A newly designed fully covered metal stent for lumen apposition in EUS-guided drainage and access: a feasibility study (with videos)
DC Field | Value | Language |
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dc.contributor.author | Moon, Jong Ho | - |
dc.contributor.author | Choi, Hyun Jong | - |
dc.contributor.author | Kim, Dong Choon | - |
dc.contributor.author | Lee, Yun Nah | - |
dc.contributor.author | Kim, Hee Kyung | - |
dc.contributor.author | Jeong, Song Ah | - |
dc.contributor.author | Lee, Tae Hoon | - |
dc.contributor.author | Cha, Sang-Woo | - |
dc.contributor.author | Cho, Young Deok | - |
dc.contributor.author | Park, Sang Heum | - |
dc.contributor.author | Jeong, Seok | - |
dc.contributor.author | Lee, Don Haeng | - |
dc.contributor.author | Isayama, Hiroyuki | - |
dc.contributor.author | Itoi, Takao | - |
dc.date.accessioned | 2021-08-11T22:45:37Z | - |
dc.date.available | 2021-08-11T22:45:37Z | - |
dc.date.issued | 2014-06 | - |
dc.identifier.issn | 0016-5107 | - |
dc.identifier.issn | 1097-6779 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/12160 | - |
dc.description.abstract | Background: A lumen-apposing stent can be used effectively under endosonographic guidance. Objective: To evaluate a newly designed, fully covered self-expandable metal stent with folding anchoring flanges for lumen apposition assembled on a conventional delivery system. Design: Retrospective case series and animal study. Setting: Tertiary care academic medical centers. Subjects: Six pigs for animal study and 7 patients, 3 of whom underwent endoscopic drainage for acute cholecystitis (AC) and 4 for pancreatic fluid collection (PFC). Intervention: Stent deployment under EUS guidance after puncturing, passage of an endoscope through the stent into the gallbladder (GB), or PFC with conventional endoscopic procedures. Main Outcome Measurements: Technical and clinical success, adverse events, and removability. Results: In the animal study, the stent was successfully inserted and deployed in the GB via a transgastric approach under EUS guidance without adverse events in all 6 pigs. Contrast injection demonstrated the absence of leakage. Cholecystoscopy with enhanced endoscopy was performed successfully in all animals after stent placement. All stents were intact and were removed successfully at 4 weeks. GB firmly adhered to the stomach with an intact cholecystogastric tract on necropsy and histopathology. The stents were successfully deployed without adverse effects in 7 patients. AC or PFC was resolved after stent placement in all patients. Endoscopic procedures were possible through the stent. Stent migration was not observed. The stent was successfully removed from the 4 patients with PFC after complete resolution. Limitations: Small sample size, retrospective study. Conclusions: Transenteric drainage and endoscopic intervention by using a novel fully covered self-expandable metal stent for lumen apposition under EUS guidance is feasible for the management of AC and PFC. Further study is warranted. | - |
dc.format.extent | 6 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Mosby Inc. | - |
dc.title | A newly designed fully covered metal stent for lumen apposition in EUS-guided drainage and access: a feasibility study (with videos) | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1016/j.gie.2014.02.015 | - |
dc.identifier.scopusid | 2-s2.0-84901235272 | - |
dc.identifier.wosid | 000336497700013 | - |
dc.identifier.bibliographicCitation | Gastrointestinal Endoscopy, v.79, no.6, pp 990 - 995 | - |
dc.citation.title | Gastrointestinal Endoscopy | - |
dc.citation.volume | 79 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 990 | - |
dc.citation.endPage | 995 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | PANCREATIC-FLUID COLLECTIONS | - |
dc.subject.keywordPlus | GALLBLADDER DRAINAGE | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordAuthor | Feasibility study | - |
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