Copyright
©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Sep 16, 2017; 9(9): 456-463
Published online Sep 16, 2017. doi: 10.4253/wjge.v9.i9.456
Published online Sep 16, 2017. doi: 10.4253/wjge.v9.i9.456
Lumen apposing metal stents for pancreatic fluid collections: Recognition and management of complications
Michael L DeSimone, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, United States
Akwi W Asombang, Tyler M Berzin, Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, United States
Author contributions: DeSimone ML, Asombang AW and Berzin TM contributed equally to this manuscript.
Conflict-of-interest statement: Dr. Berzin is a consultant and speaker for Boston Scientific.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Michael L DeSimone, MD, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 1 Deaconess Rd, West Campus, Deaconess Building, Suite 306, Boston, MA 02215, United States. mdesimon@bidmc.harvard.edu
Telephone: +1-617-6328273
Received: February 25, 2017
Peer-review started: February 26, 2017
First decision: May 17, 2017
Revised: June 2, 2017
Accepted: July 21, 2017
Article in press: July 23, 2017
Published online: September 16, 2017
Peer-review started: February 26, 2017
First decision: May 17, 2017
Revised: June 2, 2017
Accepted: July 21, 2017
Article in press: July 23, 2017
Published online: September 16, 2017
Core Tip
Core tip: Pancreatic fluid collections (PFC) are a recognized complication of pancreatitis, trauma or surgical injury to the pancreas. Over the years, management has included surgical, radiologic or endoscopic intervention. Endoscopic interventions are now at the forefront for management of PFCs, and development of lumen apposing metal stents (LAMS) have made endoscopic drainage more accessible and easy. It is important for practitioners to understand the risks of LAMS including bleeding, stent migration, buried stent, stent occlusion, and perforation, as well as proper management approaches to these complications.