Original articleClinical endoscopyEvaluation of the short- and long-term effectiveness and safety of fully covered self-expandable metal stents for drainage of pancreatic fluid collections: results of a Spanish nationwide registry
Section snippets
Patients
All hospitals performing EUS-guided PFC drainage with FCSEMSs in Spain between April 2008 and August 2013 were identified through the national EUS and endoscopy societies and were invited to participate in this nationwide retrospective registry. Institutional review board approval was obtained for medical record and database review and analysis of included patients.
Results
From this retrospective national registry, data from 211 patients from 26 hospitals who had undergone EUS-guided PFC drainage with an FCSEMS in Spain were included. All hospitals with experience in this technique in the country participated in the study, and we included all patients treated at those institutions. Each hospital provided a median of 9 patients for the registry (range, 1-57).
Patient characteristics and endoscopic treatments performed are shown in Table 1. Most patients included in
Discussion
The results of the present study, representing the accumulated experience of 1 country over an 8-year period, showed an 85% clinical success rate at 6 months and a 25% AE rate after drainage of PFCs and support the use of FCSEMSs for the treatment of any PFC type. This study represents a large experience on this topic and supports its use in clinical practice.
However, many questions remain regarding PFC drainage, and answers are anxiously awaited by the scientific community. Efforts have been
References (43)
- et al.
The endoscopic management of pancreatic pseudocysts (with videos)
Gastrointest Endosc
(2015) - et al.
ASGE guideline: the role of endoscopy in the diagnosis and the management of cystic lesions and inflammatory fluid collections of the pancreas
Gastrointest Endosc
(2005) - et al.
Endoscopic transmural drainage of pancreatic pseudocysts: results of a national and an international survey of ASGE members
Gastrointest Endosc
(2006) - et al.
Endoscopic therapy for organized pancreatic necrosis
Gastroenterology
(1996) - et al.
Safety and efficacy of endoscopic ultrasound-guided drainage of pancreatic fluid collections with lumen-apposing covered self-expanding metal stents
Clin Gastroenterol Hepatol
(2015) - et al.
Endoscopic transmural drainage of peripancreatic fluid collections: outcomes and predictors of treatment success in 211 consecutive patients
J Gastrointest Surg
(2011) - et al.
Relationship between stent characteristics and treatment outcomes in endoscopic transmural drainage of pancreatic pseudocysts [abstract]
Gastrointest Endosc
(2013) - et al.
Endoscopic and percutaneous drainage of symptomatic walled-off pancreatic necrosis reduces hospital stay and radiographic resources
Clin Gastroenterol Hepatol
(2010) - et al.
Clinical evaluation of a novel lumen-apposing metal stent for endosonography-guided pancreatic pseudocyst and gallbladder drainage (with videos)
Gastrointest Endosc
(2012) - et al.
Prospective evaluation of the use of fully covered self-expanding metal stents for EUS-guided transmural drainage of pancreatic pseudocysts
Gastrointest Endosc
(2012)
EUS-guided self-expandable metal stent placement in 1 step: a new method to treat pancreatic abscess
Gastrointest Endosc
Preliminary report on a new, fully covered, metal stent designed for the treatment of pancreatic fluid collections
Gastrointest Endosc
EUS-guided drainage of a giant hemorrhagic pseudocyst by a through-the-scope esophageal metal stent
Gastrointest Endosc
Metal versus plastic for pancreatic pseudocyst drainage: clinical outcomes and success
Gastrointest Endosc
Feasibility and safety of a fully covered self-expandable metal stent with antimigration properties for EUS-guided pancreatic duct drainage: early and midterm outcomes (with video)
Gastrointest Endosc
A clinically based classification system for acute pancreatitis: summary of the International Symposium on Acute Pancreatitis, Atlanta, GA, September 11 through 13, 1992
Arch Surg
Classification of acute pancreatitis-2012: revision of the Atlanta classification and definitions by international consensus
Gut
Pancreatic pseudocysts
Gastrointest Endosc
Japanese multicenter experience of endoscopic necrosectomy for infected walled-off pancreatic necrosis: the JENIPaN study
Endoscopy
Endotherapy in chronic pancreatitis
World J Gastroenterol
Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial
Gastroenterology
Cited by (0)
DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.
If you would like to chat with an author of this study, you may contact Dr Vazquez-Sequeiros at [email protected].