ID: 3523961 BILIARY DRAINAGE PATENCY FOLLOWING ERCP-PLACED TRANSPAPILLARY SELF-EXPANDABLE METAL STENTS VERSUS EUS-GUIDED CHOLEDOCHODUODENOSTOMY WITH LUMEN-APPOSING METAL STENTS FOR MALIGNANT BILIARY OBSTRUCTION

Abstract

Transpapillary placement of self-expandable metal stents (SEMS) during endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard for the palliation of malignant biliary obstruction. Endoscopic ultrasound (EUS)-guided biliary drainage with the creation of an EUS-guided choledochoduodenostomy (CD) using a lumen-apposing metal stent (LAMS) has recently emerged as a technique to facilitate endobiliary drainage in cases of failed ERCP. There are scant data comparing biliary drainage patency following these two techniques.