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- Title
Secured Lumen-Apposing Fully Covered Metallic Stents for Stenoses in Post-Bariatric Surgery Patients.
- Authors
Simsek, Cem; Ichkhanian, Yervant; Fayad, Lea; Steele, Kimberly E.; Schweitzer, Michael A.; Lamond, Katherine; Vosoughi, Kia; Doshi, Jay; Shah, Tazkia; Oberbach, Andreas; Al-Sabban, Abdulhameed; Gandsas, Alex; Kalloo, Anthony N.; Khashab, Mouen A.; Kumbhari, Vivek
- Abstract
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.
- Subjects
STENOSIS; FOREIGN bodies; SURGERY; BARIATRIC surgery; SUTURING
- Publication
Obesity Surgery, 2019, Vol 29, Issue 8, p2695
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-019-03906-4