Review Article

Are Lumen-Apposing Metal Stents More Effective Than Plastic Stents for the Management of Pancreatic Fluid Collections: An Updated Systematic Review and Meta-analysis

Table 3

Summary of results from included studies (single arm).

StudyTechnical success, (%)Clinical success, (%)Adverse eventsDEN

Walter et al. [20], 2015, Netherlands98% (60/61) (total)WON 81% (35/43)
PP 93% (13/14)
4 infection/occlusion
1 perforation
WON 15/35
Gornals et al. [22], 2015, SpainWON 100% (13/13)WON 100% (13/13)2 bleeding
1 infection-stent migration
1 infection-stent occlusion
WON 13
Shah et al. [3], 2015, international91% (30/33) (total)81.8% (27/33) (total)3 abdominal pain
1 stent migration and infection
1 stent dislodgement
11
Rinninella et al. [24], 2015, ItalyWON 98.7% (74/75)
PP 100% (18/18)
WON 90.7% (68/75)
PP 100% (18/18)
1 massive bleeding
1 perforation
1 pneumoperitoneum
1 postdrainage infection
1 stent displacement/migration
33
Sharaiha et al. [23], 2016, USAWON 100% (124/124)WON 86.3% (107/124)7 stents migration
7 stent occlusion
7 infection
2 bleeding
78
Yoo et al. [25], 2017, USAWON 100% (22/22)
PP 100% (3/3)
WON 95.5% (21/22)
PP 100% (3/3)
0WON 1
Bekkali et al. [19], 2017, UKWON 97% (32/33)WON 78.1% (25/32)1 stent misplacement
4 additional percutaneous drain
3 dislodged stent
NA
Aburajab et al. [27],, 2018, USAPP 96% (23/24)PP 91% (21/23)1 perforation
4 infection
1 migration
NA
Adler DG et al. [28], 2018, USA99% (79/80)90% (72/80)4 perforation
2 suprainfection
13 bleeding
63
Anderloni et al. [29], 2018, Italy100% (19/19)83.3% (15/19)1 occlusion and infection
1 migration
NA
Yang et al. [30], 2018, USAPP 98.3% (57/58)
WON 98.4% (63/64)
PP 95.5% (55/58)
WON 53.1% (34/64)
8 migration
28 occlusion
2 partially embedded stent
4 misdeployment
WON 23
Song et al. [32], 2019, KoreaPP 97.1% (33/34)PP 94.1% (32/34)1 maldeployment
3 infection
NA

DEN: direct endoscopic necrosectonomy; PP: pancreatic pseudocyst; WON: walled-off necrosis.