Endoscopic ultrasound-guided drainage of pancreatic collections with dedicated metal stents : A nationwide, multicenter, propensity score-matched comparison
Copyright © 2023 Editrice Gastroenterologica Italiana S.r.l. All rights reserved..
BACKGROUND: The new dedicated stents for endoscopic ultrasound (EUS)-guided transluminal drainage of peri‑pancreatic fluid collections (PFCs) demonstrated optimal efficacy and safety profiles.
AIMS: This study aimed to evaluate the safety, technical and clinical success, and recurrence rate of PFCs drained with Lumen Apposing Metal Stent (LAMS) or Bi-Flanged Metal Stent (BFMS).
METHODS: Data from a multicenter series of PFCs treated with LAMS or BFMS at 30 Italian centers during a 5-year period were retrieved. The rate of adverse events (AEs), technical success, clinical success, PFC recurrence were evaluated. To overcome biases, a 1-to-1 match was created using propensity score analysis.
RESULTS: Out of 476 patients, 386 were treated with LAMS and 90 with BFMS, with a median follow-up of 290 days (95% CI 244 to 361). Using propensity score matching, 84 patients were assigned to each group. The incidence of AEs did not differ between the two stents (13.1% versus 15.5%, p = 0.29), mainly bleeding or recurrence rate (4.7% versus 3.5%, p = 1). Technical and clinical success in the BFMS and LAMS groups were 92% versus 95% (p = 0.36) and 91% versus 94% (p = 0.64), respectively.
CONCLUSION: Our study demonstrates that LAMS and BFMS have comparable safety profiles with similar technical and clinical success rates for EUS-guided PFC drainage.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:56 |
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| Enthalten in: |
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver - 56(2024), 1 vom: 01. Jan., Seite 159-169 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Coluccio, Chiara [VerfasserIn] |
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| Links: |
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| Themen: |
Bi-flanged metal stents |
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| Anmerkungen: |
Date Completed 29.12.2023 Date Revised 29.12.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.dld.2023.07.012 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM360178227 |
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| 100 | 1 | |a Coluccio, Chiara |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Endoscopic ultrasound-guided drainage of pancreatic collections with dedicated metal stents |b A nationwide, multicenter, propensity score-matched comparison |
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| 500 | |a Date Completed 29.12.2023 | ||
| 500 | |a Date Revised 29.12.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 Editrice Gastroenterologica Italiana S.r.l. All rights reserved. | ||
| 520 | |a BACKGROUND: The new dedicated stents for endoscopic ultrasound (EUS)-guided transluminal drainage of peri‑pancreatic fluid collections (PFCs) demonstrated optimal efficacy and safety profiles | ||
| 520 | |a AIMS: This study aimed to evaluate the safety, technical and clinical success, and recurrence rate of PFCs drained with Lumen Apposing Metal Stent (LAMS) or Bi-Flanged Metal Stent (BFMS) | ||
| 520 | |a METHODS: Data from a multicenter series of PFCs treated with LAMS or BFMS at 30 Italian centers during a 5-year period were retrieved. The rate of adverse events (AEs), technical success, clinical success, PFC recurrence were evaluated. To overcome biases, a 1-to-1 match was created using propensity score analysis | ||
| 520 | |a RESULTS: Out of 476 patients, 386 were treated with LAMS and 90 with BFMS, with a median follow-up of 290 days (95% CI 244 to 361). Using propensity score matching, 84 patients were assigned to each group. The incidence of AEs did not differ between the two stents (13.1% versus 15.5%, p = 0.29), mainly bleeding or recurrence rate (4.7% versus 3.5%, p = 1). Technical and clinical success in the BFMS and LAMS groups were 92% versus 95% (p = 0.36) and 91% versus 94% (p = 0.64), respectively | ||
| 520 | |a CONCLUSION: Our study demonstrates that LAMS and BFMS have comparable safety profiles with similar technical and clinical success rates for EUS-guided PFC drainage | ||
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bi-flanged metal stents | |
| 650 | 4 | |a Lumen-apposing metal stents | |
| 650 | 4 | |a Pancreatic fluid collection | |
| 700 | 1 | |a Facciorusso, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Forti, Edoardo |e verfasserin |4 aut | |
| 700 | 1 | |a De Nucci, Germana |e verfasserin |4 aut | |
| 700 | 1 | |a Mitri, Roberto Di |e verfasserin |4 aut | |
| 700 | 1 | |a Togliani, Thomas |e verfasserin |4 aut | |
| 700 | 1 | |a Cugia, Luigi |e verfasserin |4 aut | |
| 700 | 1 | |a Ofosu, Andrew |e verfasserin |4 aut | |
| 700 | 1 | |a Anderloni, Andrea |e verfasserin |4 aut | |
| 700 | 1 | |a Tarantino, Ilaria |e verfasserin |4 aut | |
| 700 | 1 | |a Fabbri, Carlo |e verfasserin |4 aut | |
| 700 | 1 | |a Crinò, Stefano Francesco |e verfasserin |4 aut | |
| 700 | 0 | |a I-eus group |e verfasserin |4 aut | |
| 700 | 1 | |a Binda, Cecilia |e investigator |4 oth | |
| 700 | 1 | |a Petrone, Maria Chiara |e investigator |4 oth | |
| 700 | 1 | |a Berretti, Debora |e investigator |4 oth | |
| 700 | 1 | |a Macchiarelli, Raffaele |e investigator |4 oth | |
| 700 | 1 | |a Lovera, Mauro |e investigator |4 oth | |
| 700 | 1 | |a Attili, Fabia |e investigator |4 oth | |
| 700 | 1 | |a D'Errico, Francesca |e investigator |4 oth | |
| 700 | 1 | |a Brancaccio, Mario Luciano |e investigator |4 oth | |
| 700 | 1 | |a Redaelli, Alessandro |e investigator |4 oth | |
| 700 | 1 | |a Tasini, Enrico |e investigator |4 oth | |
| 700 | 1 | |a Ballarè, Marco |e investigator |4 oth | |
| 700 | 1 | |a Coppola, Franco |e investigator |4 oth | |
| 700 | 1 | |a Leone, Nicola |e investigator |4 oth | |
| 700 | 1 | |a Grassia, Roberto |e investigator |4 oth | |
| 700 | 1 | |a Fusaroli, Pietro |e investigator |4 oth | |
| 700 | 1 | |a DeAngelis, Claudio |e investigator |4 oth | |
| 700 | 1 | |a Cipolletta, Fabio |e investigator |4 oth | |
| 700 | 1 | |a Manno, Mauro |e investigator |4 oth | |
| 700 | 1 | |a Badas, Roberta |e investigator |4 oth | |
| 700 | 1 | |a Pollino, Valeria |e investigator |4 oth | |
| 700 | 1 | |a Camellini, Lorenzo |e investigator |4 oth | |
| 700 | 1 | |a Bernardoni, Laura |e investigator |4 oth | |
| 700 | 1 | |a Conte, Elisabetta |e investigator |4 oth | |
| 700 | 1 | |a Lisotti, Andrea |e investigator |4 oth | |
| 700 | 1 | |a Mutignani, Massimiliano |e investigator |4 oth | |
| 700 | 1 | |a Traina, Mario |e investigator |4 oth | |
| 700 | 1 | |a Arcidiacono, Paolo Giorgio |e investigator |4 oth | |
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