{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:01:22Z","timestamp":1777586482647,"version":"3.51.4"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n            Background Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is an alternative for biliary drainage in patients with obstructive pancreaticobiliary pathology when endoscopic retrograde cholangiopancreatography (ERCP) is not feasible. Despite its effectiveness, EUS-HGS is associated with a significant risk of adverse events. This study aimed to evaluate the feasibility and safety of a newly designed dedicated cautery-enhanced tubular self-expandable metal stent (SEMS) for EUS-HGS.<\/jats:p><jats:p>\n            Methods This multicenter prospective study included patients with malignant biliary obstruction in whom ERCP had failed because of tumor infiltration, inability to drain the intrahepatic ducts, or surgically altered anatomy. A dedicated cautery-enhanced tubular SEMS was used for EUS-HGS. Technical and clinical success rates, procedure times, and adverse events were evaluated.<\/jats:p><jats:p>\n            Results 20 patients underwent EUS-HGS with the dedicated stent. Technical and clinical success rates of 100% were achieved, with no reported severe adverse events or mortality. The median procedure time was 16 minutes. Recurrent biliary obstruction was observed in 1 patient.<\/jats:p><jats:p>\n            Conclusions The dedicated cautery-enhanced tubular SEMS for EUS-HGS can simplify the procedure and enhance its safety and efficacy. This innovation shows promise for improving patient outcomes, although further studies are needed to validate these findings in a broader patient population.<\/jats:p>","DOI":"10.1055\/a-2340-7432","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T23:01:36Z","timestamp":1717801296000},"page":"864-869","source":"Crossref","is-referenced-by-count":6,"title":["Dedicated cautery-enhanced tubular self-expandable metal stent for endoscopic ultrasound-guided hepaticogastrostomy: feasibility study"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9623-1389","authenticated-orcid":false,"given":"Jorge","family":"Vargas-Madrigal","sequence":"additional","affiliation":[{"name":"Gastroenterology, Hospital San Juan de Dios, Caja Costarricense de Seguro Social, San Jose, Costa Rica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6280-4176","authenticated-orcid":false,"given":"Shannon M.","family":"Chan","sequence":"additional","affiliation":[{"name":"Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jahnvi","family":"Dhar","sequence":"additional","affiliation":[{"name":"Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1885-8035","authenticated-orcid":false,"given":"Anthony Y.B.","family":"Teoh","sequence":"additional","affiliation":[{"name":"Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9277-5086","authenticated-orcid":false,"given":"Jayanta","family":"Samanta","sequence":"additional","affiliation":[{"name":"Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4497-9209","authenticated-orcid":false,"given":"Sundeep","family":"Lakhtakia","sequence":"additional","affiliation":[{"name":"Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Giovannini","sequence":"additional","affiliation":[{"name":"Gastroenterology, Institut Paoli-Calmettes, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,7,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"3945","DOI":"10.5009\/gnl20096","article-title":"Technical tips for endoscopic ultrasound-guided hepaticogastrostomy","volume":"22","author":"T Ogura","year":"2016","journal-title":"World J Gastroenterol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e274","DOI":"10.1002\/deo2.274","article-title":"Endoscopic ultrasound\u2010guided hepaticogastrostomy versus choledochoduodenostomy for malignant biliary obstruction: A meta\u2010analysis","volume":"4","author":"H Yamazaki","year":"2024","journal-title":"DEN Open"},{"key":"ref3","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":"A Miyano","year":"2018","journal-title":"J Gastrointest Surg"},{"key":"ref4","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":"KJ Nass","year":"2022","journal-title":"Gastrointest Endosc"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"E175","DOI":"10.1055\/s-0041-109083","article-title":"International multicenter comparative trial of transluminal EUS-guided biliary drainage via hepatogastrostomy vs. choledochoduodenostomy approaches","volume":"04","author":"MA Khashab","year":"2016","journal-title":"Endosc Int Open"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1016\/j.gie.2011.07.054","article-title":"EUS-guided biliary drainage with transluminal stenting after failed ERCP: predictors of adverse events and long-term results","volume":"74","author":"DH Park","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"376","DOI":"10.4103\/eus.eus_2_18","article-title":"Safety and efficacy of ultra-tapered mechanical dilator for EUS-guided hepaticogastrostomy and pancreatic duct drainage compared with electrocautery dilator (with video)","volume":"7","author":"M Honjo","year":"2018","journal-title":"Endosc Ultrasound"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1111\/jgh.13489","article-title":"Prospective clinical study of endoscopic ultrasound\u2010guided biliary drainage using novel balloon catheter (with video)","volume":"32","author":"M Amano","year":"2017","journal-title":"J Gastroenterol Hepatol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/j.gie.2020.03.3856","article-title":"Long-term outcomes of a long, partially covered metal stent for EUS-guided hepaticogastrostomy in patients with malignant biliary obstruction (with video)","volume":"92","author":"Y Nakai","year":"2020","journal-title":"Gastrointest Endosc"}],"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2340-7432.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T15:49:12Z","timestamp":1730821752000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2340-7432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,7]]},"references-count":9,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,10,30]]},"published-print":{"date-parts":[[2024,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2340-7432","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,6,7]]},"published":{"date-parts":[[2024,6,7]]}}}