Alternative uses of lumen apposing metal stents  

作　　者：Prabin Sharma Thomas R McCarty Ankit Chhoda Antonio Costantino Caroline Loeser Thiruvengadam Muniraj Marvin Ryou Christopher C Thompson 

机构地区：[1]Department of Gastroenterology and Hepatology,Yale-New Haven Health-Bridgeport Hospital,Bridgeport,CT 06610,United States [2]Division of Gastroenterology,Hepatology and Endoscopy,Brigham and Women’s Hospital,Harvard Medical School,Boston,MA 02115,United States [3]Department of Internal Medicine,Yale-New Haven Health-Bridgeport Hospital,Bridgeport,CT 06708,United States [4]Section of Digestive Diseases,Yale University School of Medicine,New Haven,CT 06520,United States

出　　处：《World Journal of Gastroenterology》2020年第21期2715-2728,共14页世界胃肠病学杂志（英文版）

摘　　要：The advent of lumen apposing metal stents(LAMS)has revolutionized the management of many complex gastroenterological conditions that previously required surgical or radiological interventions.These procedures have garnered popularity due to their minimally invasive nature,higher technical and clinical success rate and lower rate of adverse events.By virtue of their unique design,LAMS provide more efficient drainage,serve as conduit for endoscopic access,are associated with lower rates of leakage and are easy to be removed.Initially used for drainage of pancreatic fluid collections,the use of LAMS has been extended to gallbladder and biliary drainage,treatment of luminal strictures,creation of gastrointestinal fistulae,pancreaticobiliary drainage,improved access for surgically altered anatomy,and drainage of intra-abdominal and pelvic abscesses as well as post-surgical fluid collections.As new indications of endosonographic techniques and LAMS continue to evolve,this review summarizes the current role of LAMS in the management of these various complex conditions and also highlights clinical pearls to guide successful placement of LAMS.

关 键 词：Lumen apposing metal stents Walled off necrosis Gallbladder drainage Biliary drainage Gastric access temporary for endoscopy Gastric outlet obstruction Therapeutic endoscopy 

分 类 号：R574[医药卫生—消化系统]