{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:59:13Z","timestamp":1790175553962,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,22]],"date-time":"2025-06-22T00:00:00Z","timestamp":1750550400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,22]],"date-time":"2025-06-22T00:00:00Z","timestamp":1750550400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["DEN Open"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pancreatic pseudocyst (PP), following acute or chronic pancreatitis, may become symptomatic or persist beyond 6\u20138 weeks, requiring drainage. Endoscopic ultrasonography\u2010guided drainage (EUS\u2010D) is the preferred method, using double pigtail plastic stents (DPPS) or self\u2010expandable metallic stents (SEMS), such as lumen\u2010apposing metal stents (LAMS). This meta\u2010analysis compares DPPS and LAMS in EUS\u2010D for PP, focusing on technical success, clinical success, adverse events (AEs), recurrence, and procedure time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A search strategy was conducted in MEDLINE, Embase, Lilacs, and Cochrane databases according to PRISMA guidelines. Random\u2010effect models were used for statistical analysis based on intention\u2010to\u2010treat. Heterogeneity was assessed using the I\n                      <jats:sup>2<\/jats:sup>\n                      test. The risk of bias was assessed using the Risk of Bias in Non\u2010randomized Studies\u2014of Exposures tool. The quality of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation Tool.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten studies were included: one prospective cohort and nine retrospective cohorts, conducted between 2014 and 2024. A total of 502 patients with PP were treated with EUS\u2010D. The clinical success rate was higher using LAMS (Risk ratio [RR] = 1.05; 95% confidence interval [CI]: 1.01; 1.09; I\n                      <jats:sup>2<\/jats:sup>\n                      = 0%), with shorter procedure time (Mean difference = \u201016.30; 95% CI: \u201027.65; \u20104.94; I\n                      <jats:sup>2<\/jats:sup>\n                      = 86%) compared to DPPS. No statistical difference was observed for early and late AEs, recurrence, or technical success.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study demonstrated that LAMS has a higher clinical success rate and a shorter procedure time compared to DPPS. There is no difference in terms of early and late AEs, recurrence, and technical success.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/deo2.70165","type":"journal-article","created":{"date-parts":[[2025,6,22]],"date-time":"2025-06-22T23:05:08Z","timestamp":1750633508000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic Ultrasound\u2010guided Drainage With Lumen\u2010apposing Metal Stent versus Plastic Stent for the Treatment of Pancreatic Pseudocyst: A Systematic Review and Meta\u2010analysis"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6373-5598","authenticated-orcid":false,"given":"Andr\u00e9 Orsini","family":"Ardengh","sequence":"first","affiliation":[{"name":"Gastroenterology Department, Gastrointestinal Endoscopy Unit, Hospital das Cl\u00ednicas University of S\u00e3o Paulo (USP) Medical School S\u00e3o Paulo 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School S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matheus de Oliveira","family":"Veras","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Gastrointestinal Endoscopy Unit, Hospital das Cl\u00ednicas University of S\u00e3o Paulo (USP) Medical School S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evellin Souza","family":"Valentim dos Santos","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Gastrointestinal Endoscopy Unit, Hospital das Cl\u00ednicas University of S\u00e3o Paulo (USP) Medical School S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9759-3807","authenticated-orcid":false,"given":"Marcos Eduardo","family":"Lera do Santos","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Gastrointestinal Endoscopy Unit, Hospital das Cl\u00ednicas University of S\u00e3o Paulo (USP) Medical School S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio Eiji","family":"Matuguma","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Gastrointestinal Endoscopy Unit, Hospital das Cl\u00ednicas University of S\u00e3o Paulo (USP) Medical School S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Celso","family":"Ardengh","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Service Hospital Moriah S\u00e3o Paulo Brazil"},{"name":"Department of Surgery and Anatomy Digestive Endoscopy Section Hospital das Cl\u00ednicas, Ribeir\u00e3o Preto Medical School University of S\u00e3o Paulo (HCFMRP\u2010USP) Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanderley Marques","family":"Bernardo","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Gastrointestinal Endoscopy 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