Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved
EUS-guided anastomoses with LAMS have emerged as a therapeutic option for patients with obstruction of the digestive tract. However, the long-term permeability of these anastomoses remains unknown. Most of the published cases involve the gastric wall and experience in distal obstruction is limited t...
| Autores: | , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Universidad de Navarra |
| Repositorio: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Idioma: | inglés |
| OAI Identifier: | oai:dadun.unav.edu:10171/113975 |
| Acceso en línea: | https://hdl.handle.net/10171/113975 |
| Access Level: | acceso abierto |
| Palabra clave: | Echoendoscopic anastomoses Lumen apposing metal stents |
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Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involvedBetes-Ibáñez, M.T. (María Teresa)|||/items/ed030c6d-60ce-405f-a08b-6fea8b5bd9dcPérez‑Longo, P. (Pablo)|||/items/118ca5fb-a292-414b-b3ec-4e09de60195cPeralta, S. (Sandra)|||/items/d4d9a07f-b54a-46f9-a4eb-dce53adb57ebBojórquez-Gutiérrez, A. (Alejandro)|||/items/50ad3fc5-5bea-4a73-a96a-353fe7fd58a6Angós-Musgo, R.J. (Ramón Jesús)|||/items/3fa0d0ac-0c38-4cad-99b7-dd1d34b48c1fChopitea-Ortega, A. (Ana)|||/items/4234674f-5287-4a3a-a66e-8b82d25afe53Baixauli-Fons, J. (Jorge)|||/items/c863985d-f450-4807-a4fe-56d26f6e8dfaMuñoz-Navas, M. (Miguel)|||/items/8c9e2db8-7dea-4686-9c8a-3bd4eeff584bSubtil-Íñigo, J.C. (José Carlos)|||/items/df5600f0-7617-4bf8-be80-1fc8ca160b57Echoendoscopic anastomosesLumen apposing metal stentsEUS-guided anastomoses with LAMS have emerged as a therapeutic option for patients with obstruction of the digestive tract. However, the long-term permeability of these anastomoses remains unknown. Most of the published cases involve the gastric wall and experience in distal obstruction is limited to few case reports. We review our series of patients treated with LAMS for gastrointestinal obstruction and describe the technical success according to the anastomotic site and the long-term follow-up in those cases in which the stent migrated spontaneously or was removed. Out of 30 cases treated with LAMS, EUS-guided anastomosis did not involve the gastric wall in 6 patients. These procedures were technically more challenging as two failures were recorded (2/6, 33%) while technical success was achieved in 100% of the cases in which the stent was placed through the gastric wall. In two of the patients, one with entero-enteric and another with recto-colic anastomosis, stent removal after spontaneous displacement was followed by long term permeability of the EUS-guided anastomosis (172 and 234 days respectively). In a EUS-guided gastroenterostomy the stent was removed at 118 days, but closure of the fistula was confirmed 26 days later. Our experience suggests that LAMS placement between bowel loops is feasible and might allow the creation of an anastomosis with long-term patency. As compared to LAMS placement between bowel loops, when LAMS are placed through the gastric wall, removal of the LAMS seems to lead to closure of the fistulaSpringer NatureDadun. Depósito Académico Digital Universidad de Navarra20212021-01-0120212021-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/113975reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/1139752026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved |
| title |
Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved |
| spellingShingle |
Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved Betes-Ibáñez, M.T. (María Teresa)|||/items/ed030c6d-60ce-405f-a08b-6fea8b5bd9dc Echoendoscopic anastomoses Lumen apposing metal stents |
| title_short |
Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved |
| title_full |
Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved |
| title_fullStr |
Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved |
| title_full_unstemmed |
Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved |
| title_sort |
Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved |
| dc.creator.none.fl_str_mv |
Betes-Ibáñez, M.T. (María Teresa)|||/items/ed030c6d-60ce-405f-a08b-6fea8b5bd9dc Pérez‑Longo, P. (Pablo)|||/items/118ca5fb-a292-414b-b3ec-4e09de60195c Peralta, S. (Sandra)|||/items/d4d9a07f-b54a-46f9-a4eb-dce53adb57eb Bojórquez-Gutiérrez, A. (Alejandro)|||/items/50ad3fc5-5bea-4a73-a96a-353fe7fd58a6 Angós-Musgo, R.J. (Ramón Jesús)|||/items/3fa0d0ac-0c38-4cad-99b7-dd1d34b48c1f Chopitea-Ortega, A. (Ana)|||/items/4234674f-5287-4a3a-a66e-8b82d25afe53 Baixauli-Fons, J. (Jorge)|||/items/c863985d-f450-4807-a4fe-56d26f6e8dfa Muñoz-Navas, M. (Miguel)|||/items/8c9e2db8-7dea-4686-9c8a-3bd4eeff584b Subtil-Íñigo, J.C. (José Carlos)|||/items/df5600f0-7617-4bf8-be80-1fc8ca160b57 |
