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In the United States, lumen-apposing metal stents (LAMSs) were made available for use to drain pancreatic f luid collections (PFCs) including pseudocysts and walled-off pancreatic necrosis (WOPN) in 2014. The use of these devices has been highly successful.[1-3] Until recently, only 10and 15-mm diameter LAMSs were available. Recently, a 20-mm diameter LAMS has been introduced. This may allow faster drainage and facilitate debridement of WOPN. This letter describes a single-author experience with a 20-mm LAMS (Axios, Boston Scientific, Natick, MA, USA).

endoscopic ultrasound

Single-operator experience with a 20-mm diameter lumen apposing metal stent to treat patients with large pancreatic fluid collections from pancreatic necrosis