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

Sato, Hiroki; Kawabata, Hidemasa; Fujiya, Mikihiro

doi:10.1016/j.vgie.2023.10.010

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2024

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“…Proximal flange misdeployments or migrations can also be managed using endoscopic ultrasound. Sato et al recently described the "Lambda stenting technique" by puncturing the proximal extremity of the migrated LAMS under endoscopic ultrasound control, allowing the insertion of a guidewire and then the deployment of a new covered SEMS through the initial LAMS [16].…”

Section: Expected Early Adverse Eventsmentioning

confidence: 99%

Will Endoscopic-Ultrasound-Guided Choledocoduodenostomy with Electrocautery-Enhanced Lumen-Apposing Metal Stent Placement Replace Endoscopic Retrograde Cholangiopancreatography When Treating Distal Malignant Biliary Obstructions?

Guilmoteau,

Albouys,

Taibi

et al. 2024

Medicina

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Malignant distal biliary obstructions are becoming increasingly common, especially in patients with cancers of the pancreatic head, despite progress in medical oncology research. ERCP is the current gold standard for management of such strictures, but the emergence of EC-LAMS has rendered EUS-CDS both safe and efficient. It is a “game changer”; originally intended for ERCP failure, two randomised clinical trials recently proposed EUS-CDS as a first-intent procedure in palliative settings. For resectable diseases, the absence of iatrogenic pancreatitis associated with a lower rate of postsurgical adverse events (compared with ERCP) leads us to believe that EUS-CDS might be used in first-intent as a pre-operative endoscopic biliary drainage.

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Section: Expected Early Adverse Eventsmentioning

confidence: 99%