{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T14:09:53Z","timestamp":1792678193969,"version":"4.5.0"},"reference-count":32,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100016391","name":"Catalan Digestology Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016391","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005774","name":"Universitat de Barcelona","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005774","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015439","name":"Centres de Recerca de Catalunya","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015439","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002809","name":"Generalitat de Catalunya","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100031734","name":"Asociaci\u00f3n Espa\u00f1ola de Gastroenterolog\u00eda","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031734","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cghjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Gastroenterology and Hepatology"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.cgh.2025.05.025","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T23:18:24Z","timestamp":1753139904000},"page":"678-687.e21","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Lumen-Apposing Stents With or Without Pigtail in Endosonography-Guided Biliary Drainage for Malignant Distal Biliary Obstruction"],"prefix":"10.1016","volume":"24","author":[{"given":"Albert","family":"Sumalla-Garcia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose R.","family":"Aparicio-Tormo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Pedraza-Sanz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicente","family":"Sanchiz-Soler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"De-la-Serna Higuera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavi","family":"Andujar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique","family":"Vazquez-Sequeiros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Puigcerver-Mas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belen","family":"Martinez-Moreno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Barbera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Capilla-Lozano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Martinez-Ortega","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Ramon","family":"Foruny-Olcina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Luna-Rodriguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Garcia-Lerma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Pe\u00f1afiel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juli","family":"Busquets Barenys","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berta","family":"Laquente-Saez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Perez-Miranda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastia","family":"Videla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carme","family":"Loras","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8857-3556","authenticated-orcid":false,"given":"Joan B.","family":"Gornals","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.cgh.2025.05.025_bib1","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1055\/a-0659-9864","article-title":"Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline-Updated October 2017","volume":"50","author":"Dumonceau","year":"2018","journal-title":"Endoscopy"},{"key":"10.1016\/j.cgh.2025.05.025_bib2","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1055\/a-0901-7343","article-title":"Endoscopic ultrasound-guided transmural approach versus ERCP-guided transpapillary approach for primary decompression of malignant biliary obstruction: a meta-analysis","volume":"51","author":"Bishay","year":"2019","journal-title":"Endoscopy"},{"key":"10.1016\/j.cgh.2025.05.025_bib3","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1055\/a-1075-4080","article-title":"ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline","volume":"52","author":"Dumonceau","year":"2020","journal-title":"Endoscopy"},{"key":"10.1016\/j.cgh.2025.05.025_bib4","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1016\/j.gie.2013.11.021","article-title":"EUS-guided choledochoduodenostomy by using a biflanged lumen-apposing metal stent","volume":"79","author":"Itoi","year":"2014","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.cgh.2025.05.025_bib5","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1055\/s-0034-1392562","article-title":"Single-session fluoroless endoscopic ultrasound-guided fine-needle aspiration and choledochoduodenostomy with a biliary lumen-apposing stent","volume":"47","author":"Gornals","year":"2015","journal-title":"Endoscopy"},{"key":"10.1016\/j.cgh.2025.05.025_bib6","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.gie.2018.08.047","article-title":"Single-stage EUS-guided choledochoduodenostomy using a lumen-apposing metal stent for malignant distal biliary obstruction","volume":"89","author":"Anderloni","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.cgh.2025.05.025_bib7","doi-asserted-by":"crossref","first-page":"683","DOI":"10.17235\/reed.2019.6225\/2019","article-title":"Endoscopic biliary drainage in unresectable biliary obstruction: the role of endoscopic ultrasound-guidance in a cohort