{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:33:03Z","timestamp":1790778783773,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,1,11]],"date-time":"2021-01-11T00:00:00Z","timestamp":1610323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Long\u2010term placement of lumen apposing metal stents (LAMS) with high lumen apposing force may result in adverse events. The aim of the current study was to assess the long\u2010term efficacy and safety of a self\u2010approximating LAMS with lower lumen apposing force for endoscopic ultrasound\u2010guided choledochoduodenostomy (EUS\u2010CDS) and \u2010gallbladder drainage (EUS\u2010GBD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Five Asian institutions participated in this study. Consecutive patients suffering from obstructive jaundice with failed ERCP or acute cholecystitis that were at high risk for cholecystectomy were recruited. We evaluated the technical and clinical success rates, adverse events rates, types of interventions through the stent and the patency profile.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From June 2017 to Oct 2018, a total of 53 patients received EUS\u2010CDS (26) and EUS\u2010GBD (27). The technical and clinical success rates were similar between the two groups (88.5% vs 88.9%, <jats:italic>P<\/jats:italic>\u00a0=\u00a01 and 88.5% vs 88.9%, <jats:italic>P<\/jats:italic>\u00a0=\u00a01 respectively). The differences in 30\u2010day mortality rates [2 (7.7%) vs 2 (7.7%), <jats:italic>P<\/jats:italic>\u00a0=\u00a01] and adverse events [3 (11.5%) vs 3 (11.5%), <jats:italic>P<\/jats:italic>\u00a0=\u00a01] did not reach significance. Regarding long\u2010term outcomes, two patients in each group suffered from adverse events (<jats:italic>P<\/jats:italic>\u00a0=\u00a01). One patient in the EUS\u2010GBD group who was on direct oral anticoagulant suffered from stent induced bleeding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The self\u2010approximating LAMS with lower lumen apposing force was effective and safe with a low risk of buried stent syndrome and bleeding in the longer term.<\/jats:p><jats:p>The ClinicalTrials.gov Identifier was NCT03002051.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.13911","type":"journal-article","created":{"date-parts":[[2020,12,7]],"date-time":"2020-12-07T16:43:19Z","timestamp":1607359399000},"page":"1139-1145","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Use of a novel lumen apposing metallic stent for drainage of the bile duct and gallbladder: Long term outcomes of a prospective international trial"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1885-8035","authenticated-orcid":false,"given":"Anthony Yuen Bun","family":"Teoh","sequence":"first","affiliation":[{"name":"Department of Surgery Prince of Wales Hospital The Chinese University of Hong Kong Shatin Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5798-9217","authenticated-orcid":false,"given":"Pradermchai","family":"Kongkam","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Department of Medicine King Chulalongkorn Memorial Hospital Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amol","family":"Bapaye","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Deenanath Mangeshkar Hospital Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thawee","family":"Ratanachu","sequence":"additional","affiliation":[{"name":"Department of Surgery Rajavithi Hospital Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rungsun","family":"Reknimitr","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Department of Medicine King Chulalongkorn Memorial Hospital Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7562-8060","authenticated-orcid":false,"given":"Sundeep","family":"Lakthakia","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Asian Institute of Gastroenterology Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6280-4176","authenticated-orcid":false,"given":"Shannon Melissa","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Surgery Prince of Wales Hospital The Chinese University of Hong Kong Shatin Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harshal P.","family":"Gadhikar","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Deenanath Mangeshkar Hospital Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sravan Kumar","family":"Korrapati","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Deenanath Mangeshkar Hospital Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun Nah","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine SoonChunHyang University College of Medicine Bucheon Hospital Bucheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jahangeer","family":"Medarapalem","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Asian Institute of Gastroenterology Hyderabad 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