Lumen-Apposing Metal Stents in the Management of Complex Pelvic Abscesses
2024

Using Metal Stents to Treat Pelvic Abscesses

Sample size: 11 publication Evidence: high

Author Information

Author(s): Kenneth W. Chow, Nicholas A. Cumpian, Ranjit Makar, Pejman Zargar, Fouzia Oza, Idrees Suliman, Viktor Eysselein, Sofiya Reicher, Antonio Facciorusso

Primary Institution: Harbor-UCLA Medical Center

Hypothesis

Can EUS-guided lumen-apposing metal stents (LAMS) effectively manage complex pelvic abscesses?

Conclusion

EUS-guided LAMS-assisted drainage is a safe and effective method for managing complex pelvic abscesses.

Supporting Evidence

  • All patients had resolution of symptoms and pelvic abscesses after LAMS placement confirmed by imaging.
  • The average hospital length of stay was 10.5 days.
  • There were no complications such as bleeding or stent migration.
  • Patients were discharged relatively quickly after LAMS placement.

Takeaway

Doctors used special metal tubes to help drain infections in the belly, and it worked really well for all the patients.

Methodology

The study analyzed data from patients who underwent EUS-guided LAMS placements for pelvic abscesses over a four-year period.

Potential Biases

The lack of a control group limits the ability to compare outcomes with other drainage methods.

Limitations

The study is retrospective and from a single center, which may limit the generalizability of the results.

Participant Demographics

Mean age was 39 years, with 82% male participants.

Digital Object Identifier (DOI)

10.3390/diagnostics14242854

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