{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T04:13:16Z","timestamp":1741752796227,"version":"3.38.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Endosc Ultrasound"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:sec>\n            <jats:title>Background and Objectives<\/jats:title>\n            <jats:p>Recent technological advances in interventional EUS have improved EUS-guided drainage\/anastomosis (EUS-D\/A), yet challenges remain. This study evaluated the safety and feasibility of a square flare fully covered self-expandable metallic stent (SF-FCSEMS) with anti-migration properties for EUS-D\/A.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This retrospective cohort study was performed at 2 academic centers and analyzed patients who underwent SF-FCSEMS placement for EUS-D\/A from April 2015 to November 2022. We have used an SF-FCSEMS that has a square flare at both ends that is 4 mm larger in diameter than the stent body, providing an anti-migration effect.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Thirty-six patients (median age: 74 years), 41.6% male, were included. Malignancies accounted for 83.3%. Among the EUS-D\/A procedure types, EUS-abscess drainage was performed in 52.8%, EUS-guided gallbladder drainage in 30.6%, and EUS-guided abscess drainage in 16.7%. The technical success rate was 97.2%, and the clinical success rate was 97.1%. The median procedure time was 36 minutes, with puncture tract dilation conducted in all cases. Adverse events occurred in 11.1%; recurrent symptoms were observed in 11.8%, with no migration. SF-FCSEMS removal was performed in 26.5% of patients during the follow-up period, with a median duration of 154 days. The total cost of deploying SF-FCSEMS was approximately 40% less than that of using lumen apposing metal stent.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>EUS-D\/A with an SF-FCSEMS, which has anti-migration properties, not only was effective and feasible in the present study but also demonstrated a cost advantage.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/eus.0000000000000099","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T03:00:07Z","timestamp":1740538807000},"page":"20-25","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy and safety of a fully covered self-expandable metallic stent equipped with square flare in EUS\u2013guided drainage\/anastomosis: A multicenter retrospective study"],"prefix":"10.1097","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4331-7900","authenticated-orcid":false,"given":"Sho","family":"Takahashi","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saburo","family":"Matsubara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Hidaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshio","family":"Fujisawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Otsuka","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Hidaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Suda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Hidaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mako","family":"Ushio","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taito","family":"Fukuma","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinori","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Takasaki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ko","family":"Tomishima","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeto","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumiko","family":"Nagoshi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Hidaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3308-9326","authenticated-orcid":false,"given":"Hiroyuki","family":"Isayama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"key":"bib1-20250311","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1002\/jhbp.631","article-title":"Clinical practice guidelines for safe performance of endoscopic ultrasound\/ultrasonography-guided biliary drainage: 2018","volume":"26","year":"2019","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"bib2-20250311","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1055\/s-0042-122011","article-title":"Long-term outcome of endoscopic ultrasound\u2013guided pelvic abscess drainage: a two-center series","volume":"49","year":"2017","journal-title":"Endoscopy"},{"key":"bib3-20250311","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1177\/1756283X13506178","article-title":"Endoscopic ultrasound\u2013guided hepatic and perihepatic abscess drainage: an evolving technique","volume":"7","year":"2014","journal-title":"Therap Adv Gastroenterol"},{"key":"bib4-20250311","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1055\/s-0030-1256127","article-title":"A novel lumen-apposing stent for transluminal drainage of nonadherent extraintestinal fluid collections","volume":"43","year":"2011","journal-title":"Endoscopy"},{"key":"bib5-20250311","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/j.gie.2021.05.020","article-title":"Lumen-apposing metal stents (with videos)","volume":"94","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"bib6-20250311","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1007\/s10620-015-3841-3","article-title":"Clinical outcome of endoscopic ultrasound\u2013guided liver abscess drainage using self-expandable covered metallic stent (with video)","volume":"61","year":"2016","journal-title":"Dig Dis Sci"},{"issue":"Suppl 2","key":"bib7-20250311","first-page":"E331","article-title":"Endoscopic ultrasound\u2013guided drainage of giant liver abscess associated with transgastric migration of a self-expandable metallic stent","volume":"45","year":"2013","journal-title":"Endoscopy"},{"key":"bib8-20250311","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/den.14406","article-title":"Measurement