Table 2 Details of the EUS-guided LAMS placement procedures.
Variables | Patients with symptomatic PFCs (n = 33) |
---|---|
Time from onset of AP to LAMS placement, mean ± SD (range), days | 166.50 ± 306.42 (18–1284) |
≤ 1 month, n (%) | 8 (24.24) |
1–3 months, n (%) | 10 (30.30) |
> 3 months, n (%) | 15 (45.45) |
Previous intervention before LAMS placement, n (%) | |
No treatment | 22 (66.67) |
External drainage | 7 (21.21) |
EUS-guided transmural DPS | 2 (6.06) |
Transpapillary pancreatic stent | 2 (6.06) |
Surgery | 0 (0) |
Size of the LAMS, n (%) | |
10 mm | 0 (0) |
15 mm | 33 (100) |
20 mm | 0 (0) |
Procedure time, mean ± SD (range), minutes | |
Total procedure | 30.55 ± 16.17 (13–72) |
Puncture-to-deployment | 5.76 ± 7.75 (2–45) |
Transmural route, n (%) | |
Transgastric | |
Antrum | 2 (6.06) |
Body | 28 (75.76) |
Fundus | 2 (6.06) |
Transduodenal | 1 (3.03) |
Technical success, n (%) | 33 (100) |
Clinical success, n (%) | |
Symptoms resolved | 33 (100) |
Radiologically resolved | 32 (96.97) |
Symptoms and radiologically resolved | 32 (96.97) |
Adjunct therapy, n (%) | |
Concurrent external drainage | 6 (18.18) |
Concurrent transmural DPS | 2 (6.06) |
Hydrogen peroxide instillation | 2 (6.06) |
Nasocystic tube | 0 (0) |
Index procedure-related complications, n (%) | |
Bleeding | 1 (3.03) |
Cyst rupture | 0 (0) |
Infection | 0 (0) |
Stent migration | 0 (0) |
Mortality | 0 (0) |
Others | 0 (0) |
DEN session, mean ± SD (range), times | 2.65 ± 1.98 (0–7) |
Accessories used for DEN, n (%) | |
Patients underwent DEN | 18 (54.55) |
Pentapod grasper alone | 9/18 (50.00) |
Combination | 9/18 (50.00) |
DEN-related complications, n (%) | |
Self-limited bleeding | 3/18 (16.67) |
Stent migration | 2/18 (11.11) |
Pneumoperitoneum | 1/18 (5.56) |
LAMS indwelling time, mean ± SD (range), days | 25.27 ± 10.09 (3 –44) |
Recurrence, n (%) | 7/33 (21.21) |
Asymptomatic without treatment | 2/7 (28.57) |
EUS-DPS | 2/7 (28.57) |
Use of antibiotics | 1/7 (14.29) |
External drainage | 1/7 (14.29) |
Surgery | 1/7 (14.29) |
EUS-LAMS | 0 (0) |
Recurrence time after LAMS removal, mean ± SD (range), days | 200.29 ± 184.11 (28–542) |