Secured Lumen-Apposing Fully Covered Metallic Stents for Stenoses in Post-Bariatric Surgery Patients

被引:0
作者
Cem Simsek
Yervant Ichkhanian
Lea Fayad
Kimberly E. Steele
Michael A. Schweitzer
Katherine Lamond
Kia Vosoughi
Jay Doshi
Tazkia Shah
Andreas Oberbach
Abdulhameed Al-Sabban
Alex Gandsas
Anthony N. Kalloo
Mouen A. Khashab
Vivek Kumbhari
机构
[1] Johns Hopkins Medical Institutions,Division of Gastroenterology and Hepatology
[2] Johns Hopkins Medical Institutions,Department of Surgery
[3] Anne Arundel Medical Center,Division of Bariatric Surgery
来源
Obesity Surgery | 2019年 / 29卷
关键词
Self-expandable metallic stents; Lumen-apposing metallic stent; Stricture; Bariatric surgery; Obesity;
D O I
暂无
中图分类号
学科分类号
摘要
New approaches for refractory stenosis in post-bariatric surgical patients include fully covered lumen-apposing metallic stents (LAMS); however, stent migration continues to be a problem. Endoscopic suture placement to LAMS can reduce the migration. Aiming to assess the feasibility and safety of the procedure, we evaluated nine consecutive patients with inability to tolerate a solid diet due to a benign gastrointestinal stricture recalcitrant to previous attempts at endoscopic therapy. All patients were symptom-free starting from 1-week follow-up. Median stent dwell time was nearly 3 months. During the removal procedures, three incidental foreign bodies were found and removed. No stent migration was observed in any patients. Suturing LAMS is a feasible technique allowing for prolonged stent dwell times; however, it requires a high level of expertise plus additional procedure time.
引用
收藏
页码:2695 / 2699
页数:4
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