Disconnected Pancreatic Duct Syndrome and Lumen Apposing Metal Stents

We read with interest the study by Bang et  al1 on the role of replacing lumen apposing metal stents (LAMS) by plastic stents after resolution of pancreatic fluid collections (PFC) in patients with disconnected pancreatic duct syndrome (DPDS). We congratulate the authors for conducting this prospective study that has attempted to answer the clinical dilemma of whether or not to exchange the LAMS with permanent indwelling plastic stents to reduce the recurrence of PFC. DPDS is an often overlooked complication of acute necrotizing pancreatitis that can lead to recurrent PFC, refractory external pancreatic fistulae, and chronic abdominal pain/recurrent pancreatitis because of ongoing secretion of pancreatic juice by the disconnected and functional segment of pancreas.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Letter to the Editors Source Type: research