Which stent to use for the management of pancreatic pseudocysts? Time for randomized controlled studies

Endoscopy 2020; 52(04): 321
DOI: 10.1055/a-1103-1938

Letter to the editor

Gianenrico Rizzatti

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

²CERTT, Center for Endoscopic Research Therapeutics and Training, Catholic University, Rome, Italy

,

Mihai Rimbaș

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

³Gastroenterology and Internal Medicine Departments, Colentina Clinical Hospital, Carol Davila University of Medicine, Bucharest, Romania

,

Alberto Larghi

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

²CERTT, Center for Endoscopic Research Therapeutics and Training, Catholic University, Rome, Italy

References
1 Yang J, Chen YI, Friedland S. et al. Lumen-apposing stents versus plastic stents in the management of pancreatic pseudocysts: a large, comparative, international, multicenter study. Endoscopy 2019; 51: 1035-1043
2 Lang GD, Fritz C, Bhat T. et al. EUS-guided drainage of peripancreatic fluid collections with lumen-apposing metal stents and plastic double-pigtail stents: comparison of efficacy and adverse event rates. Gastrointest Endosc 2018; 87: 150-157
3 Brimhall B, Han S, Tatman PD. et al. Increased incidence of pseudoaneurysm bleeding with lumen-apposing metal stents compared to double-pigtail plastic stents in patients with peripancreatic fluid collections. Clin Gastroenterol Hepatol 2018; 16: 1521-1528
4 Hammad T, Khan MA, Alastal Y. et al. Efficacy and safety of lumen-apposing metal stents in management of pancreatic fluid collections: Are they better than plastic stents? A systematic review and meta-analysis. Dig Dis Sci 2018; 63: 289-301
5 Bang JY, Hasan M, Navaneethan U. et al. Lumen-apposing metal stents (LAMS) for pancreatic fluid collection (PFC) drainage: may not be business as usual. Gut 2017; 66: 2054-2056