study","volume":"111","author":"Puga","year":"2019","journal-title":"Rev Esp Enferm Dig"},{"key":"10.1016\/j.cgh.2025.05.025_bib8","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1038\/s41395-018-0122-8","article-title":"EUS-guided biliary drainage versus ERCP for the primary palliation of malignant biliary obstruction: a multicenter randomized clinical trial","volume":"113","author":"Paik","year":"2018","journal-title":"American Journal of Gastroenterology"},{"key":"10.1016\/j.cgh.2025.05.025_bib9","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.gie.2018.03.015","article-title":"Efficacy of EUS-guided and ERCP-guided biliary drainage for malignant biliary obstruction: prospective randomized controlled study","volume":"88","author":"Park","year":"2018","journal-title":"Gastrointestinal Endoscopy"},{"key":"10.1016\/j.cgh.2025.05.025_bib10","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1055\/a-0735-9137","article-title":"Endoscopic ultrasound-guided choledochoduodenostomy with electrocautery-enhanced lumen-apposing stents: A retrospective analysis","volume":"51","author":"Jacques","year":"2019","journal-title":"Endoscopy"},{"key":"10.1016\/j.cgh.2025.05.025_bib11","doi-asserted-by":"crossref","first-page":"5036","DOI":"10.1245\/s10434-023-13466-8","article-title":"Pancreatoduodenectomy following preoperative biliary drainage using endoscopic ultrasound-guided choledochoduodenostomy versus a transpapillary stent: a multicenter comparative cohort study of the ACHBT-FRENCH-SFED Intergroup","volume":"30","author":"Janet","year":"2023","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.cgh.2025.05.025_bib12","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1053\/j.gastro.2023.04.016","article-title":"EUS-guided choledocho-duodenostomy using lumen apposing stent versus ERCP with covered metallic stents in patients with unresectable malignant distal biliary obstruction: a multicenter randomized controlled trial (DRA-MBO Trial)","volume":"165","author":"Teoh","year":"2023","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2025.05.025_bib13","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1053\/j.gastro.2023.07.024","article-title":"Endoscopic ultrasound-guided biliary drainage of first intent with a lumen-apposing metal stent vs endoscopic retrograde cholangiopancreatography in malignant distal biliary obstruction: a multicenter randomized controlled study (ELEMENT Trial)","volume":"165","author":"Chen","year":"2023","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2025.05.025_bib14","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.14309\/ajg.0000000000002736","article-title":"Endoscopic Ultrasound- Guided vs Endoscopic Retrograde Cholangiopancreatography-Guided Biliary Drainage as Primary Approach to Malignant Distal Biliary Obstruction: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","volume":"119","author":"Gopakumar","year":"2024","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2025.05.025_bib15","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.gie.2024.04.019","article-title":"EUS- versus ERCP-guided biliary drainage for malignant biliary obstruction: a systematic review and meta-analysis of randomized controlled trials","volume":"100","author":"Barbosa","year":"2024","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.cgh.2025.05.025_bib16","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1016\/j.gie.2017.08.017","article-title":"Long-term outcomes of EUS-guided choledochoduodenostomy using a lumen-apposing metal stent for malignant distal biliary obstruction: a prospective multicenter study","volume":"87","author":"Tsuchiya","year":"2018","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.cgh.2025.05.025_bib17","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.vgie.2021.03.002","article-title":"EUS-guided biliary rendezvous as an emergent rescue after failed choledochoduodenostomy using a lumen-apposing metal stent","volume":"6","author":"Garcia-Sumalla","year":"2021","journal-title":"VideoGIE"},{"key":"10.1016\/j.cgh.2025.05.025_bib18","first-page":"74","article-title":"Endoscopic sump syndrome secondary to EUS-guided choledocho-duodenostomy with a lumen-apposing metal stent","volume":"111","author":"Mosquera-Klinger","year":"2019","journal-title":"Rev Esp Enferm Dig"},{"key":"10.1016\/j.cgh.2025.05.025_bib19","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1111\/den.12548","article-title":"Double pigtail for preventing ascending cholangitis after endoscopic ultrasonography-guided choledochoduodenostomy with lumen-apposing metal stent","volume":"28","author":"Gornals","year":"2016","journal-title":"Dig Endosc"},{"key":"10.1016\/j.cgh.2025.05.025_bib20","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1111\/den.14445","article-title":"Classification, risk factors, and management of lumen apposing metal stent dysfunction during follow-up of endoscopic ultrasound-guided choledochoduodenostomy: multicenter evaluation from the Leuven-Amsterdam-Milan Study Group","volume":"35","author":"Vanella","year":"2023","journal-title":"Dig Endosc"},{"key":"10.1016\/j.cgh.2025.05.025_bib21","doi-asserted-by":"crossref","first-page":"4873","DOI":"10.1007\/s00464-021-08435-9","article-title":"Is a coaxial plastic stent within a lumen-apposing