Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2024; 16(7): 1981-1985
Published online Jul 27, 2024. doi: 10.4240/wjgs.v16.i7.1981
Role of endoscopic-ultrasound-guided biliary drainage with electrocautery-enhanced lumen-apposing metal stent for palliation of malignant biliary obstruction
Smit S Deliwala, Emad Qayed
Smit S Deliwala, Emad Qayed, Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA 30303, United States
Author contributions: Deliwala SS and Qayed E designed the overall concept and outline of the manuscript; both authors contributed to writing and editing the manuscript.
Conflict-of-interest statement: The authors report no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Emad Qayed, MD, Associate Professor, Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, 49 Jesse Hill Junior Drive, Atlanta, GA 30303, United States. eqayed@emory.edu
Received: April 1, 2024
Revised: May 9, 2024
Accepted: May 24, 2024
Published online: July 27, 2024
Processing time: 111 Days and 17.7 Hours
Core Tip

Core Tip: Endoscopic-ultrasound (EUS)-guided biliary drainage with lumen apposing metal stent proves to be a viable and secure alternative following failed endoscopic retrograde cholangiopancreatography (ERCP) for distal malignant biliary obstruction. Given these promising results, adding EUS to ERCP upfront for distal obstruction is a reasonable strategy. Despite its efficacy, stent dysfunction remains a notable constraint. When performing this procedure, careful consideration must be given to the stent size, patient anatomy, availability of accessories, and therapeutic objectives. Patients should have regular follow-ups to ensure the patency of these stents.