Clinical Endoscopy

  • 제58권4호
  • /
  • Pages.595-603
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  • 2025
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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Exploring lumen-apposing metal stents as a novel approach for managing walled-off necrosis in pediatric acute pancreatitis in Indian cohort: a prospective study

  • Varun Mehta (Department of Gastroenterology, Dayanand Medical College and Hospital) ;
  • Abhinav Abhinav (Department of Gastroenterology, Dayanand Medical College and Hospital) ;
  • Yogesh Kumar Gupta (Department of Gastroenterology, Dayanand Medical College and Hospital) ;
  • Manisha Khubber (Department of Gastroenterology, Dayanand Medical College and Hospital) ;
  • Ajit Sood (Department of Gastroenterology, Dayanand Medical College and Hospital) ;
  • Manjeet Kumar Goyal (Department of Gastroenterology, Dayanand Medical College and Hospital)
  • 투고 : 2024.12.06
  • 심사 : 2025.01.15
  • 발행 : 2025.07.30
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초록

Background/Aims: Walled-off necrosis (WON) is a severe complication of acute pancreatitis in children, with limited evidence on its endoscopic management. This study evaluated the efficacy and safety of endoscopic ultrasonography (EUS)-guided lumen-apposing metal stent (LAMS) placement for WON in pediatric patients. Methods: This open-label prospective study included pediatric patients aged 5-18 years with WON secondary to acute necrotizing pancreatitis that was managed with EUS-guided LAMS at a tertiary center from January 2021 to July 2023. Clinical success, defined as symptom resolution and WON clearance at 12 weeks, was the primary outcome. Secondary outcomes included technical success, complications, and the need for additional interventions. Results: Eleven patients (mean age, 15.5±3.1 years) were included. Clinical success was achieved in 90.9% of the patients within 12 weeks, with a 100% technical success rate. Two patients experienced stent occlusions that were managed with saline irrigation; one case required video-assisted retroperitoneal debridement. The mean hospital stay was 5.4±3.3 days. No major adverse events were reported. Conclusions: EUS-guided LAMS placement is a safe and effective alternative to surgery for pediatric WON, with high clinical and technical success rates and minimal complications. Further multicenter studies are required to validate these findings.

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참고문헌

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