Unveiling the potential of electrocautery-enhanced lumen-apposing metal stents in endoscopic ultrasound-guided biliary drainage  

作　　者：Meer M Chisthi 

机构地区：[1]Department of General Surgery,Government Medical College Pathanamthitta,Konni 689691,Kerala,India

出　　处：《World Journal of Gastrointestinal Surgery》2024年第7期1956-1959,共4页世界胃肠外科杂志（英文版）（电子版）

摘　　要：This editorial delves into Peng et al's article,published in the World Journal of Gastrointestinal Surgery.Peng et al's meta-analysis investigates the effectiveness of electrocautery-enhanced lumen-apposing metal stents(ECE-LAMS)in ultrasound-guided biliary drainage for alleviating malignant biliary obstruction.Examining 14 studies encompassing 620 participants,the research underscores a robust technical success rate of 96.7%,highlighting the efficacy of ECE-LAMS,particularly in challenging cases which have failed endoscopic retrograde cholangio pancreatography.A clinical success rate of 91.0% underscores its impact on symptom alleviation,while a reasonably tolerable adverse event rate of 17.5% is observed.However,the 7.3% re-intervention rate stresses the need for post-procedural monitoring.Subgroup analyses validate consistent outcomes,bolstering the applicability of ECE-LAMS.These findings advocate for the adoption of ECELAMS as an appropriate approach for biliary palliation,urging further exploration in real-world clinical contexts.They offer valuable insights for optimizing interventions targeting malignant biliary obstruction management.

关 键 词：Biliary drainage Electrocautery-enhanced lumen-apposing metal stent Endoscopic retrograde cholangiopancreatography Endoscopic ultrasound Malignant biliary obstruction 

分 类 号：R575[医药卫生—消化系统]