of the anchoring force of covered self-expandable and lumen-apposing metal stents for interventional endoscopic ultrasonography","volume":"35","year":"2023","journal-title":"Dig Endosc"},{"key":"bib9-20250311","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1055\/s-0042-116595","article-title":"Safety and effectiveness of a long, partially covered metal stent for endoscopic ultrasound\u2013guided hepaticogastrostomy in patients with malignant biliary obstruction","volume":"48","year":"2016","journal-title":"Endoscopy"},{"key":"bib10-20250311","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1111\/den.13621","article-title":"\u201cClipFlap\u201d anchoring method for endoscopic ultrasonography\u2013guided hepaticogastrostomy with a covered self-expandable metallic stent","volume":"32","year":"2020","journal-title":"Dig Endosc"},{"key":"bib11-20250311","first-page":"e19","article-title":"EUS-guided cholecystoduodenostomy using novel dumbbell-shaped fully covered metal stent (with video)","volume":"28","year":"2021","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"bib12-20250311","doi-asserted-by":"crossref","first-page":"266","DOI":"10.4103\/EUS-D-22-00104","article-title":"A pilot study of spring stopper stents: novel partially covered self-expandable metallic stents with anti-migration properties for EUS-guided hepaticogastrostomy","volume":"12","year":"2023","journal-title":"Endosc Ultrasound"},{"key":"bib13-20250311","doi-asserted-by":"crossref","first-page":"6917","DOI":"10.3748\/wjg.v22.i30.6917","article-title":"Evaluation of anti-migration properties of biliary covered self-expandable metal stents","volume":"22","year":"2016","journal-title":"World J Gastroenterol"},{"key":"bib14-20250311","doi-asserted-by":"crossref","first-page":"2194","DOI":"10.1007\/s11605-018-3901-z","article-title":"Pilot study of dumbbell-type covered self-expandable metal stent deployment for benign pancreatic duct stricture (with videos)","volume":"22","year":"2018","journal-title":"J Gastrointest Surg"},{"key":"bib15-20250311","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.1111\/jgh.14602","article-title":"Usefulness of newly modified fully covered metallic stent of 12 mm in diameter and anti-migration feature for periampullary malignant biliary strictures: comparison with conventional standard metal stent","volume":"34","year":"2019","journal-title":"J Gastroenterol Hepatol"},{"key":"bib16-20250311","doi-asserted-by":"crossref","first-page":"21100","DOI":"10.1038\/s41598-022-25186-2","article-title":"Efficacy of a novel self-expandable metal stent with dumbbell-shaped flare ends for distal biliary obstruction due to unresectable pancreatic cancer","volume":"12","year":"2022","journal-title":"Sci Rep"},{"key":"bib17-20250311","doi-asserted-by":"crossref","first-page":"3524","DOI":"10.3390\/jcm12103524","article-title":"Endoscopic ultrasound\u2013guided gastrojejunostomy for malignant afferent loop syndrome using a fully covered metal stent: a multicenter experience","volume":"12","year":"2023","journal-title":"J Clin Med"},{"key":"bib18-20250311","doi-asserted-by":"crossref","first-page":"275","DOI":"10.4103\/sjg.sjg_81_21","article-title":"Usefulness of routine plain CT the day after an interventional EUS procedure","volume":"27","year":"2021","journal-title":"Saudi J Gastroenterol"},{"key":"bib19-20250311","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.gie.2009.10.027","article-title":"A lexicon for endoscopic adverse events: report of an ASGE workshop","volume":"71","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"bib20-20250311","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1111\/den.12379","article-title":"TOKYO criteria 2014 for transpapillary biliary stenting","volume":"27","year":"2015","journal-title":"Dig Endosc"},{"issue":"Suppl 2","key":"bib21-20250311","first-page":"E126","article-title":"Migration of a covered metallic stent following endoscopic ultrasound\u2013guided hepaticogastrostomy: fatal complication","volume":"42","year":"2010","journal-title":"Endoscopy"},{"key":"bib22-20250311","doi-asserted-by":"crossref","first-page":"E362","DOI":"10.1055\/a-1997-9382","article-title":"Endoscopic ultrasound\u2013guided gastroenterostomy using a novel dumbbell-shaped fully covered metal stent for afferent loop syndrome with long interluminal distance","volume":"55","year":"2023","journal-title":"Endoscopy"},{"key":"bib23-20250311","doi-asserted-by":"crossref","first-page":"448","DOI":"10.4103\/EUS-D-20-00130","article-title":"Endoscopic gallbladder drainage for acute cholecystitis with high-risk surgical patients between transduodenal and transpapillary stenting","volume":"10","year":"2021","journal-title":"Endosc Ultrasound"},{"key":"bib24-20250311","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1016\/j.gie.2016.08.014","article-title":"Fully covered self-expanding metal stents versus lumen-apposing fully covered self-expanding metal stent versus plastic stents for endoscopic drainage of pancreatic walled-off necrosis: clinical outcomes and success","volume":"85","year":"2017","journal-title":"Gastrointest Endosc"}],"container-title":["Endoscopic Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/eus.0000000000000099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T04:00:45Z","timestamp":1741665645000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/eus.0000000000000099"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/eus.0000000000000099","relation":{},"ISSN":["2226-7190","2303-9027"],"issn-type":[{"type":"electronic","value":"2226-7190"},{"type":"print","value":"2303-9027"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}