BOOK
Lumen-Apposing Stents, An Issue of Gastrointestinal Endoscopy Clinics, E-Book
(2018)
Additional Information
Book Details
Abstract
Top expert Dr. Jacques Van Dam has compiled the most current clinical reviews on lumen-apposing stents, an important emerging field in interventional endoscopy that can substitute for more invasive surgeries. Authors have addressed the following topics in this issue: Fluid collections and pseudocysts as a complication of acute pancreatitis; Surgical management of pancreatic pseudocysts; Evolution of EUS-guided cyst gastrostomy; EUS-guided drainage of pancreatic fluid collections; EUS-guided biliary drainage as an alternative to ERCP; EUS-guided gallbladder drainage; Novel uses of LAMS; Lumen-apposing stents: Which one and why; Safety of LAMS; Endoscopic closure of fistuli; and How the experts do it: Step-by-step guide. Readers will come away with the knowledge they need to incorporate the use of LAMs in their clinical repertoire.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Lumen-Apposing Stents\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | v | ||
| Foreword: Lumen-Apposing Metal Stents: An Important New Tool for Interventional Endoscopy Comes of Age | v | ||
| Preface: Lumen-Apposing Stents: An Important Step Forward | v | ||
| Fluid Collections and Pseudocysts as a Complication of Acute Pancreatitis | v | ||
| Surgical Management of Pancreatic Pseudocysts | v | ||
| The Evolution of Endoscopic Cystgastrostomy | v | ||
| Endoscopic Ultrasound–Guided Drainage of Pancreatic Fluid Collections\r | vi | ||
| Endoscopic Ultrasound–Guided Biliary Drainage | vi | ||
| Endoscopic Ultrasound–Guided Gallbladder Drainage | vi | ||
| Novel Uses of Lumen-Apposing Metal Stents | vi | ||
| Lumen-Apposing Metal Stents: Which One and Why? | vii | ||
| Avoidance, Recognition, and Management of Complications Associated with Lumen-Apposing Metal Stents | vii | ||
| Endoscopic Closure of Gastrointestinal Fistulae and Leaks | vii | ||
| How the Experts Do It: Step-by-Step Guide | vii | ||
| GASTROINTESTINAL ENDOSCOPY CLINICS\rOF NORTH AMERICA\r | ix | ||
| FORTHCOMING ISSUES | ix | ||
| July 2018 | ix | ||
| October 2018 | ix | ||
| January 2019 | ix | ||
| RECENT ISSUES | ix | ||
| January 2018 | ix | ||
| October 2017 | ix | ||
| July 2017 | ix | ||
| Foreword:\rLumen-Apposing Metal Stents: An Important New Tool for Interventional Endoscopy Comes of Age | xi | ||
| Preface:\rLumen-Apposing Stents: An Important Step Forward | xiii | ||
| REFERENCE | xiv | ||
| Fluid Collections and Pseudocysts as a Complication of Acute Pancreatitis | 123 | ||
| Key points | 123 | ||
| THE NATURAL HISTORY OF ACUTE PANCREATITIS | 123 | ||
| DEFINITIONS | 124 | ||
| ANATOMIC COMPLICATIONS OF ACUTE PANCREATITIS: IMAGING OF PSEUDOCYSTS | 125 | ||
| MANAGEMENT OF PSEUDOCYSTS IN ACUTE PANCREATITIS | 127 | ||
| SUMMARY | 129 | ||
| REFERENCES | 129 | ||
| Surgical Management of Pancreatic Pseudocysts | 131 | ||
| Key points | 131 | ||
| UNCOMPLICATED PANCREATIC PSEUDOCYSTS AFTER ACUTE PANCREATITIS | 132 | ||
| PANCREATIC PSEUDOCYSTS AND CHRONIC PANCREATITIS | 136 | ||
