{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:31:37Z","timestamp":1792089097683,"version":"4.4.0"},"reference-count":32,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","giejournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gastrointestinal Endoscopy"],"published-print":{"date-parts":[[2022,5]]},"DOI":"10.1016\/j.gie.2021.12.032","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T10:54:49Z","timestamp":1641293689000},"page":"896-904.e1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":57,"title":["EUS-guided choledochoduodenostomy for malignant distal biliary obstruction after failed ERCP: a retrospective nationwide analysis"],"prefix":"10.1016","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0485-4903","authenticated-orcid":false,"given":"Alessandro","family":"Fugazza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Fabbri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Di Mitri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Chiara","family":"Petrone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Colombo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Cugia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaldo","family":"Amato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Forti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Binda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Maida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Sinagra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Repici","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Tarantino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Anderloni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio","family":"Donato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Germana","family":"de Nucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Manno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Pollino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Macchiarelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Leone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Badas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Lovera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elia","family":"Armellini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Redaelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedetto","family":"Mangiavillano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario Luciano","family":"Brancaccio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabia","family":"Attili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Togliani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Aragona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kareem","family":"Khalaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabetta","family":"Conte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.gie.2021.12.032_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\u2014updated October 2017","volume":"50","author":"Dumonceau","year":"2018","journal-title":"Endoscopy"},{"key":"10.1016\/j.gie.2021.12.032_bib2","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1097\/MCG.0000000000000275","article-title":"Drainage-related complications in percutaneous transhepatic biliary drainage: an analysis over 10 years","volume":"49","author":"Nennstiel","year":"2015","journal-title":"J\u00a0Clin Gastroenterol"},{"key":"10.1016\/j.gie.2021.12.032_bib3","doi-asserted-by":"crossref","first-page":"3857","DOI":"10.3748\/wjg.v25.i29.3857","article-title":"Lumen-apposing metal stents for malignant biliary obstruction: Is this the ultimate horizon of our experience?","volume":"25","author":"Anderloni","year":"2019","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.gie.2021.12.032_bib4","first-page":"535","article-title":"Current uses and outcomes of lumen-apposing metal stents","volume":"31","author":"Mussetto","year":"2018","journal-title":"Ann Gastroenterol"},{"key":"10.1016\/j.gie.2021.12.032_bib5","doi-asserted-by":"crossref","first-page":"193","DOI":"10.2147\/CEG.S203626","article-title":"Endoscopic ultrasound-guided gallbladder drainage: current perspectives","volume":"13","author":"Fugazza","year":"2020","journal-title":"Clin Exp Gastroenterol"},{"key":"10.1016\/j.gie.2021.12.032_bib6","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1016\/j.gie.2019.11.021","article-title":"International multicenter comprehensive analysis of adverse events associated with lumen-apposing metal stent placement for pancreatic fluid collection drainage","volume":"91","author":"Fugazza","year":"2020","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.gie.2021.12.032_bib7","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1055\/a-1096-3299","article-title":"Endoscopic ultrasound-guided drainage of pancreatic walled-off necrosis using 20-mm versus 15-mm lumen-apposing metal stents: an international, multicenter, case-matched study","volume":"52","author":"Parsa","year":"2020","journal-title":"Endoscopy"},{"key":"10.1016\/j.gie.2021.12.032_bib8","doi-asserted-by":"crossref","first-page":"5002","DOI":"10.1007\/s00464-016-4845-6","article-title":"EUS-guided choledochoduodenostomy for malignant distal biliary obstruction using a lumen-apposing fully covered metal stent after failed ERCP","volume":"30","author":"Kunda","year":"2016","journal-title":"Surg Endosc"},{"key":"10.1016\/j.gie.2021.12.032_bib9","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.gie.2021.12.032_bib10","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.gie.2021.12.032_bib11","first-page":"125","article-title":"Beyond palliation: using EUS-guided choledochoduodenostomy with a lumen-apposing metal stent as a bridge to surgery. A case series","volume":"28","author":"Fabbri","year":"2019","journal-title":"J\u00a0Gastrointest Liver Dis"},{"issue":"Suppl 01","key":"10.1016\/j.gie.2021.12.032_bib12","first-page":"E321","article-title":"Single-session double-stent placement in concomitant malignant biliary and duodenal obstruction with a cautery-tipped lumen apposing metal stent","volume":"48","author":"Anderloni","year":"2016","journal-title":"Endoscopy"},{"key":"10.1016\/j.gie.2021.12.032_bib13","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.gie.2021.12.032_bib14","article-title":"Safety issues in endoscopy ultrasound-guided