| author |
Betes-Ibáñez, M.T. (María Teresa)|||/items/ed030c6d-60ce-405f-a08b-6fea8b5bd9dc |
| author_facet |
Betes-Ibáñez, M.T. (María Teresa)|||/items/ed030c6d-60ce-405f-a08b-6fea8b5bd9dc Pérez‑Longo, P. (Pablo)|||/items/118ca5fb-a292-414b-b3ec-4e09de60195c Peralta, S. (Sandra)|||/items/d4d9a07f-b54a-46f9-a4eb-dce53adb57eb Bojórquez-Gutiérrez, A. (Alejandro)|||/items/50ad3fc5-5bea-4a73-a96a-353fe7fd58a6 Angós-Musgo, R.J. (Ramón Jesús)|||/items/3fa0d0ac-0c38-4cad-99b7-dd1d34b48c1f Chopitea-Ortega, A. (Ana)|||/items/4234674f-5287-4a3a-a66e-8b82d25afe53 Baixauli-Fons, J. (Jorge)|||/items/c863985d-f450-4807-a4fe-56d26f6e8dfa Muñoz-Navas, M. (Miguel)|||/items/8c9e2db8-7dea-4686-9c8a-3bd4eeff584b Subtil-Íñigo, J.C. (José Carlos)|||/items/df5600f0-7617-4bf8-be80-1fc8ca160b57 |
| author_role |
author |
| author2 |
Pérez‑Longo, P. (Pablo)|||/items/118ca5fb-a292-414b-b3ec-4e09de60195c Peralta, S. (Sandra)|||/items/d4d9a07f-b54a-46f9-a4eb-dce53adb57eb Bojórquez-Gutiérrez, A. (Alejandro)|||/items/50ad3fc5-5bea-4a73-a96a-353fe7fd58a6 Angós-Musgo, R.J. (Ramón Jesús)|||/items/3fa0d0ac-0c38-4cad-99b7-dd1d34b48c1f Chopitea-Ortega, A. (Ana)|||/items/4234674f-5287-4a3a-a66e-8b82d25afe53 Baixauli-Fons, J. (Jorge)|||/items/c863985d-f450-4807-a4fe-56d26f6e8dfa Muñoz-Navas, M. (Miguel)|||/items/8c9e2db8-7dea-4686-9c8a-3bd4eeff584b Subtil-Íñigo, J.C. (José Carlos)|||/items/df5600f0-7617-4bf8-be80-1fc8ca160b57 |
| author2_role |
author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Dadun. Depósito Académico Digital Universidad de Navarra |
| dc.subject.none.fl_str_mv |
Echoendoscopic anastomoses Lumen apposing metal stents |
| topic |
Echoendoscopic anastomoses Lumen apposing metal stents |
| description |
EUS-guided anastomoses with LAMS have emerged as a therapeutic option for patients with obstruction of the digestive tract. However, the long-term permeability of these anastomoses remains unknown. Most of the published cases involve the gastric wall and experience in distal obstruction is limited to few case reports. We review our series of patients treated with LAMS for gastrointestinal obstruction and describe the technical success according to the anastomotic site and the long-term follow-up in those cases in which the stent migrated spontaneously or was removed. Out of 30 cases treated with LAMS, EUS-guided anastomosis did not involve the gastric wall in 6 patients. These procedures were technically more challenging as two failures were recorded (2/6, 33%) while technical success was achieved in 100% of the cases in which the stent was placed through the gastric wall. In two of the patients, one with entero-enteric and another with recto-colic anastomosis, stent removal after spontaneous displacement was followed by long term permeability of the EUS-guided anastomosis (172 and 234 days respectively). In a EUS-guided gastroenterostomy the stent was removed at 118 days, but closure of the fistula was confirmed 26 days later. Our experience suggests that LAMS placement between bowel loops is feasible and might allow the creation of an anastomosis with long-term patency. As compared to LAMS placement between bowel loops, when LAMS are placed through the gastric wall, removal of the LAMS seems to lead to closure of the fistula |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 2021-01-01 2021 2021-01-01 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/10171/113975 |
| url |
https://hdl.handle.net/10171/113975 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 |
| dc.rights.openaire.fl_str_mv |
info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
open access http://purl.org/coar/access_right/c_abf2 |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Springer Nature |
| publisher.none.fl_str_mv |
Springer Nature |
| dc.source.none.fl_str_mv |
reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
| instname_str |
Universidad de Navarra |
| reponame_str |
Dadun. Depósito Académico Digital de la Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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1869413620724531200 |
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15.198674 |