Revolutionizing palliative care:Electrocautery-enhanced lumenapposing metal stents in endoscopic-ultrasound-guided biliary drainage for malignant obstructions  

作　　者：Nirmal Kumar Reddy Onteddu Naga Sai Rasagna Mareddy Sai Swarupa R Vulasala Jayabharath Onteddu Mayur Virarkar 

机构地区：[1]Department of Internal Medicine,University of Florida College of Medicine,Jacksonville,FL 32209,United States [2]Department of Diagnostic Radiology,University of Alabama,Birmingham,AL 35294,United States [3]Department of Diagnostic Radiology,University of Florida College of Medicine,Jacksonville,FL 32209,United States [4]Department of Public Health Sciences,University of Florida,Gainesville,FL 32611,United States

出　　处：《World Journal of Gastrointestinal Surgery》2024年第7期2358-2361,共4页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Patients with malignant biliary obstruction,following endoscopic retrograde cholangiopancreatography(ERCP)failure could be referred for endoscopicultrasound-guided biliary drainage through electrocautery-enhanced(ECE)lumen-apposing metal stent(LAMS)placement.However,the efficacy and safety of ECE-LAMS in this scenario have remained debatable due to minimal scientific evidence.The current confirmed 91.0%clinical success,96.7%technical success,7.3%reintervention rate,and 17.5%adverse events,following the treatment of malignant biliary obstruction with ECE-LAMS delivery.Finally,ECE-LAMS proved to be a generalizable strategy for managing biliary obstruction for patients who were excluded from ERCP.

关 键 词：Endoscopic retrograde cholangiopancreatography Electrocautery-enhancedlumen-apposing metal stent Biliary drainage Biliary stent Endoscopic ultrasound 

分 类 号：R575.7[医药卫生—消化系统]