interventions using lumen apposing metal stents: a review of the literature","author":"Auriemma","year":"2021","journal-title":"Min Gastroenterol"},{"key":"10.1016\/j.gie.2021.12.032_bib15","doi-asserted-by":"crossref","first-page":"E25","DOI":"10.1055\/s-0042-122009","article-title":"Intra-channel stent release technique for fluoroless endoscopic ultrasound-guided lumen-apposing metal stent placement: changing the paradigm","volume":"5","author":"Anderloni","year":"2017","journal-title":"Endosc Int Open"},{"key":"10.1016\/j.gie.2021.12.032_bib16","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.gie.2009.10.027","article-title":"A\u00a0lexicon for endoscopic adverse events: report of an ASGE workshop","volume":"71","author":"Cotton","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.gie.2021.12.032_bib17","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.gie.2020.01.055","article-title":"EUS-guided choledochoduodenostomy by use of electrocautery-enhanced lumen-apposing metal stents: a French multicenter study after implementation of the technique (with video)","volume":"92","author":"Jacques","year":"2020","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.gie.2021.12.032_bib18","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1136\/gutjnl-2017-314341","article-title":"Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND\/UCLA expert panel","volume":"67","author":"Teoh","year":"2018","journal-title":"Gut"},{"key":"10.1016\/j.gie.2021.12.032_bib19","doi-asserted-by":"crossref","first-page":"E964","DOI":"10.1055\/a-0915-2098","article-title":"Outcomes of an international multicenter registry on EUS-guided gallbladder drainage in patients at high risk for cholecystectomy","volume":"7","author":"Teoh","year":"2019","journal-title":"Endosc Int Open"},{"key":"10.1016\/j.gie.2021.12.032_bib20","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1016\/j.gie.2020.09.041","article-title":"Assessment of the learning curve for EUS-guided gastroenterostomy for a single operator","volume":"93","author":"Jovani","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.gie.2021.12.032_bib21","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1016\/j.gie.2019.01.030","article-title":"Setting minimum standards for training in EUS and ERCP: results from a prospective multicenter study evaluating learning curves and competence among advanced endoscopy trainees","volume":"89","author":"Wani","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.gie.2021.12.032_bib22","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1016\/j.gie.2010.12.036","article-title":"Grading the complexity of endoscopic procedures: results of an ASGE working party","volume":"73","author":"Cotton","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.gie.2021.12.032_bib23","doi-asserted-by":"crossref","unstructured":"Fugazza A, Troncone E, Amato A, et al. Difficult biliary cannulation in patients with distal malignant biliary obstruction: an underestimated problem? Dig Liver Dis. Epub 2021 Aug 4.","DOI":"10.1016\/j.dld.2021.07.010"},{"key":"10.1016\/j.gie.2021.12.032_bib24","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1007\/s11605-018-3758-1","article-title":"Clinical impact of the intra-scope channel stent release technique in preventing stent migration during EUS-guided hepaticogastrostomy","volume":"22","author":"Miyano","year":"2018","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.gie.2021.12.032_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.gie.2021.12.032_bib26","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/MCG.0000000000000948","article-title":"EUS-guided choledochoduodenostomy versus hepaticogastrostomy: a systematic review and meta-analysis","volume":"52","author":"Uemura","year":"2018","journal-title":"J\u00a0Clin Gastroenterol"},{"key":"10.1016\/j.gie.2021.12.032_bib27","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.gie.2021.12.032_bib28","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.amjsurg.2020.07.025","article-title":"Preoperative cholangitis is an independent risk factor for mortality in patients after pancreatoduodenectomy for pancreatic cancer","volume":"221","author":"Darnell","year":"2021","journal-title":"Am J Surg"},{"key":"10.1016\/j.gie.2021.12.032_bib29","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.gie.2021.12.032_bib30","doi-asserted-by":"crossref","first-page":"1847","DOI":"10.3748\/wjg.v26.i16.1847","article-title":"Malignant gastric outlet obstruction: Which is the best therapeutic option?","volume":"26","author":"Troncone","year":"2020","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.gie.2021.12.032_bib31","first-page":"323","article-title":"EUS-guided gastroenterostomy vs duodenal stenting for the palliation of malignant gastric outlet obstruction","volume":"15","author":"Khashab","year":"2019","journal-title":"Gastroenterol Hepatol"},{"key":"10.1016\/j.gie.2021.12.032_bib32","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1016\/j.gie.2015.06.017","article-title":"EUS-guided gastroenterostomy: the first U.S. clinical experience (with video)","volume":"82","author":"Khashab","year":"2015","journal-title":"Gastrointest Endosc"}],"container-title":["Gastrointestinal Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0016510721019465?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0016510721019465?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T10:00:26Z","timestamp":1762164026000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0016510721019465"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":32,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["S0016510721019465"],"URL":"https:\/\/doi.org\/10.1016\/j.gie.2021.12.032","relation":{},"ISSN":["0016-5107"],"issn-type":[{"value":"0016-5107","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"EUS-guided choledochoduodenostomy for malignant distal biliary obstruction after failed ERCP: a retrospective nationwide analysis","name":"articletitle","label":"Article Title"},{"value":"Gastrointestinal Endoscopy","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.gie.2021.12.032","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 by the American Society for Gastrointestinal Endoscopy","name":"copyright","label":"Copyright"}]}}