{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:08:45Z","timestamp":1789103325053,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"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":[[2027,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Endoscopic ultrasound\u2010guided hepaticogastrostomy (EUS\u2010HGS) is an alternative biliary drainage method after failed endoscopic retrograde cholangiopancreatography. Nevertheless, it is associated with adverse events (AEs), including peritonitis and stent migration. The influence of metallic stent (MS) design characteristics, including axial force (AF), on the safety and efficacy of EUS\u2010HGS remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multicenter retrospective study included patients with unresectable malignant biliary obstruction who underwent EUS\u2010HGS using either a high\u2010AF MS (Niti\u2010S biliary S\u2010type) or a low\u2010AF MS (EGIS biliary) between January 2019 and December 2022. Propensity score matching was performed in a 1:2 ratio. Outcomes included clinical success, early and late non\u2010recurrent biliary obstruction (non\u2010RBO) AEs, RBO, time to RBO (TRBO), and overall survival (OS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After matching, 27 patients in the high\u2010AF group and 54 in the low\u2010AF group were analyzed. Clinical success, RBO rate, TRBO, OS, and late non\u2010RBO AE rates were similar between groups. However, early non\u2010RBO AEs were more frequent in the high\u2010AF group (37%\u00a0vs. 13%,\u00a0\n                      <jats:italic>p<\/jats:italic>\n                      <jats:bold>=<\/jats:bold>\n                      0.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Of the two partially covered MSs evaluated, the EGIS biliary stent demonstrated fewer early non\u2010RBO AEs after EUS\u2010HGS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/deo2.70396","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:56:18Z","timestamp":1789102578000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Two Partially Covered Metal Stents for Endoscopic Ultrasound\u2010guided Hepaticogastrostomy: A Multi\u2010Center Retrospective Study"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0309-7502","authenticated-orcid":false,"given":"Masahiro","family":"Yamamura","sequence":"first","affiliation":[{"name":"Division of Pancreatobiliary Medicine Shizuoka Cancer Center  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotoshi","family":"Ishiwatari","sequence":"additional","affiliation":[{"name":"Division of Pancreatobiliary Medicine Shizuoka Cancer Center  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8182-3524","authenticated-orcid":false,"given":"Saburo","family":"Matsubara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Saitama Medical Center Saitama Medical University  Kawagoe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9719-0282","authenticated-orcid":false,"given":"Takeshi","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Medicine Cancer Institute Hospital of Japanese Foundation For Cancer Research  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9346-6738","authenticated-orcid":false,"given":"Michihiro","family":"Ono","sequence":"additional","affiliation":[{"name":"Department of Pancreatobiliary Medicine Steel Memorial Muroran Hospital  Muroran Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9029-2900","authenticated-orcid":false,"given":"Toshinori","family":"Okuda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Oji General Hospital  Tomakomai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8851-8511","authenticated-orcid":false,"given":"Etsuji","family":"Ishida","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Kurashiki Central Hospital  Kurashiki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1393-9442","authenticated-orcid":false,"given":"Kohichi","family":"Takada","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Sapporo Medical University  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4582-042X","authenticated-orcid":false,"given":"Kazuma","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Sapporo Medical University  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0672-7214","authenticated-orcid":false,"given":"Naoki","family":"Sasahira","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Medicine Cancer Institute Hospital of Japanese Foundation For Cancer Research  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6734-5183","authenticated-orcid":false,"given":"Kentaro","family":"Suda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Saitama Medical Center Saitama Medical University  Kawagoe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1944-9869","authenticated-orcid":false,"given":"Morito","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Saitama Medical Center Saitama Medical University  Kawagoe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9459-1670","authenticated-orcid":false,"given":"Daichi","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Oji General Hospital  Tomakomai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0514-4452","authenticated-orcid":false,"given":"Junya","family":"Sato","sequence":"additional","affiliation":[{"name":"Division of Pancreatobiliary Medicine Shizuoka Cancer Center  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0414-7064","authenticated-orcid":false,"given":"Hiroki","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Division of Pancreatobiliary Medicine Shizuoka Cancer Center  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9153-3798","authenticated-orcid":false,"given":"Akihiro","family":"Ohba","sequence":"additional","affiliation":[{"name":"Division of Pancreatobiliary Medicine Shizuoka Cancer Center  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9880-9351","authenticated-orcid":false,"given":"Takuya","family":"Doi","sequence":"additional","affiliation":[{"name":"Division of Pancreatobiliary Medicine Shizuoka Cancer Center  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0863-9223","authenticated-orcid":false,"given":"Akifumi","family":"Notsu","sequence":"additional","affiliation":[{"name":"Clinical Research Center Shizuoka Cancer Center  Nagaizumi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.870"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147\u2010023\u201002317\u2010x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20100659\u20109864"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2020.12.035"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.14786"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl\u20102017\u2010314341"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.631"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11061591"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2021.020\u2010KDDW"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl20096"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/deo2.8"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050640618808147"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/deo2.70145"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20101738\u20106780"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.12582"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2017.08.024"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010011\u20101950\u20104"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20101244\u20101989"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894\u2010016\u20100538\u20105"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2022.201"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.14825"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.10.027"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.1118"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2024.02.012"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010020\u201008189\u2010w"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2020.03.3856"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100034\u20101377936"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.14307"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2023.142"}],"container-title":["DEN Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/deo2.70396","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/deo2.70396","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/deo2.70396","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:56:20Z","timestamp":1789102580000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/deo2.70396"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,10]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2027,4]]}},"alternative-id":["10.1002\/deo2.70396"],"URL":"https:\/\/doi.org\/10.1002\/deo2.70396","archive":["Portico"],"relation":{},"ISSN":["2692-4609","2692-4609"],"issn-type":[{"value":"2692-4609","type":"print"},{"value":"2692-4609","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,10]]},"assertion":[{"value":"2026-06-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70396"}}