Table 2. Summary of the results of our study utilizing fully covered self-expanding metal stents (fcSEMS) for drainage of walled-off pancreatic necrosis (WON).
Study | No. of patients | No. of procedures (by patient) | Etiology | Largest diameter (cm) | Location | Complications | Technical success (%) | Clinical success (%) | With stent (wk) | Follow-up (wk) |
Our study | 17 | 13 | Gallstone pancreatitis | 18.6 | 1 | None | 100 | 88 | 31, 20, 25, 22, 31, 18 | 3 |
– | – | 7 | Unknown | 5.6 | Body/tail | Obstructive jaundice or dilated BD | Not inserted | 10 | ||
– | – | 3 | ETOH | 11.2 | Into the gastrohepatic ligament and peripancreatic extending inferiorly along the mesenteric root | Reintervention 9 d later after abdominal pain and fever; reintervention 4 d later after abdominal pain and fever | 13, not removed; 4, not removed | 1 | ||
– | – | 8 | ETOH | 1 | Neck | Hematobilia w/procedure on 8 /1 /2013 | 24, not removed; not removed; not removed | 1 | ||
– | – | 6 | Gallstone pancreatitis | 11.2 | Lobe | None | 26 | 53 | ||
– | – | 5 | Unknown | 9.6 | Tail | None | 63, 63 | 0 | ||
– | – | 6 | Gallstone pancreatitis | 8.2 | Body | None | 37, 78 | 18 | ||
– | – | 6 | Gallstone pancreatitis | 26 | Head | Pseudocyst enlargement and taken to OR for cyst gastrostomy | 82, 82, 82, 69 | 4 | ||
– | – | 3 | Unknown | 5.4 | Neck | None | 55 | 8 | ||
– | – | 2 | ETOH | 11.2 | Lesser curvature, behind the stomach | Died 3 d after procedure, made comfort care after ARDS from vent and AKI | Not removed | 0 | ||
– | – | 2 | ETOH | 1 | Perigastric | None | Not removed | 0 | ||
– | – | 6 | Gallstone pancreatitis | 6.4 | Head | None | 62 | 9 | ||
– | – | 5 | Gallstone pancreatitis | 4 | Head | None | 23, 23 | 6 | ||
– | – | 4 | Unknown | 9.2 | Posterior to transverse colon, extending superiorly along the spleen | Poor PO intake, fever, nausea, abdominal pain; readmitted 10 d later | 13 | 4 | ||
– | – | 3 | Unknown | 6.7 | Head | None | Not removed | 0 | ||
– | – | 2 | Unknown | 4 | Pancreatic parenchyma | None | 87 | 6 | ||
– | – | 3 | ETOH | 5.2 | Tail | None | 30, not removed | 1 |
Abbreviations: AKI, acute kidney injury; ARDS, acute respiratory distress syndrome; BD, bile duct; ETOH, ethanol; PO, by mouth.
Not mentioned.