The Lambda stenting technique: a new approach to address EUS-guided biliary drainage-associated adverse events.

ABSTRACT:

Background and aims

EUS-guided biliary drainage (EUS-BD) has been performed increasingly worldwide, especially in patients with malignant tumors in which ERCP is difficult, patients with surgically altered GI tracts, and older patients who are at high risk for surgery. EUS-BD requires high-level skills and has limited options for managing adverse events, particularly when stent migration and cholangitis occur. Adverse events, such as persistent bile leakage from the fistula and continuous reflux from the GI tract, are believed to always have a risk of severe exacerbation that could threaten the patient's life.

Methods

We encountered 2 cases of stent migrations and 1 case with repeated cholangitis in patients with malignant tumors among the patients who underwent EUS-BD. The

SUBMITTER: Sato H 

PROVIDER: S-EPMC10861941 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature