Giant Pancreatic Pseudocyst - Drainage With The New 20MM Lumen-Apposing Metal Stent

53 years-old-man, with chronic pancreatitis, presents with epigastric pain. CT showed a 15x12cm pseudocyst of the pancreatic tail and body, with some solid debris.

Under deep sedation and orotracheal intubation, a 20x10mm lumen-apposing metal stent (LAMS, HotAxiosTm-BostonScientific) was deployed in the pseudocyst, through the stomach, followed by abundant drainage. Control CT displayed a significant reduction of the pseudocyst’s measures (5x3mm), without the need to further interventions. Then the stent was removed.

The 20mm LAMS, when compared to the 10 and 15mm, facilitates the drainage of gigantic collections and decreases the number of interventions needed, without increasing the adverse events.

Citation Chálim Rebelo C, Nunes N, Flor de Lima M et al. eP415V GIANT PANCREATIC PSEUDOCYST - DRAINAGE WITH THE NEW 20MM LUMEN-APPOSING METAL STENT. Endoscopy 2021; 53: S232.

Publication History

Article published online:
19 March 2021