Risk factors for stent dysfunction during long-term follow-up after EUS-guided biliary drainage using lumen-apposing metal stents: A prospective study.

ABSTRACT:

Background

EUS-guided choledoco-duodenostomy using electrocautery-enhanced lumen-apposing metal stents (ECE-LAMS) is becoming the gold standard in case of endoscopic retrograde cholangio-pancreatography failure for distal malignant obstruction. Long-term data in larger samples are lacking.

Methods

This was a prospective monocentric study including all patients who underwent EUS-guided choledochoduodenostomy (CDS) between September 2016 and December 2021. The primary endpoint was the rate of biliary obstruction during follow-up. Secondary endpoints were technical and clinical success rates, adverse event rates, and identification of risk factors for biliary obstruction.

Results

One hundred and twenty-three EUS-guided CDS using ECE-LAMS were performed at Limoges Univers

SUBMITTER: Geyl S 

PROVIDER: S-EPMC10237614 | biostudies-literature | 2023 Mar-Apr

REPOSITORIES: biostudies-literature