  
Usha Goenka ◽  
Vijay Kumar Rai ◽  
Indrajeet Kumar Tiwary
Keyword(s):  
Endoscopic Management ◽  
Walled Off Necrosis

scholarly journals BARE METAL STENT IMPLANTATION IN TREATING DISTAL AORTIC DISSECTION: A CASE REPORT

2018 ◽  
Vol 5 (5) ◽  
pp. 12-17 ◽  
Author(s):  
M. A. Chernyavskiy ◽  
B. S. Artyushin ◽  
A. V. Chernov ◽  
Yu. A. Kudaev ◽  
D. V. Chernova ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Dissection ◽  
Stent Implantation ◽  
Open Surgery ◽  
Stent Migration ◽  
Bare Metal Stent ◽  
Thoracic Endovascular Aortic Repair ◽  
Bare Metal ◽  
Metal Stent ◽  
Second Stage

This article demonstrates a case of effective and save endovascular treatment of distal aortic dissection and underlines its advantages over open surgery. The case describes successful implantation of bare metal stent into abdominal aorta. The patient of 78 years old underwent thoracic endovascular aortic repair as first stage, then bare metal stent implantation as second stage. There were no complications. CT-scan in 3 month showed no endoleaks or stent migration.

scholarly journals 2183 Endoscopic Management of Efferent Loop Syndrome Using Axios Lumen-Apposing Metal Stent

2019 ◽  
Vol 114 (1) ◽  
pp. S1222-S1223
Author(s):  
Kaveh Zivari ◽  
Daniel J. Waintraub ◽  
Richard M. Fazio ◽  
Jonathan Weinberger ◽  
Leonid Chernobelsky ◽  
...  
Keyword(s):  
Endoscopic Management ◽  
Metal Stent

scholarly journals Nasojejunal‐stent technique: A new system to prevent fully covered metal stent migration in the treatment of benign esophageal diseases

2018 ◽  
Vol 30 (5) ◽  
pp. 688-689
Author(s):  
Oscar Víctor Hernández Mondragón ◽  
Raquel Palos Cuellar ◽  
Enrique Murcio Pérez
Keyword(s):  
Stent Migration ◽  
Metal Stent ◽  
Esophageal Diseases ◽  
New System

EUS-guided gallbladder drainage using an improved self-expandable covered metal stent with anti-stent migration system (with video)

2020 ◽  
Author(s):  
Takeshi Ogura ◽  
Nobu Nishioka ◽  
Masanori Yamada ◽  
Tadahiro Yamada ◽  
Kazuhide Higuchi
Keyword(s):  
Stent Migration ◽  
Metal Stent ◽  
Gallbladder Drainage ◽  
Migration System

scholarly journals Outcomes of a single-step endoscopic ultrasound-guided drainage of pancreatic-fluid collections using an electrocautery-enhanced coaxial lumen-apposing, self-expanding metal stent with and without fluoroscopy

2020 ◽  
Author(s):  
Babatunde Olaiya ◽  
Parit Mekaroonkamol ◽  
Bai-Wen Li ◽  
Julia Massaad ◽  
Cicily T Vachaparambil ◽  
...  
Keyword(s):  
Clinical Success ◽  
Stent Migration ◽  
Single Step ◽  
Success Rates ◽  
Metal Stent ◽  
Technical Success ◽  
Pancreatic Fluid Collections ◽  
Pancreatic Fluid ◽  
The Mean ◽  
Fluid Collections

Abstract Background Fluoroscopy is often used during the endoscopic drainage of pancreatic-fluid collections (PFCs). An electrocautery-enhanced coaxial lumen-apposing, self-expanding metal stent (ELAMS) facilitates a single-step procedure and may avoid the need for fluoroscopy. This study compares the treatment outcomes using ELAMS with and without fluoroscopy. Methods Patients with PFCs who had cystogastrostomy from January 2014 to February 2017 were enrolled. Two groups were studied based on fluoroscopy use. Technical success was defined as uneventful insertion of ELAMS at time of procedure. Clinical success was defined as (i) clinical resolution of symptoms after the procedure and (ii) >75% reduction in cyst size on computed tomography 8 weeks after stent placement. Adverse events including bleeding, stent migration, and infection were recorded. Results A total of 21 patients (13 males) had PFCs drainage with ELAMS in the study period. The mean age was 51.6 ± 14.2 years. Thirteen patients had walled-off necrosis while eight had a pancreatic pseudocyst. The mean size of the PFCs was 11.3 ± 3.3 cm. Fluoroscopy was used in seven cases (33%) and was associated with a longer procedure time compared to non-fluoroscopy (43.1 ± 10.4 vs 33.3 ± 10.5 min, P = 0.025). This association was independent of the size, location, or type of PFCs. Fluoroscopy had no effect on the technical success rates. In fluoroless procedures, the clinical resolution was 91% as compared to 71% in fluoroscopy procedures (P = 0.52) and the radiologic resolution was 57% as compared to 71% in fluoroscopy procedures (P = 0. 65). Three cases of stent migration/displacement occurred in the fluoroless procedures. Conclusions ELAMS may avoid the need for fluoroscopy during cystogastrostomy. Procedures without fluoroscopy were significantly shorter and fluoroscopy use had no impact on the technical or clinical success rates.

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