Id: 3519933 lumen-apposing metal stents versus double-pigtail plastic stents in the endoscopic step-up approach for infected necrotizing pancreatitis

Infected necrotizing pancreatitis is a potentially lethal disease that generally requires invasive intervention. The endoscopic step-up approach is preferred over a surgical step-up approach in eligible patients. Although lumen-apposing metal stents (LAMS) are increasingly used, superiority in comparison with double-pigtail plastic stents (DPS) is not proven. LAMS might optimize endoscopic drainage and reduce the need for endoscopic necrosectomy. Nevertheless, some safety concerns, particularly the risk of bleeding, remain. We conducted a multicenter prospective study to investigate the clinical outcome of LAMS in patients with infected necrotizing pancreatitis.