Endoscopy 2024; 56(S 02): S352
DOI: 10.1055/s-0044-1783560
Abstracts | ESGE Days 2024
ePoster

Lumen-apposing metal stents: a single-centre experience

C. Bógalo Romero
1   Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
,
J. C. Espuche
2   Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Spain
,
F. J. Sánchez Roncero
2   Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Spain
,
L. Madrigal Bayonas
3   Rafael Méndez Hospital, Lorca, Spain
,
A. Gómez Gómez
4   Virgen of Arrixaca University Clinical Hospital, El Palmar, Spain
,
M. Alajarín Cervera
2   Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Spain
,
F. J. ÁLvarez Higueras
4   Virgen of Arrixaca University Clinical Hospital, El Palmar, Spain
,
J. Egea Valenzuela
2   Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Spain
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Aims Luminal apposition stents (LAMS) are indicated in the drainage of pancreatic collections, gallbladder and bile duct. In addition, it has been used for other non-guideline purposes such as gastroenteroanastomosis and drainage of post-surgical collections. Our objective is to analyze the experience in our center.

Methods We have carried out a retrospective descriptive study including all the LAMS that have been placed since 2018. We have analyzed the indications for drainage, technical success (defined as placement of the prosthesis in the target area), therapeutic success (defined as a reduction in peripancreatic collections greater than or equal to 50%; in the indication of biliary drainage as a decrease in basal bilirubin levels of 50% and in gastroenteroanastomosis as resolution of gastric obstruction and adequate oral tolerance). [1] [2]

Results A total of 30 LAMS have been placed. The indications from highest to lowest frequency were: 73% (n=23) drainage of peripancreatic collections (73% (n=17) necrotic; 27% (n=6) liquid), 13% (n=4) biliary drainage, 6.6% (n=2) gastroenteroanastomosis and 3.3% (n=1) drainage of postsurgical collections. Technical success was achieved in 93% (n=28) of cases and therapeutic success in 60% (n=18), with a complication rate of 10% (n=3).

Conclusions The main indication for LAMS in our center is the drainage of pancreatic collections with a technical and clinical success rate of 100% in the case of liquid collections and a low global rate of complications. In addition, it has been used in off-guideline indications such as biliary drainage and gastroenteroanastomosis.



Publication History

Article published online:
15 April 2024

© 2024. European Society of Gastrointestinal Endoscopy. All rights reserved.

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  • References

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