Lumen Apposition: A Changing Landscape in Therapeutic Endoscopy

Thomas R McCarty; Christopher C Thompson

doi:10.1007/s10620-022-07426-7

Lumen Apposition: A Changing Landscape in Therapeutic Endoscopy

Dig Dis Sci. 2022 May;67(5):1660-1673. doi: 10.1007/s10620-022-07426-7. Epub 2022 Apr 16.

Authors

Thomas R McCarty¹, Christopher C Thompson²

Affiliations

¹ Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
² Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA. cthompson@hms.harvard.edu.

PMID: 35430698
DOI: 10.1007/s10620-022-07426-7

Abstract

The concept of endoscopic lumen apposition has seen a dramatic shift in the last several decades. Early natural orifice trans-luminal endoscopic surgery (NOTES) concepts have transformed into specialized lumen-apposing metal stents (LAMSs) and delivery devices, which provide endoscopists a minimally invasive alternative to surgical intervention. These LAMSs have become the bedrock of therapeutic endoscopy and provide treatment for a wide spectrum of gastrointestinal disorders. In this review, we summarize the changing landscape of therapeutic endoscopy by highlighting the use of LAMS and future directions as well as alternative devices to achieve lumen apposition.

Keywords: Advanced endoscopy; Endoscopic surgery; Endoscopic ultrasound; Lumen apposing metal stents (LAMS).

Publication types

Review

MeSH terms

Drainage*
Endoscopy
Endosonography
Gastrointestinal Diseases* / diagnostic imaging
Gastrointestinal Diseases* / surgery
Humans
Stents
Treatment Outcome