Avoidance, Recognition, and Management of Complications Associated with Lumen-Apposing Metal Stents

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

The lumen-apposing metal stent has evolved endoscopic transluminal therapies, although it has potential complications, including maldeployment, bleeding, perforation, migration, and several risks specific to necrotizing pancreatitis. Careful planning and technique mitigate these inherent risks of lumen-apposing metal sent deployment; however, setbacks occur even in the most experienced of hands. Therefore, early recognition and management of these complications are critical to alleviating morbidity and avoiding mortality. Management frequently requires multidisciplinary effort, including advanced endoscopic technique and consultation of interventional radiologic and surgical colleagues.

Original languageEnglish (US)
Pages (from-to)219-231
Number of pages13
JournalGastrointestinal Endoscopy Clinics of North America
Volume28
Issue number2
DOIs
StatePublished - Apr 1 2018

Fingerprint

Stents
Metals
Planning Techniques
Pancreatitis
Referral and Consultation
Hand
Hemorrhage
Morbidity
Mortality
Therapeutics

Keywords

  • Bleeding
  • Complications
  • Lumen-apposing metal stent
  • Maldeployment
  • Migration
  • Perforation

PubMed: MeSH publication types

  • Journal Article
  • Review

Cite this

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title = "Avoidance, Recognition, and Management of Complications Associated with Lumen-Apposing Metal Stents",
abstract = "The lumen-apposing metal stent has evolved endoscopic transluminal therapies, although it has potential complications, including maldeployment, bleeding, perforation, migration, and several risks specific to necrotizing pancreatitis. Careful planning and technique mitigate these inherent risks of lumen-apposing metal sent deployment; however, setbacks occur even in the most experienced of hands. Therefore, early recognition and management of these complications are critical to alleviating morbidity and avoiding mortality. Management frequently requires multidisciplinary effort, including advanced endoscopic technique and consultation of interventional radiologic and surgical colleagues.",
keywords = "Bleeding, Complications, Lumen-apposing metal stent, Maldeployment, Migration, Perforation",
author = "Amateau, {Stuart K.} and Freeman, {Martin L.}",
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T1 - Avoidance, Recognition, and Management of Complications Associated with Lumen-Apposing Metal Stents

AU - Amateau, Stuart K.

AU - Freeman, Martin L.

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N2 - The lumen-apposing metal stent has evolved endoscopic transluminal therapies, although it has potential complications, including maldeployment, bleeding, perforation, migration, and several risks specific to necrotizing pancreatitis. Careful planning and technique mitigate these inherent risks of lumen-apposing metal sent deployment; however, setbacks occur even in the most experienced of hands. Therefore, early recognition and management of these complications are critical to alleviating morbidity and avoiding mortality. Management frequently requires multidisciplinary effort, including advanced endoscopic technique and consultation of interventional radiologic and surgical colleagues.

AB - The lumen-apposing metal stent has evolved endoscopic transluminal therapies, although it has potential complications, including maldeployment, bleeding, perforation, migration, and several risks specific to necrotizing pancreatitis. Careful planning and technique mitigate these inherent risks of lumen-apposing metal sent deployment; however, setbacks occur even in the most experienced of hands. Therefore, early recognition and management of these complications are critical to alleviating morbidity and avoiding mortality. Management frequently requires multidisciplinary effort, including advanced endoscopic technique and consultation of interventional radiologic and surgical colleagues.

KW - Bleeding

KW - Complications

KW - Lumen-apposing metal stent

KW - Maldeployment

KW - Migration

KW - Perforation

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