Secured Lumen-Apposing Fully Covered Metallic Stents for Stenoses in Post-Bariatric Surgery Patients

Cem Simsek; Yervant Ichkhanian; Lea Fayad; Kimberly E. Steele; Michael A. Schweitzer; Katherine Lamond; Kia Vosoughi; Jay Doshi; Tazkia Shah; Andreas Oberbach; Abdulhameed Al-Sabban; Alex Gandsas; Anthony N. Kalloo; Mouen A. Khashab; Vivek Kumbhari

doi:10.1007/s11695-019-03906-4

Secured Lumen-Apposing Fully Covered Metallic Stents for Stenoses in Post-Bariatric Surgery Patients

Cem Simsek, Yervant Ichkhanian, Lea Fayad, Kimberly E. Steele, Michael A. Schweitzer, Katherine Lamond, Kia Vosoughi, Jay Doshi, Tazkia Shah, Andreas Oberbach, Abdulhameed Al-Sabban, Alex Gandsas, Anthony N. Kalloo, Mouen A. Khashab, Vivek Kumbhari

School of Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

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.

Original language	English (US)
Journal	Obesity Surgery
DOIs	https://doi.org/10.1007/s11695-019-03906-4
State	Published - Jan 1 2019

Keywords

Bariatric surgery
Lumen-apposing metallic stent
Obesity
Self-expandable metallic stents
Stricture

ASJC Scopus subject areas

Surgery
Endocrinology, Diabetes and Metabolism
Nutrition and Dietetics

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10.1007/s11695-019-03906-4

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Simsek, C., Ichkhanian, Y., Fayad, L., Steele, K. E., Schweitzer, M. A., Lamond, K., Vosoughi, K., Doshi, J., Shah, T., Oberbach, A., Al-Sabban, A., Gandsas, A., Kalloo, A. N., Khashab, M. A., & Kumbhari, V. (2019). Secured Lumen-Apposing Fully Covered Metallic Stents for Stenoses in Post-Bariatric Surgery Patients. Obesity Surgery. https://doi.org/10.1007/s11695-019-03906-4

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title = "Secured Lumen-Apposing Fully Covered Metallic Stents for Stenoses in Post-Bariatric Surgery Patients",

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.",

keywords = "Bariatric surgery, Lumen-apposing metallic stent, Obesity, Self-expandable metallic stents, Stricture",

author = "Cem Simsek and Yervant Ichkhanian and Lea Fayad and Steele, {Kimberly E.} and Schweitzer, {Michael A.} and Katherine Lamond and Kia Vosoughi and Jay Doshi and Tazkia Shah and Andreas Oberbach and Abdulhameed Al-Sabban and Alex Gandsas and Kalloo, {Anthony N.} and Khashab, {Mouen A.} and Vivek Kumbhari",

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AU - Steele, Kimberly E.

AU - Schweitzer, Michael A.

AU - Lamond, Katherine

AU - Vosoughi, Kia

AU - Doshi, Jay

AU - Shah, Tazkia

AU - Oberbach, Andreas

AU - Al-Sabban, Abdulhameed

AU - Gandsas, Alex

AU - Kalloo, Anthony N.

AU - Khashab, Mouen A.

AU - Kumbhari, Vivek

PY - 2019/1/1

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N2 - 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.

AB - 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.

KW - Bariatric surgery

KW - Lumen-apposing metallic stent

KW - Obesity

KW - Self-expandable metallic stents

KW - Stricture

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Secured Lumen-Apposing Fully Covered Metallic Stents for Stenoses in Post-Bariatric Surgery Patients

Abstract

Keywords

ASJC Scopus subject areas

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