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2024 ; 16
(7
): 1956-1959
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Unveiling the potential of electrocautery-enhanced lumen-apposing metal stents in
endoscopic ultrasound-guided biliary drainage
#MMPMID39087137
Chisthi MM
World J Gastrointest Surg
2024[Jul]; 16
(7
): 1956-1959
PMID39087137
show ga
This editorial delves into Peng et al's article, published in the World Journal
of Gastrointestinal Surgery. Peng et al's meta-analysis investigates the
effectiveness of electrocautery-enhanced lumen-apposing metal stents (ECE-LAMS)
in ultrasound-guided biliary drainage for alleviating malignant biliary
obstruction. Examining 14 studies encompassing 620 participants, the research
underscores a robust technical success rate of 96.7%, highlighting the efficacy
of ECE-LAMS, particularly in challenging cases which have failed endoscopic
retrograde cholangio pancreatography. A clinical success rate of 91.0%
underscores its impact on symptom alleviation, while a reasonably tolerable
adverse event rate of 17.5% is observed. However, the 7.3% re-intervention rate
stresses the need for post-procedural monitoring. Subgroup analyses validate
consistent outcomes, bolstering the applicability of ECE-LAMS. These findings
advocate for the adoption of ECE-LAMS as an appropriate approach for biliary
palliation, urging further exploration in real-world clinical contexts. They
offer valuable insights for optimizing interventions targeting malignant biliary
obstruction management.