{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T22:40:56Z","timestamp":1783723256837,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T00:00:00Z","timestamp":1653436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100015322","name":"National Cancer Center Japan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Purpose<\/jats:title><jats:p>Endoscopic ultrasound\u2010guided hepaticogastrostomy (EUS\u2010HGS) has many associated adverse events. We evaluated the clinical efficacy and safety of the laser\u2010cut, fully covered, self\u2010expandable metallic stent (FCSEMS) for this procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This single\u2010center, retrospective study included cases where EUS\u2010HGS with a laser\u2010cut FCSEMS was performed for malignant biliary obstruction. Technical and clinical success, time to recurrent biliary obstruction (TRBO), procedure time, adverse events, and re\u2010interventions were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 95 eligible cases. Technical and clinical success rates were 100.0% and 95.8%, respectively. Median TRBO was 398\u2009days. RBO causes were hyperplasia (7.4%), debris (3.2%), and migration (4.2%). Adverse events occurred in nine cases (9.5%). Non\u2010occlusion and focal cholangitis occurred in four cases (4.2%) each. Nineteen patients (20%) underwent combined EUS\u2010HGS (CH) procedures: antegrade stenting, bridging methods, plastic stent anchoring in SEMS, and EUS\u2010hepaticoduodenostomy. The solely EUS\u2010HGS (SH) group had significantly longer median TRBO than the CH group (398 vs 246\u2009days, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.04). There were no significant differences in adverse events between the two groups. Re\u2010intervention was performed in 29 cases (technical success rate: 100.0%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Laser\u2010cut FCSEMS can be safely placed in the bile duct and easily applied during re\u2010intervention, making it useful in EUS\u2010HGS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.1165","type":"journal-article","created":{"date-parts":[[2022,5,13]],"date-time":"2022-05-13T11:04:18Z","timestamp":1652439858000},"page":"1035-1043","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Usefulness of the laser\u2010cut, fully covered, self\u2010expandable metallic stent for endoscopic ultrasound\u2010guided hepaticogastrostomy"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5045-5941","authenticated-orcid":false,"given":"Shota","family":"Harai","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic 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