| COMPLICATED PANCREATIC PSEUDOCYSTS | 137 | ||
| SUMMARY | 139 | ||
| REFERENCES | 139 | ||
| The Evolution of Endoscopic Cystgastrostomy | 143 | ||
| Key points | 143 | ||
| INTRODUCTION | 143 | ||
| THE BEGINNING: CYST ASPIRATION | 143 | ||
| FISTULOTOMY | 144 | ||
| NASOCYSTIC CATHETER DRAINAGE | 145 | ||
| PLASTIC STENT DRAINAGE | 145 | ||
| TWO-SCOPE ENDOSCOPIC ULTRASOUND-GUIDED DRAINAGE | 145 | ||
| ONE-SCOPE ENDOSCOPIC ULTRASOUND-GUIDED PSEUDOCYST DRAINAGE | 146 | ||
| MULTIPLE PLASTIC STENTS | 146 | ||
| THE SELDINGER TECHNIQUE | 147 | ||
| PLATFORMS TO COMBINE ACCESS AND TRACT DILATION | 147 | ||
| PSEUDOCYST VERSUS WALLED-OFF NECROSIS | 148 | ||
| NECROSECTOMY | 148 | ||
| SELF-EXPANDABLE METAL STENTS | 149 | ||
| LIMITATION OF LUMINAL STENTS FOR TRANSLUMINAL DRAINAGE | 150 | ||
| LUMEN-APPOSING METAL STENTS | 150 | ||
| LUMEN-APPOSING METAL STENT DELIVERY SYSTEM | 151 | ||
| ELECTROCAUTERY ENHANCED DELIVERY SYSTEM | 152 | ||
| SUMMARY | 155 | ||
| REFERENCES | 155 | ||
| Endoscopic Ultrasound–Guided Drainage of Pancreatic Fluid Collections | 157 | ||
| Key points | 157 | ||
| INTRODUCTION | 157 | ||
| BASIC PRINCIPLES | 158 | ||
| MATERIAL USED | 159 | ||
| Interventional Echoendoscopes | 159 | ||
| Needles and Accessories for Pancreatic Pseudocyst Drainage | 160 | ||
| DESCRIPTION OF PROCEDURE | 160 | ||
| Technique of Endoscopic Ultrasound–Guided Drainage Using Plastic Stents | 160 | ||
| Technique of Endoscopic Ultrasound–Guided Drainage Using Lumen Appositioning Metallic Stents | 161 | ||
| Using NAGI stent or a SPAXUS stent | 161 | ||
| Using a HOT AXIOS | 162 | ||
| Multiple Transluminal Gateway Technique | 162 | ||
| Technique of Necrosectomy | 163 | ||
| Irrigation technique | 163 | ||
| Ablative technique | 163 | ||
| INDICATIONS AND TECHNIQUE | 164 | ||
| PLASTIC STENT OR LUMEN APPOSITIONING METALLIC STENTS? | 164 | ||
| ROLE OF ENDOSCOPIC ULTRASOUND–GUIDED NECROSECTOMY IN INFECTED NECROSIS AFTER ACUTE PANCREATITIS | 167 | ||
| SUMMARY | 167 | ||
| SUPPLEMENTARY DATA | 168 | ||
| REFERENCES | 168 | ||
| Endoscopic Ultrasound–Guided Biliary Drainage | 171 | ||
| Key points | 171 | ||
| INTRODUCTION | 171 | ||
| TECHNIQUE | 172 | ||
| Intrahepatic Approach: Endoscopic Ultrasound–Guided Hepaticogastrostomy | 172 | ||
| Intrahepatic Approach: Endoscopic Ultrasound–Guided Antegrade Stent Placement | 174 | ||
| Extrahepatic Approach: Endoscopic Ultrasound–Guided Choledochoduodenostomy | 175 | ||
| Extrahepatic or Intrahepatic Approach: Endoscopic Ultrasound–Guided Rendezvous | 176 | ||
| CHOICE OF APPROACH | 177 | ||
| STENT CHOICE | 177 | ||
| OUTCOMES | 178 | ||
| SAFETY AND ADVERSE EVENTS | 179 | ||
| THE CURRENT ROLE OF ENDOSCOPIC ULTRASOUND–GUIDED BILIARY DRAINAGE | 180 | ||
| ENDOSCOPIC ULTRASOUND–GUIDED PANCREATIC DUCT DRAINAGE | 181 | ||
| SUMMARY | 182 | ||
| REFERENCES | 183 | ||
| Endoscopic Ultrasound–Guided Gallbladder Drainage | 187 | ||
| Key points | 187 | ||
| INTRODUCTION | 187 | ||
| TECHNIQUE | 188 | ||
| OUTCOMES OF ENDOSCOPIC ULTRASOUND–GUIDED GALLBLADDER DRAINAGE | 190 | ||
