The Role of Lumen Apposing Metal Stents in the Palliation of Distal Malignant Biliary Distal Obstruction
Malignant biliary obstruction (DMBO) has been traditionally managed by endoscopic retrograde cholangiopancreatography (ERCP). In the case of ERC failure, percutaneous transhepatic biliary drainage (PT-BD) has been widely utilized as a salvage procedure. However, over the last decade, endoscopic ultr...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/15/10/2730 |
| _version_ | 1797600706136375296 |
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| author | Theodor Alexandru Voiosu Mihai Rimbaș Alberto Larghi |
| author_facet | Theodor Alexandru Voiosu Mihai Rimbaș Alberto Larghi |
| author_sort | Theodor Alexandru Voiosu |
| collection | DOAJ |
| description | Malignant biliary obstruction (DMBO) has been traditionally managed by endoscopic retrograde cholangiopancreatography (ERCP). In the case of ERC failure, percutaneous transhepatic biliary drainage (PT-BD) has been widely utilized as a salvage procedure. However, over the last decade, endoscopic ultrasound-guided biliary drainage (EUS-BD) has gained increasing popularity, especially after the advent of electrocautery-enhanced lumen apposing metal stent devices (EC-LAMSs) which enable a one-step procedure, granting prevention of biliary leakage and minimizing occurrence of adverse events (AEs). In parallel, increasing evidence suggests a possible role of EUS-BD in the management of DMBO as a primary palliative drainage modality. In the current paper, we aim to review all the available evidence on the role of EUS-BD performed with EC-LAMSs and discuss salient technical aspects of this type of procedure. |
| first_indexed | 2024-03-11T03:52:41Z |
| format | Article |
| id | doaj.art-6363b14088a94f93b0d53b880e8f8a53 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-11T03:52:41Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-6363b14088a94f93b0d53b880e8f8a532023-11-18T00:48:06ZengMDPI AGCancers2072-66942023-05-011510273010.3390/cancers15102730The Role of Lumen Apposing Metal Stents in the Palliation of Distal Malignant Biliary Distal ObstructionTheodor Alexandru Voiosu0Mihai Rimbaș1Alberto Larghi2Carol Davila Faculty of Medicine, 021155 Bucharest, RomaniaCarol Davila Faculty of Medicine, 021155 Bucharest, RomaniaDigestive Endoscopy Unit, Scientific Institute for Research, Hospitalization, and Health Care, Fondazione Policlinico Universitario A. Gemelli, Catholic University, 00168 Rome, ItalyMalignant biliary obstruction (DMBO) has been traditionally managed by endoscopic retrograde cholangiopancreatography (ERCP). In the case of ERC failure, percutaneous transhepatic biliary drainage (PT-BD) has been widely utilized as a salvage procedure. However, over the last decade, endoscopic ultrasound-guided biliary drainage (EUS-BD) has gained increasing popularity, especially after the advent of electrocautery-enhanced lumen apposing metal stent devices (EC-LAMSs) which enable a one-step procedure, granting prevention of biliary leakage and minimizing occurrence of adverse events (AEs). In parallel, increasing evidence suggests a possible role of EUS-BD in the management of DMBO as a primary palliative drainage modality. In the current paper, we aim to review all the available evidence on the role of EUS-BD performed with EC-LAMSs and discuss salient technical aspects of this type of procedure.https://www.mdpi.com/2072-6694/15/10/2730lumen apposing metal stents (LAMS)biliary obstructionendoscopic ultrasonography |
| spellingShingle | Theodor Alexandru Voiosu Mihai Rimbaș Alberto Larghi The Role of Lumen Apposing Metal Stents in the Palliation of Distal Malignant Biliary Distal Obstruction Cancers lumen apposing metal stents (LAMS) biliary obstruction endoscopic ultrasonography |
| title | The Role of Lumen Apposing Metal Stents in the Palliation of Distal Malignant Biliary Distal Obstruction |
| title_full | The Role of Lumen Apposing Metal Stents in the Palliation of Distal Malignant Biliary Distal Obstruction |
| title_fullStr | The Role of Lumen Apposing Metal Stents in the Palliation of Distal Malignant Biliary Distal Obstruction |
| title_full_unstemmed | The Role of Lumen Apposing Metal Stents in the Palliation of Distal Malignant Biliary Distal Obstruction |
| title_short | The Role of Lumen Apposing Metal Stents in the Palliation of Distal Malignant Biliary Distal Obstruction |
| title_sort | role of lumen apposing metal stents in the palliation of distal malignant biliary distal obstruction |
| topic | lumen apposing metal stents (LAMS) biliary obstruction endoscopic ultrasonography |
| url | https://www.mdpi.com/2072-6694/15/10/2730 |
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