Abdominal Radiology

, Volume 44, Issue 3, pp 976–983 | Cite as

The LACSEMS: what radiologists need to know

  • Pat W. WhitworthIIIEmail author
  • Brenda L. Holbert
  • Rishi Pawa
  • Neeraj Lalwani
  • Rafel Tappouni


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.


LACSEMS AXIOS Stent Pancreatitis Collection Pseudocyst 


Compliance with ethical standards

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.


  1. 1.
    Banks, PA et al (2013) Classification of acute pancreatitis-2012: revision of the Atlanta classification and definitions by international consensus. Gut 62:102-111CrossRefGoogle Scholar
  2. 2.
    Thoeni, RF (2012) The Revised Atlanta Classification of Acute Pancreatitis: Its Importance for the Radiologist and Its Effect on Treatment. Radiology 262:751-764CrossRefGoogle Scholar
  3. 3.
    Muthusamy (2016) The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections. Gastrointest Endosc 83:481-488.Google Scholar
  4. 4.
    Tyberg A et al (2016) Management of pancreatic fluid collections: A comprehensive review of the literature. World J Gastroenterol 22:2256-2270CrossRefGoogle Scholar
  5. 5.
    Shyu, JY et al (2014) Necrotizing Pancreatitis: Diagnosis, Imaging, and Intervention. Radiographics, 34:1218-1239.CrossRefGoogle Scholar
  6. 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, 13:747-752CrossRefGoogle Scholar
  7. 7.
    Patil, R et al (2016) Endoscopic ultrasound-guided placement of AXIOS stent for drainage of pancreatic fluid collections. Ann Gastroenterol 29:168-173.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Radiology, Wake Forest Baptist Medical CenterWake Forest University School of MedicineWinston-SalemUSA
  2. 2.Department of Gastroenterology, Wake Forest Baptist Medical CenterWake Forest University School of MedicineWinston-SalemUSA

Personalised recommendations