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While endoscopic retrograde cholangiopancreatography (ERCP) has been the standard of care for endoscopic biliary decompression in pancreatic cancer for decades, interventional endoscopic ultrasound (EUS) approaches continue to attract intense study. Interventional endosonographers can place plastic or metal stents into the biliary tree for decompression, albeit using endoscopic accessories in a largely off-label manner.
In a prospective, randomized study, researchers compared the safety and efficacy of stent placement with EUS-guided biliary drainage (EUS-BD) and ERCP in 67 patients with pancreatic cancer. Patients were followed for 6 months or until death. Adverse event rates were not significantly different between the EUS-BD group (21%) a…