stentfix OTSC® enables single session EDGE procedure

stentfix OTSC® System prevents stent migration of LAMS in 100% of cases, enabling a technical success of 95% in single-session EDGE

Key findings

• The use of the stentfix OTSC® enabled EDGE in a single session, without the need to postpone ERCP for 1-2 weeks due to the risk of stent migration
• No LAMS (lumen-apposing metal stent) migration occurred
• Technical success of 95% of single-session EDGE, 1 case was postponed for 1 week and ERCP then performed without LAMS migration

Study details

• 20 patients (90% RYGB, 10% mini-bypass)
• Indications were bile duct stones (60%), cholangitis (25%) and biliary pancreatitis (15%)
• At the time of publication, the fistula after stent retrieval was treated in most cases (70 % n=14/20) with OTSC®, in 10 % without closure, and in 20% of cases, endoscopic closure is planned
• 2 adverse events (10%): postprocedural pain and post ERCP pancreatitis were reported over a median follow-up of 102 days

Bronswijk M, Gökce E, Hindryckx P, van der Merwe S. Single-session endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography with a dedicated over-the-scope fixation device: Feasibility study (with video). Dig Endosc. Published online 2024, July 28. doi.org/10.1111/den.14879

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