{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:03:46Z","timestamp":1791979426749,"version":"4.4.0"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"10","license":[{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n            Background and study aims Although outcomes of lumen-apposing\n      metal stents (LAMS) placement in native anatomy have been reported, data on LAMS placement in\n      surgically altered anatomy (SAA) are sparse. We aimed to assess outcomes of LAMS placement in\n      patients with SAA for different indications.<\/jats:p><jats:p>\n            Patients and methods This was an international, multicenter,\n      retrospective, observational study at 25 tertiary care centers through November 2023.\n      Consecutive patients with SAA who underwent LAMS placement were included. The primary outcome\n      was technical success defined as correct placement of LAMS. Secondary outcomes were clinical\n      success and safety.<\/jats:p><jats:p>\n            Results Two hundred and seventy patients (125 males; average age\n      61 \u00b1 15 years) underwent LAMS placement with SAA. Procedures included EUS-directed\n      transgastric ERCP (EDGE) and EUS-directed transenteric ERCP (EDEE) (n = 82), EUS-guided\n      entero-enterostomy (n = 81), EUS-guided biliary drainage (n = 57), EUS-guided drainage of\n      peri-pancreatic fluid collections (n = 48), and EUS-guided pancreaticogastrostomy (n = 2).\n      Most cases utilized AXIOS stents (n = 255) compared with SPAXUS stents (n = 15). Overall,\n      technical success was 98%, clinical success was 97%, and the adverse event (AE) rate was 12%.\n      Using AGREE classification, five events were rated as Grade II, 21 events as Grade IIIa, and\n      six events as IIIb. No difference in AEs were noted among stent types (P = 0.52).<\/jats:p><jats:p>\n            Conclusions This study shows that placement of LAMS is associated\n      with high technical and clinical success rates in patients with SAA. However, the rate of AEs\n      is noteworthy, and thus, these procedures should be performed by expert endoscopists at\n      tertiary centers.<\/jats:p>","DOI":"10.1055\/a-2411-1814","type":"journal-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T23:48:19Z","timestamp":1725925699000},"page":"E1143-E1149","source":"Crossref","is-referenced-by-count":11,"title":["Outcomes of lumen apposing metal stent placement in patients with surgically altered anatomy: Multicenter international experience"],"prefix":"10.1055","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0611-7448","authenticated-orcid":false,"given":"Benedetto","family":"Mangiavillano","sequence":"additional","affiliation":[{"name":"Gastrointestinal Endoscopy, Istituto Clinico Mater Domini Casa di Cura Privata SpA, Castellanza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daryl","family":"Ramai","sequence":"additional","affiliation":[{"name":"Gastroenterology and Hepatology, University of Utah Health, Salt Lake City, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0836-6114","authenticated-orcid":false,"given":"Michel","family":"Kahaleh","sequence":"additional","affiliation":[{"name":"Foundation of Interventional and Therapeutic Endoscopy, New Brunswick, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Tyberg","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hackensack Meridian Hospital, Hackensack, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haroon","family":"Shahid","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hackensack Meridian Hospital, Hackensack, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avik","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hackensack 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Merwe","sequence":"additional","affiliation":[{"name":"Hepatology and GI Research Laboratory, Department of Immunology, University of Pretoria, Pretoria, South Africa"},{"name":"Department of Hepatology and Biliopancreatic Disease, KU Leuven, Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7332-1898","authenticated-orcid":false,"given":"Abdul","family":"Kouanda","sequence":"additional","affiliation":[{"name":"Gastroenterology, University of California San Francisco Medical Center at Parnassus, San Francisco, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun","family":"Ji","sequence":"additional","affiliation":[{"name":"Gastroenterology, University of California San Francisco, San Francisco, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun-Chuan","family":"Dai","sequence":"additional","affiliation":[{"name":"Gastroenterology Division, University of 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Sharma","year":"2020","journal-title":"World J Gastroenterol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1097\/MCG.0000000000001566","article-title":"Novel uses of lumen-apposing metal stents: a review of the literature","volume":"55","author":"P Bhenswala","year":"2021","journal-title":"J Clin Gastroenterol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1097\/MOG.0000000000000965","article-title":"Use of lumen apposing metal stents in patients with altered gastrointestinal anatomy","volume":"39","author":"Y Ichkhanian","year":"2023","journal-title":"Curr Opin Gastroenterol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.tgie.2016.07.001","article-title":"Approach to biliary access in patients with altered anatomy","volume":"18","author":"SD Chowdhury","year":"2016","journal-title":"Tech Gastrointest 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