{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T19:48:27Z","timestamp":1776887307873,"version":"3.51.2"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T00:00:00Z","timestamp":1643068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Purpose<\/jats:title><jats:p>Although the lumen\u2010apposing metal stent (LAMS) is useful for interventional endoscopic ultrasound (EUS) procedures, there has been some concern about the potential for stent\u2010induced adverse events because of the high lumen\u2010apposing force. A newly designed LAMS with less lumen\u2010apposing force has been developed for use with a physician\u2010controlled electrocautery\u2010enhanced delivery system. The aim of this animal study was to evaluate the feasibility of performing interventional EUS using this newly designed LAMS system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Endoscopic ultrasound\u2010guided cystogastrostomy was performed using the novel LAMS three times in a wet simulation model. EUS\u2010guided gastroenterostomy and EUS\u2010guided gallbladder drainage were then performed using the system in four pigs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The LAMS was successfully placed in all three EUS\u2010guided cystogastrostomy procedures using the wet simulation model and in all four EUS\u2010guided gastroenterostomy and gallbladder drainage procedures in the animal model. In the 3\u00a0weeks following the procedure, eating behavior was normal in all animals and there were no adverse events. The stents remained patent during this time and were removed without difficulty. The fistula was mature in all cases and a standard upper gastrointestinal endoscope was easily advanced via the fistula to observe the afferent and efferent loops or the lumen of the gallbladder. Necropsy confirmed complete adhesion between the stomach and the wall of the jejunum or gallbladder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study findings demonstrate the feasibility of this new LAMS system and its potential clinical value for interventional EUS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.1113","type":"journal-article","created":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T17:36:00Z","timestamp":1642181760000},"page":"817-824","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Experimental study of a physician\u2010controlled electrocautery\u2010enhanced delivery system incorporating a newly developed lumen\u2010apposing metal stent for interventional endoscopic ultrasound (with 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