metal stent useful for the management of distal malignant biliary obstruction?","volume":"35","author":"Garcia-Sumalla","year":"2021","journal-title":"Surg Endosc"},{"key":"10.1016\/j.cgh.2025.05.025_bib22","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1186\/s13063-022-06106-1","article-title":"Multicenter study of lumen-apposing metal stents with or without pigtail in endoscopic ultrasound-guided biliary drainage for malignant obstruction-BAMPI TRIAL: an open-label, randomized controlled trial protocol","volume":"23","author":"Garcia-Sumalla","year":"2022","journal-title":"Trials"},{"key":"10.1016\/j.cgh.2025.05.025_bib23","doi-asserted-by":"crossref","first-page":"46","DOI":"10.18528\/gii180016","article-title":"TOKYO criteria: Standardized reporting system for endoscopic biliary stent placement","volume":"7","author":"Hamada","year":"2018","journal-title":"Gastrointestinal Interv"},{"key":"10.1016\/j.cgh.2025.05.025_bib24","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1016\/j.gie.2021.11.038","article-title":"Novel classification for adverse events in GI endoscopy: the AGREE classification","volume":"95","author":"Nass","year":"2022","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.cgh.2025.05.025_bib25","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1055\/a-1324-7919","article-title":"Efficacy of lumen-apposing metal stents or self-expandable metal stents for endoscopic ultrasound-guided choledochoduodenostomy: a systematic review and meta-analysis","volume":"53","author":"Amato","year":"2021","journal-title":"Endoscopy"},{"key":"10.1016\/j.cgh.2025.05.025_bib26","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.gie.2021.09.040","article-title":"EUS-guided choledochoduodenostomy with electrocautery-enhanced lumen-apposing metal stents in patients with malignant distal biliary obstruction: multicenter collaboration from the United Kingdom and Ireland","volume":"95","author":"On","year":"2022","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.cgh.2025.05.025_bib27","doi-asserted-by":"crossref","first-page":"3321","DOI":"10.1007\/s10620-019-05688-2","article-title":"EUS-guided choledochoduodenostomy for distal malignant biliary obstruction using electrocautery-enhanced lumen-apposing metal stents: First US, multicenter experience","volume":"64","author":"El Chafic","year":"2019","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.cgh.2025.05.025_bib28","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1055\/a-2134-3537","article-title":"Endoscopic ultrasound-guided choledochoduodenostomy using single-step lumen-apposing metal stents for primary drainage of malignant distal biliary obstruction (SCORPION-p): a prospective pilot study","volume":"56","author":"Fritzsche","year":"2024","journal-title":"Endoscopy"},{"key":"10.1016\/j.cgh.2025.05.025_bib29","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1186\/s13063-022-06106-1","article-title":"Multicenter study of lumen-apposing metal stents with or without pigtail in endoscopic ultrasound-guided biliary drainage for malignant obstruction-BAMPI TRIAL: an open-label, randomized controlled trial protocol","volume":"23","author":"Garcia-Sumalla","year":"2022","journal-title":"Trials"},{"key":"10.1016\/j.cgh.2025.05.025_bib30","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1111\/den.14445","article-title":"Classification, risk factors, and management of lumen apposing metal stent dysfunction during follow-up of endoscopic ultrasound-guided choledochoduodenostomy: multicenter evaluation from the Leuven-Amsterdam-Milan Study Group","volume":"35","author":"Vanella","year":"2023","journal-title":"Dig Endosc"},{"key":"10.1016\/j.cgh.2025.05.025_bib31","doi-asserted-by":"crossref","first-page":"46","DOI":"10.18528\/gii180016","article-title":"TOKYO criteria: Standardized reporting system for endoscopic biliary stent placement","volume":"7","author":"Hamada","year":"2018","journal-title":"Gastrointestinal Interv"},{"key":"10.1016\/j.cgh.2025.05.025_bib32","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1016\/j.gie.2021.11.038","article-title":"Novel classification for adverse events in GI endoscopy: the AGREE classification","volume":"95","author":"Nass","year":"2022","journal-title":"Gastrointest Endosc"}],"container-title":["Clinical Gastroenterology and Hepatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1542356525006111?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1542356525006111?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T07:17:21Z","timestamp":1779607041000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1542356525006111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S1542356525006111"],"URL":"https:\/\/doi.org\/10.1016\/j.cgh.2025.05.025","relation":{},"ISSN":["1542-3565"],"issn-type":[{"value":"1542-3565","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Lumen-Apposing Stents With or Without Pigtail in Endosonography-Guided Biliary Drainage for Malignant Distal Biliary Obstruction","name":"articletitle","label":"Article Title"},{"value":"Clinical Gastroenterology and Hepatology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cgh.2025.05.025","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc. on behalf of the AGA Institute.","name":"copyright","label":"Copyright"}]}}