| PERCUTANEOUS CHOLECYSTOSTOMY VERSUS ENDOSCOPIC ULTRASOUND–GUIDED TRANSMURAL GALLBLADDER DRAINAGE | 192 | ||
| ALTERNATE INDICATIONS FOR ENDOSCOPIC ULTRASOUND–GUIDED GALLBLADDER DRAINAGE | 192 | ||
| SUMMARY | 193 | ||
| REFERENCES | 193 | ||
| Novel Uses of Lumen-Apposing Metal Stents | 197 | ||
| Key points | 197 | ||
| INTRODUCTION | 197 | ||
| ALTERNATIVE DRAINAGE ACCESS | 198 | ||
| BENIGN INTESTINAL STRICTURES | 199 | ||
| ALTERED ANATOMY | 200 | ||
| THE LUMEN APPOSING METAL STENT FOR SUTURE-LESS GASTROJEJUNOSTOMY | 201 | ||
| THE LUMEN APPOSING METAL STENT FOR BARIATRIC INDICATIONS | 202 | ||
| SUMMARY | 202 | ||
| REFERENCES | 203 | ||
| Lumen-Apposing Metal Stents | 207 | ||
| Key points | 207 | ||
| INTRODUCTION | 207 | ||
| TECHNIQUE | 208 | ||
| AVAILABLE LUMEN-APPOSING METAL STENTS | 210 | ||
| Axios (Boston Scientific) | 210 | ||
| Spaxus (Taewoong Medical, Not Available in the United States) | 210 | ||
| NAGI (Taewoong Medical, Not Available in the United States) | 212 | ||
| Aixstent (Leufen Medical, Not Available in the United States) | 212 | ||
| Hanarostent (M.I. Tech, Not Available in the United States) | 212 | ||
| STENT SELECTION | 212 | ||
| FUTURE INNOVATIONS | 213 | ||
| SUMMARY | 214 | ||
| REFERENCES | 214 | ||
| Avoidance, Recognition, and Management of Complications Associated with Lumen-Apposing Metal Stents | 219 | ||
| Key points | 219 | ||
| INTRODUCTION | 219 | ||
| IMMEDIATE COMPLICATIONS DURING DEPLOYMENT | 220 | ||
| Cardiopulmonary | 220 | ||
| Bleeding | 220 | ||
| Maldeployment | 220 | ||
| Free Perforation | 222 | ||
| DELAYED COMPLICATIONS FOLLOWING STENT PLACEMENT OR DURING ENDOSCOPIC THERAPIES | 223 | ||
| Bleeding | 223 | ||
| Migration | 224 | ||
| Endoscopic Transluminal Necrosectomy Specific Complications | 225 | ||
| AVOIDANCE OF COMPLICATIONS | 226 | ||
| RECOGNITION AND MANAGEMENT | 227 | ||
| Bleeding | 227 | ||
| Maldeployment | 229 | ||
| Perforation | 229 | ||
| Delayed Stent-Specific Complications | 229 | ||
| Fistulas | 230 | ||
| SUMMARY | 231 | ||
| REFERENCES | 231 | ||
| Endoscopic Closure of Gastrointestinal Fistulae and Leaks | 233 | ||
| Key points | 233 | ||
| INTRODUCTION | 233 | ||
| DIAGNOSIS | 234 | ||
| CONSERVATIVE MANAGEMENT | 235 | ||
| ENDOSCOPIC STENTS | 236 | ||
| CLIPS | 238 | ||
| SUTURES | 240 | ||
| TISSUE ADHESIVE | 241 | ||
| COMPARISON OF DIFFERENT MODALITIES FOR FISTULA CLOSURE | 242 | ||
| RELATIONSHIP TO LUMEN APPOSING METAL STENTS | 242 | ||
| SUMMARY | 243 | ||
| REFERENCES | 244 | ||
| How the Experts Do It: Step-by-Step Guide | 251 | ||
| Key points | 251 | ||
| INTRODUCTION | 251 | ||
| STENT PLACEMENT | 252 | ||
| Hot AXIOS | 252 | ||
| SPAXUS | 253 | ||
| TECHNICAL TIPS | 253 | ||
| Stent Deployment | 253 | ||
| Intraprocedural Stent Migration | 254 | ||
| ADVERSE EVENTS | 255 | ||
| Immediate Bleeding | 255 | ||
| Delayed Bleeding | 256 | ||
| Buried Stents | 256 | ||
| Biliary Obstruction | 257 | ||
| Delayed Stent Migration | 257 | ||
| TREATMENT OUTCOMES | 258 | ||
| Pancreatic Fluid Collections | 258 | ||
| Other Interventions | 259 | ||
| SUMMARY | 259 | ||
| REFERENCES | 259 |