Gastroenterology · 1 h ago
Review outlines prevention and management of EC-LAMS complications
A narrative review in The American Journal of Gastroenterology examines adverse events associated with electrocautery-enhanced lumen-apposing metal stents (EC-LAMS) used in endoscopic ultrasound procedures. It summarizes reported risk factors and approaches to preventing and managing complications, which may occur in up to 1 in 5 patients.
- EC-LAMS adverse events may occur in up to 1 in 5 patients.
- Misdeployment, bleeding, leaks, occlusion, and migration are highlighted.
- Narrative review covers prevention and complication management.
- No new patient cohort or trial is reported.
Electrocautery-enhanced lumen-apposing metal stents have expanded the use of endoscopic ultrasound for procedures including pancreatic pseudocyst drainage, necrosectomy, gallbladder and bile duct drainage, endoscopic gastroenterostomy, and access to the excluded stomach for ERCP in patients with Roux-en-Y gastric bypass anatomy. This invited narrative review discusses adverse events across these applications; it does not report a new patient cohort or trial.
The authors note that adverse events may occur in up to 1 in 5 patients. Misdeployment is described as a particularly serious complication; other common events include bleeding, peritoneal leak, stent occlusion, and migration. The review summarizes risk factors and general and procedure-specific strategies to reduce complications, as well as techniques for managing them.
The article offers a synthesis of procedural considerations rather than comparative estimates of the effectiveness of individual prevention or rescue strategies. Its findings may inform endoscopists using EC-LAMS, but the supplied abstract does not provide detailed evidence grading or quantify outcomes for particular interventions. The authors identify adverse-event rates as a barrier to wider adoption beyond high-volume referral centers.
In practice
For endoscopists performing EUS-guided procedures with EC-LAMS, the review highlights that adverse events may occur in up to 1 in 5 patients and include misdeployment, bleeding, peritoneal leak, occlusion, and migration. It summarizes general and procedure-specific prevention and management approaches, but the supplied material does not give comparative outcome data for individual strategies. This is a narrative review, not evidence that a particular technique is superior or a basis for changing practice on its own.
AI-generated clinical interpretation · Not editor-reviewed
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The American Journal of Gastroenterology: Prevention and Management of Electrocautery-enhanced Lumen-apposing Metal Stent (EC-LAMS) Complications ↗This is an automated AI-condensed summary that has not yet been reviewed by an editor. Always consult the full item at the original source.