The aim of our study was to assess the use of a recently developed fully covered metal stents (FCSEMS) for the management of PFCs nationally, including selleck chemical their ease of use compared to plastic stent insertion and its associated complications. Methods: Utilizing the Pyramid database on stent usage nationally we were able

to identify practicing endosonographers who had inserted these novel covered metal stent into PFCs. A standardized datasheet capturing patient demographics, aetiology of PFCs, technique utilized for insertion, ease of use compared with plastic stenting and early/late complications was created. End points included their ease of use compared to plastic stent insertion, rates of collection resolution, in addition to peri and post procedural complications. Results: A total of 42 stents were inserted into 39 patients over 14months. Demographics of our cohort were 27 males: 12 females, mean age 50 yrs (range 10 – 82), and aetiology of PFC were predominantly gallstone and alcohol induced pancreatitis (11 and 15 patients respectively). The mean size of PFC was Selleckchem Fludarabine 11 cm (range 6–17 cm) and mean duration of cyst maturation was 16 weeks (range

3–104 weeks). Successful insertion occurred in all cases 42/42 (100%). Early complications included sepsis (2 pts), blocked stent (1 pt), bleeding requiring transfusion (1 pt), and stent migration (1 pt). Late complication was stent in growth precluding stent removal. Resolution of PFC occurred in 24/27 (88.9%) of the stents removed thus far with the remaining three patients requiring Montelukast Sodium surgical intervention. Conclusion: This is the largest audit of a FCSEMS to manage PFCs. Our initial findings suggest that these stents in comparison to the previous standard of pigtail stents are easier to insert, have few complications with the majority experiencing PFC resolution. NQ NGUYEN,1 L TOSCANO,1 M LAWRENCE,1 R SINGH,2 P BAMPTON,3 RH HOLLOWAY,1 MN SCHOEMAN1

1Gastroenterology, Hepatology & Colorectal Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia., 2Gastroenterology, Lyell McEwin Hospital, Adelaide, SA, Australia., 3Gastroenterology, Flinders Medical Centre, Adelaide, SA, Australia. Introduction: The use of intravenous sedation with benzodiazepine and opioid for colonoscopy in subjects with morbid obesity and/or obstructive sleep apnoea (OSA) is considered unsafe with significant risk of respiratory depression. These high-risk subjects are recommended to have anaesthesia-assisted colonoscopy. Patient-controlled analgesia with portable inhaled methoxyflurane (Penthrox®) has been shown recently to be feasible and safe for colonoscopy in unselected subjects with no risk of respiratory depression. Therefore, Penthrox® may be a much more attractive alternative for colonoscopy in patients with a high risk of respiratory depression.