Use of Lumen-Apposing Metal Stents Is Feasible in EUS-Guided Bile Duct Drainage

Long-term follow-up of 19 patients showed technical feasibility, promising clinical results, and a low adverse event rate.

Interventional endoscopic ultrasound (EUS) continues to be a rapidly developing field. Although endoscopic retrograde cholangiopancreatography (ERCP) remains the dominant endoscopic modality for biliary drainage, EUS-guided approaches exist. Lumen-apposing metal stents (LAMS), originally designed to drain pancreatic fluid collections, are now being used to drain the biliary tree in selected patients.

In the current study, researchers prospectively evaluated outcomes in 19 patients undergoing EUS-guided biliary drainage with LAMS at five centers in Japan and Hong Kong. All patients had unresectable cancers and had failed ERCP. All LAMS were successfully deployed in a transluminal manner without procedural complications.

During a median follow-…

Reviewing Author

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Use of Lumen-Apposing Metal Stents Is Feasible in EUS-Guided Bile Duct Drainage

Topics

Reviewing Author