EUS-guided drainage of mucinous cyst using an electrocautery-enhanced lumen-apposing metal stent скачать в хорошем качестве

EUS-guided drainage of mucinous cyst using an electrocautery-enhanced lumen-apposing metal stent

Reference: https://www.videogie.org/article/S246... Endoscopic ultrasound (EUS)-guided decompression of a sizable mucinous cyst is a sophisticated procedure that employs an electrocautery-enhanced lumen-apposing metal stent (LAMS). This technique is particularly beneficial for managing large cystic lesions, which can pose significant clinical challenges due to their size and potential complications. The use of EUS allows for precise visualization of the cyst and surrounding structures, facilitating accurate needle placement and ensuring that the decompression is performed safely and effectively. The electrocautery enhancement of the stent aids in creating a larger and more stable connection between the cyst and the gastrointestinal tract, promoting efficient drainage and reducing the risk of complications such as leakage or infection. During the procedure, the clinician first utilizes EUS to identify the cyst and assess its characteristics, including size, location, and relationship to adjacent organs. Once the cyst is adequately visualized, a fine needle is introduced to aspirate the cystic fluid, which not only helps in confirming the diagnosis but also reduces the cyst's volume, making the subsequent stent placement easier. Following aspiration, the electrocautery-enhanced LAMS is deployed, allowing for the creation of a direct channel between the cyst and the gastrointestinal lumen. This innovative approach not only facilitates effective drainage but also minimizes the need for more invasive surgical interventions, thereby improving patient outcomes. Post-procedure, patients are typically monitored for any signs of complications, such as infection or stent migration. The electrocautery-enhanced LAMS remains in place for a predetermined duration, allowing for continuous drainage of the cystic contents. Over time, this method can lead to significant reduction in cyst size and resolution of symptoms, ultimately enhancing the quality of life for patients suffering from large mucinous cysts. The combination of EUS guidance and advanced stenting technology represents a significant advancement in the management of complex cystic lesions, underscoring the importance of minimally invasive techniques in modern medical practice.