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2024 ; 16
(7
): 2358-2361
Nephropedia Template TP
gab.com Text
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English Wikipedia
Revolutionizing palliative care: Electrocautery-enhanced lumen-apposing metal
stents in endoscopic-ultrasound-guided biliary drainage for malignant
obstructions
#MMPMID39087133
Onteddu NKR
; Mareddy NSR
; Vulasala SSR
; Onteddu J
; Virarkar M
World J Gastrointest Surg
2024[Jul]; 16
(7
): 2358-2361
PMID39087133
show ga
Patients with malignant biliary obstruction, following endoscopic retrograde
cholangiopancreatography (ERCP) failure could be referred for
endoscopic-ultrasound-guided biliary drainage through electrocautery-enhanced
(ECE) lumen-apposing metal stent (LAMS) placement. However, the efficacy and
safety of ECE-LAMS in this scenario have remained debatable due to minimal
scientific evidence. The current confirmed 91.0% clinical success, 96.7%
technical success, 7.3% reintervention rate, and 17.5% adverse events, following
the treatment of malignant biliary obstruction with ECE-LAMS delivery. Finally,
ECE-LAMS proved to be a generalizable strategy for managing biliary obstruction
for patients who were excluded from ERCP.