Coaxial Double-Pigtail Stent Placement: A Simple Solution to Decrease Bleeding Risk Associated With Lumen-Apposing Metal Stent?
| Autor: | Mustafa Alani, Keng-Yu Chuang, Indu Srinivasan, Shehroz Aslam, Zaid Ansari |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Lumen (anatomy) Splenic artery pancreatic fluid collections gastrointestinal hemorrhage Pseudoaneurysm immune system diseases Cystogastrostomy hemic and lymphatic diseases medicine.artery Internal Medicine Double pigtail stent Medicine lams business.industry Gastroenterology cystogastrostomy General Engineering pseudoaneurysm Stent bacterial infections and mycoses medicine.disease Surgery Collapsed cavity lipids (amino acids peptides and proteins) Coaxial business |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Endoscopic cystogastrostomy using lumen-apposing metal stent (LAMS) is considered the first-line therapy for symptomatic pancreatic fluid collections (PFCs). Routine coaxial placement of a double-pigtail stent (DPS) through LAMS is debated. We report the case of a patient with delayed massive gastrointestinal bleed eight weeks after LAMS placement due to splenic artery pseudoaneurysm leading to a complicated hospitalization. Theoretically, coaxial placement of DPS through LAMS can prevent the relatively sharp LAMS from eroding into the mucosa of the collapsed cavity of PFCs, decreasing the risk of bleeding. Our case adds to the growing need to further explore the utility of this combined intervention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|