Skip to main content
SpringerLink
Log in

The LACSEMS: what radiologists need to know

  • Review
  • Published:
Abdominal Radiology Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Endoscopic drainage is increasingly used in lieu of percutaneous or surgical drainage of pancreatitis-related fluid collections. The lumen-apposing, covered, self-expanding, metallic stent (LACSEMS) is a newly produced stent for the transmural drainage of such fluid collections. The use of LACSEMS devices requires close coordination between knowledgeable radiologic and gastrointestinal providers. We review pancreatitis-related fluid collections and show examples from our experience with LACSEMS and the appropriate case selection, planning, deployment, and follow-up for this novel device.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Banks, PA et al (2013) Classification of acute pancreatitis-2012: revision of the Atlanta classification and definitions by international consensus. Gut 62:102-111

    Article  PubMed  Google Scholar 

  2. Thoeni, RF (2012) The Revised Atlanta Classification of Acute Pancreatitis: Its Importance for the Radiologist and Its Effect on Treatment. Radiology 262:751-764

    Article  PubMed  Google Scholar 

  3. Muthusamy (2016) The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections. Gastrointest Endosc 83:481-488.

  4. Tyberg A et al (2016) Management of pancreatic fluid collections: A comprehensive review of the literature. World J Gastroenterol 22:2256-2270

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Shyu, JY et al (2014) Necrotizing Pancreatitis: Diagnosis, Imaging, and Intervention. Radiographics, 34:1218-1239.

    Article  PubMed  Google Scholar 

  6. Shah, Raj J et al (2015) Safety and Efficacy of Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections with Lumen-Apposing Covered Self-Expanding Metal Stents. Clin Gastroenterol Hepatol, 13:747-752

    Article  PubMed  Google Scholar 

  7. Patil, R et al (2016) Endoscopic ultrasound-guided placement of AXIOS stent for drainage of pancreatic fluid collections. Ann Gastroenterol 29:168-173.

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Wake Forest Baptist Medical Center, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC, 27157, USA

    Pat W. Whitworth III, Brenda L. Holbert, Neeraj Lalwani & Rafel Tappouni

  2. Department of Gastroenterology, Wake Forest Baptist Medical Center, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC, 27157, USA

    Rishi Pawa

Authors
  1. Pat W. Whitworth III
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Brenda L. Holbert
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rishi Pawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Neeraj Lalwani
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Rafel Tappouni
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Pat W. Whitworth III.

Ethics declarations

Conflict of interest

Pat Whitworth, Brenda Holbert, Rishi Pawa, Neeraj Lalwani, and Rafel Tappouni declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Whitworth, P.W., Holbert, B.L., Pawa, R. et al. The LACSEMS: what radiologists need to know. Abdom Radiol 44, 976–983 (2019). https://doi.org/10.1007/s00261-019-01904-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-019-01904-9

Keywords

Search

Navigation