Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/12330
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dc.contributor.authorChandran, Sujievvan-
dc.contributor.authorEfthymiou, Marios-
dc.contributor.authorKaffes, Arthur-
dc.contributor.authorChen, John Wei-
dc.contributor.authorKwan, Vu-
dc.contributor.authorMurray, Michael-
dc.contributor.authorWilliams, David-
dc.contributor.authorNguyen, Nam Quoc-
dc.contributor.authorTam, William-
dc.contributor.authorWelch, Christine-
dc.contributor.authorChong, Andre-
dc.contributor.authorGupta, Saurabh-
dc.contributor.authorDevereaux, Ben-
dc.contributor.authorTagkalidis, Peter-
dc.contributor.authorParker, Frank-
dc.contributor.authorVaughan, Rhys B-
dc.date.accessioned2015-05-16T02:00:10Z
dc.date.available2015-05-16T02:00:10Z
dc.date.issued2014-08-02-
dc.identifier.citationGastrointestinal Endoscopy 2014; 81(1): 127-35en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/12330en
dc.description.abstractRecent medical literature on novel lumen-apposing stents for the treatment of pancreatic fluid collections (PFCs) is limited by small numbers, solo operators, and single-center experience.To evaluate a recently developed lumen-apposing, fully covered self-expandable metal stent (FCSEMS) in the management of PFCs.Retrospective case series.Thirteen tertiary and private health care centers across Australia.Forty-seven patients (median age 51 years) who underwent endoscopic management of PFCs.Insertion of FCSEMS after PFC puncture under EUS guidance. A subgroup of 9 patients underwent direct endoscopic necrosectomy.Technical and clinical success rate, adverse event rate.The technical success rate was 53 of 54 patients (98.1%), and the initial clinical success rate was 36 of 47 (76.6%), which was sustained for more than 6 months in 34 of 36 (94.4%). Early adverse events included 4 cases (7.4%) of stent migration during direct endoscopic necrosectomy, 4 cases (7.4%) of sepsis, 1 case (1.9%) of bleeding, and 1 case (1.9%) of stent migration into the fistula tract. Late adverse events were 6 (11.1%) spontaneous stent migrations, 3 (5.6%) recurrent stent occlusions, 3 (5.6%) tissue ingrowth/overgrowth, and 2 (3.7%) bleeding into PFC. The majority of stents inserted (48 of 54, 88.9%) and removed (31 of 35, 88.6%) in our study were described by the operator as superior to pigtail stents with regard to ease of use.Retrospective study.Although FCSEMSs are technically easier to insert and remove compared with traditional pigtail stents, there are significant limitations to the widespread use of FCSEMSs in the management of PFCs. These include cost, adverse events, and lower-than-expected resolution rates.en
dc.language.isoenen
dc.titleManagement of pancreatic collections with a novel endoscopically placed fully covered self-expandable metal stent: a national experience (with videos).en
dc.typeJournal Articleen
dc.identifier.journaltitleGastrointestinal endoscopyen
dc.identifier.affiliationDepartment of Surgery, Flinders Medical Centre, Adelaide, South Australia, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Royal Brisbane Hospital, Brisbane, Queensland, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Princess Alexandra Hospital, Brisbane, Queensland, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Fremantle Hospital, Fremantle, Western Australia, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Townsville Hospital, Townsville, Queensland, Australiaen
dc.identifier.affiliationDepartment of Medicine, Austin Health, University of Melbourne, Melbourne, Victoria, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Lyell McEwin Hospital, Adelaide, South Australia, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Royal Adelaide Hospital, Adelaide, South Australia, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Austin Health Melbourne, Victoria, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Royal Melbourne Hospital, Melbourne, Victoria, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, St. Vincent's Hospital, Sydney, New South Wales, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Pindara Private Hospital, Gold Coast, Queensland, Australiaen
dc.identifier.affiliationDepartment of Gastroenterology, Westmead Hospital, Sydney, New South Wales, Australiaen
dc.identifier.affiliationDepartment of Anaesthetics, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1016/j.gie.2014.06.025en
dc.description.pages127-35en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/25092104en
dc.type.contentTexten
dc.type.austinJournal Articleen
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