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The LACSEMS: what radiologists need to know.
Pat W Whitworth1, Brenda L Holbert2, Rishi Pawa3
1Department of Radiology, Wake Forest Baptist Medical Center, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC, 27157, USA. pwhitwor@wakehealth.edu.
Abdominal Radiology (New York)
|February 3, 2019
Summary
Lumen-apposing stents offer a new endoscopic approach for draining pancreatitis fluid collections. This method requires collaboration between radiology and gastroenterology experts for successful patient outcomes.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Medical Device Technology
Background:
- Pancreatitis-related fluid collections often require drainage.
- Endoscopic drainage is becoming a preferred alternative to percutaneous or surgical methods.
- Novel devices are emerging to facilitate minimally invasive endoscopic interventions.
Purpose of the Study:
- To review pancreatitis-related fluid collections.
- To introduce the lumen-apposing, covered, self-expanding, metallic stent (LACSEMS) for transmural drainage.
- To discuss the application, selection, planning, deployment, and follow-up of LACSEMS.
Main Methods:
- Review of pancreatitis-related fluid collections.
- Presentation of clinical experience with LACSEMS devices.
- Discussion of case selection, procedural planning, stent deployment, and post-procedure follow-up.
Main Results:
- LACSEMS provide a novel option for endoscopic transmural drainage of pancreatitis fluid collections.
- Successful application of LACSEMS relies on multidisciplinary collaboration.
- The study highlights appropriate use and management strategies for this new device.
Conclusions:
- Endoscopic drainage using LACSEMS is a viable and evolving treatment for pancreatitis fluid collections.
- Close coordination between gastroenterology and radiology is crucial for optimal LACSEMS utilization.
- Further experience with LACSEMS will refine its role in managing complex fluid collections.
