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LETTER TO EDITOR
Year : 2018  |  Volume : 7  |  Issue : 1  |  Page : 69-70

Stent Tracker app: Novel method to track patients with indwelling lumen-apposing metal stents


Center for Interventional Endoscopy, Florida Hospital, Orlando, FL, USA

Date of Submission30-Dec-2017
Date of Acceptance02-Jul-2017
Date of Web Publication15-Feb-2018

Correspondence Address:
Dr. Shyam Varadarajulu
Center for Interventional Endoscopy, Florida Hospital, 601 East Rollins Street, Orlando, FL 32803
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eus.eus_50_17

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How to cite this article:
Bang JY, Varadarajulu S. Stent Tracker app: Novel method to track patients with indwelling lumen-apposing metal stents. Endosc Ultrasound 2018;7:69-70

How to cite this URL:
Bang JY, Varadarajulu S. Stent Tracker app: Novel method to track patients with indwelling lumen-apposing metal stents. Endosc Ultrasound [serial online] 2018 [cited 2019 Nov 19];7:69-70. Available from: http://www.eusjournal.com/text.asp?2018/7/1/69/225428



Dear Editor,

Lumen-apposing metal stents (LAMS) are increasingly used for endoscopic drainage of pancreatic fluid collections (PFCs).[1] It is hypothesized that the wider lumen and foreshortening characteristics of the LAMS facilitate better drainage of PFC contents and minimize adverse events such as peritoneal soiling and stent migration. Preliminary observations from an ongoing randomized trial comparing LAMS and plastic stents for PFC drainage suggest that removal of LAMS after more than 3–4 weeks postinsertion result in higher incidence of bleeding, buried stent syndrome and biliary obstruction.[2] These adverse events highlighted the importance of timely removal of LAMS.

In an attempt to minimize patients lost to follow-up and facilitate timely removal of LAMS (AXIOS, Boston Scientific Corporation, Natick, MA, USA), a new App termed “Stent Tracker” has been developed (Visible Health Inc., Austin, TX, USA). The App is free to download and is compatible with both iOS and Android devices [Figure 1]. Following placement of the LAMS, patient demographics, procedural details (PFC type drained, site of LAMS placement), and reintervention date are entered into the App using a secure, provider-specific, user identification name and password. The App is HIPAA (Health Insurance Portability and Accountability Act of 1996) compliant as patient information is protected by government-regulated privacy shield. In addition to enabling the endoscopist to track procedures by logging on to the App, users can subscribe to automated E-mails detailing the number of patients with indwelling stents and time elapsed since stent placement, which in turn facilitate timely recall of patients for LAMS removal.
Figure 1: Images of the Stent Tracker app

Click here to view


We have previously reported on the usefulness of professional Apps as educational tools for endosonographers worldwide.[3] The novel stent tracker App is an extension of that application in the correct direction: it not only is a valuable clinical tool for patient management but also has the potential to facilitate research by serving as a HIPAA-compliant registry.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Bang JY, Hasan MK, Navaneethan U, et al. Lumen-apposing metal stents for drainage of pancreatic fluid collections: When and for whom? Dig Endosc 2017;29:83-90.  Back to cited text no. 1
[PUBMED]    
2.
Bang JY, Hasan M, Navaneethan U, et al. Lumen-apposing metal stents (LAMS) for pancreatic fluid collection (PFC) drainage: May not be business as usual. Gut 2016. pii: gutjnl-2016-312812.  Back to cited text no. 2
    
3.
Bang JY, Hawes R, Fockens P, et al. Development of an endosonography app: A smart device for continuous education. Gastrointest Endosc 2015;81:1299-300.  Back to cited text no. 3
[PUBMED]    


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