Mahmood Syed Kashif, Kaimakliotis Pavlos
Department of Gastroenterology, Lahey Hospital and Medical Center, Burlington, MA.
ACG Case Rep J. 2018 Feb 14;5:e14. doi: 10.14309/crj.2018.14. eCollection 2018.
The introduction of lumen-apposing metal stents (LAMS) has been an important development in the management of pancreatic fluid collections. Stent migration out of pancreatic fluid collections into the stomach has been reported, despite the special anti-migratory design of the bi-flanged stent. Data on stent migration rates remain sparse, with some studies suggesting a migration rate of 3.3-5%. There have been no reported cases of LAMS migration outside of the stomach. We describe the first reported case of a transgastric LAMS migrating from the stomach and passing into the colon.
管腔对接金属支架（LAMS）的引入是胰腺液体积聚管理方面的一项重要进展。尽管双凸缘支架有特殊的抗迁移设计，但仍有报道称支架会从胰腺液体积聚处迁移至胃内。关于支架迁移率的数据仍然很少，一些研究表明迁移率为3.3%-5%。尚无LAMS迁移至胃外的报道病例。我们描述了首例经胃LAMS从胃迁移并进入结肠的报道病例。
