Author commentary on Marcello Maida et al.

Marcello Maida et al. Optimal timing for lumen-apposing metal stent removal following endoscopic ultrasound-guided drainage of pancreatic fluid collections: a systematic review and meta-analysis

Lumen-apposing metal stents (LAMSs) are widely used for endoscopic ultrasound-guided drainage of pancreatic fluid collections. Safety is a major concern and the timing of LAMS removal is debated owing to the risk of adverse events (AEs). In this meta-analysis, pooled LAMS-related AEs were similar in the late vs. early removal groups (risk ratio 1.03, 95 %CI 0.47–2.28; P = 0.94), suggesting that removal within 4 weeks is not warranted and it can be scheduled on a clinical case-by-case basis based on the patient's condition.

 

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Publication History

Article published online:
28 August 2025