Lumen Apposing Metal Stents: A New Frontier in Therapeutic Endoscopy (OLV012) | 2019 AV Award-Lumen Apposing Metal Stents: A New Frontier in Therapeutic Endoscopy

Lumen Apposing Metal Stents: A New Frontier in Therapeutic Endoscopy

Video Transcription

Video Summary

This video discusses the use of lumen opposing metal stents (LAMS) in therapeutic endoscopy. LAMS were initially developed for managing pancreatic fluid collections but have since been used for various non-pancreatic gastrointestinal conditions. The technical and clinical success rates of LAMS interventions for pancreatic pseudocysts and walled-off necrosis range from 82% to 100%. Compared to surgical interventions, LAMS have shown better outcomes in terms of complications, cost, and quality of life. LAMS can also be used in cases of inoperable cholecystitis, gastric outlet obstruction, altered anatomy, refractory strictures, and more. The video provides several case examples of LAMS usage, including endoscopic ultrasound-guided jejunal-jejunal anastomosis, gallbladder drainage, biliary decompression, and management of anastomotic strictures. The complications associated with LAMS include migration, tissue overgrowth, and stent dislodgement, but these can be managed endoscopically. Overall, LAMS are an effective and versatile tool in therapeutic endoscopy.

Keywords

LAMS

therapeutic endoscopy

pancreatic pseudocysts

complications

cost

quality of life