LUMEN-APPOSING METAL STENTS (LAMS) VERSUS FULLY COVERED SELF-EXPANDABLE METAL STENT (SEMS) IN ENDOSCOPIC ULTRASOUND-GUIDED CHOLEDOCHODUODENOSTOMY (EUS-CDS) FOR DISTAL MALIGNANT BILIARY OBSTRUCTION (DMBO)

RN Muñoz, E Valenzuela,JT Tejada,JG Alonso,AC López,Mdb Sanz, Rso Hernández, C De la Serna Higuera,Mpm Castillo

Endoscopy（2020）

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Abstract

Aims EUS-CDS is an alternative to PTBD in unresectable distal MBO after failed ERCP. Electrocautery enhanced delivery system (EC-LAMS) facilitates access to the target lumen simplifying the classic multi-step procedure of EUS-CDS. It is unknown if LAMS improve results obtained with SEMS. We sought to compare LAMS vs SEMS for EUS-CDS after failed ERCP in DMBO.

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Key words

lumen-apposing lumen-apposing metal stents,distal malignant biliary obstruction,metal stents,self-expandable,ultrasound-guided,eus-cds

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