{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T23:37:18Z","timestamp":1776382638396,"version":"3.51.2"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T00:00:00Z","timestamp":1654473600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002560","name":"Soonchunhyang University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002560","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":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>An electrocautery\u2010enhanced delivery system with a lumen\u2010apposing metal stent (LAMS) is available for one\u2010step endoscopic ultrasound\u2010guided transmural drainage (EUS\u2010TD). Bipolar electrosurgery has several potential clinical advantages, including reduced collateral thermal damage, enhanced hemostasis, and no requirement for a return electrode plate. In this study, we compared the technical feasibility and safety of a newly developed bipolar electrocautery\u2010enhanced delivery system with a conventional delivery system for EUS\u2010TD using a LAMS in a porcine model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Ten days before the study, 12 mini pigs underwent common bile duct ligation for EUS\u2010guided gallbladder drainage. Transenteric puncture was performed, followed by placement of a guidewire. In six pigs, a bipolar electrocautery\u2010enhanced delivery system with LAMS (Hot SPAXUS) was inserted over the guidewire and advanced into the gallbladder, without prior dilation of the tract, by applying a bipolar cut current. In the remaining six pigs, a conventional delivery system with LAMS (Cold SPAXUS) was inserted after tract dilatation using a cystotome. The stent was removed after 4\u2009weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all pigs, the stent was successfully inserted and deployed in the gallbladder without adverse events. The mean procedure time of EUS\u2010TD was significantly lower in the Hot SPAXUS group than that of the Cold SPAXUS group (mean\u2009\u00b1\u2009standard deviation: 188.7\u2009\u00b1\u20095.2 vs 449.5\u2009\u00b1\u200997.5\u00a0s, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.0019). Stent migration was not observed, and all stents were removed successfully.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Endoscopic ultrasound\u2010guided transmural drainage using a bipolar electrocautery\u2010enhanced LAMS is feasible for reducing the procedure time while maintaining the high success rate and safety of conventional LAMS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.1180","type":"journal-article","created":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T11:33:53Z","timestamp":1652873633000},"page":"263-268","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A novel bipolar electrocautery\u2010enhanced delivery system with a lumen\u2010apposing metal stent for <scp>EUS<\/scp>\u2010guided drainage: A porcine study"],"prefix":"10.1002","volume":"30","author":[{"given":"Seok Jung","family":"Jo","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Digestive Disease Center and Research Institute SoonChunHyang University School of Medicine  Bucheon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3946-9944","authenticated-orcid":false,"given":"Jong Ho","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Digestive Disease Center and Research Institute SoonChunHyang University School of Medicine  Bucheon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun Nah","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Digestive Disease Center and Research Institute SoonChunHyang University School of Medicine  Bucheon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Keun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Digestive Disease Center and Research Institute SoonChunHyang University School of Medicine  Bucheon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Hoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University School of Medicine  Cheonan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang\u2010Heum","family":"Park","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine SoonChunHyang University School of Medicine  Cheonan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Se Ik","family":"Park","sequence":"additional","affiliation":[{"name":"Taewoong Medical  Ilsan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seok","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Inha University School of Medicine  Incheon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Don Haeng","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Inha University School of Medicine  Incheon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.06.015"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.03.1120"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2014.02.015"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vgie.2018.07.001"},{"key":"e_1_2_7_6_1","first-page":"63","article-title":"A novel lumen\u2010apposing metal stent for endoscopic ultrasound\u2010guided drainage of pancreatic fluid collections: a prospective cohort study","volume":"47","author":"Walter 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