A novel lumen-apposing metal stent for endoscopic ultrasound-guided drainage of pancreatic fluid collections: a prospective cohort study
A novel lumen-apposing metal stent for endoscopic ultrasound-guided drainage of pancreatic fluid collections: a prospective cohort study
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DOI：
10.1055/s-0034-1378113
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发表时间：
2015-01-01
期刊：
影响因子：
9.3
通讯作者：
Vleggaar, Frank P.
中科院分区：
文献类型：
--
作者：
Walter, Daisy;Will, Uwe;Vleggaar, Frank P.
研究背景和研究目的：最近开发了一种新型大直径、腔对向、双侧凸缘自膨式金属支架，用于内镜超声（EUS）引导下经壁引流症状性胰腺积液（PFCs）。本研究的目的是评估这种支架在一个大的coherent.Patients和方法的有效性和安全性：患者与PFC接受EUS引导下引流与这种新型stents. Results的前瞻性入组在这个多中心队列study.Results：有61例患者：46例（75%）回撤性坏死（WON）和15例（25%）与胰腺假性囊肿。60例患者的支架置入术在技术上成功（98%，95% CI 95%-100%）。临床成功，定义为临床症状的解决以及PFC尺寸的减小，
Background and study aims: A novel large-diameter, lumen-apposing, self-expanding metal stent with bilateral flanges was recently developed for endoscopic ultrasound (EUS)-guided transmural drainage of symptomatic pancreatic fluid collections (PFCs). The aim of this study was to evaluate the efficacy and safety of this stent in a large cohort.Patients and methods: Patients with a PFC undergoing EUS-guided drainage with this novel stent were prospectively enrolled in this multicenter cohort study.Results: There were 61 patients: 46 patients (75 %) withwalled-off necrosis(WON) and 15 (25 %) with a pancreatic pseudocyst. Stent placement was technically successful in 60 patients (98 %, 95% CI 95%-100%). Clinical success, defined as resolution of clinical symptoms in combination with a decrease in the PFC size to