{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:30:28Z","timestamp":1782862228657,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Endoscopic ultrasound\u2010guided gallbladder drainage (EUS\u2010GBD) is a promising therapeutic option for surgically unfit patients with acute cholecystitis. Data on the use of fully covered self\u2010expandable metal stents (FCSEMSs) in this setting remain limited, especially in the cancer population. We describe a simplified needle\u2010to\u2010stent EUS\u2010GBD technique and report its early clinical outcomes using a 19\u2010gauge Franseen\u2010tip FNB needle and a modified slim FCSEMS. We applied this technique in consecutive patients with acute cholecystitis secondary to malignant biliary obstruction between September 2022 and September 2025. Early outcomes were technical and clinical success, adverse events, and 30\u2010day mortality. Eighteen patients were included. The median gallbladder size was 90\u2009mm, and the wall\u2010to\u2010lumen puncture distance was 15\u2009mm. The first part of the duodenum was the main access route (88.9%). Both technical and clinical success rates were 100%. Over a median follow\u2010up of 6\u2009months, one patient (5.6%) developed recurrent cholecystitis, which was successfully treated endoscopically. No severe adverse event or 30\u2010day mortality occurred. This technique is both feasible and safe.<\/jats:p>","DOI":"10.1111\/den.70152","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T07:26:06Z","timestamp":1775633166000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Endoscopic Ultrasound\u2010Guided Gallbladder Drainage Using a 19\u2010Gauge Needle and a Modified Slim Metal Stent: A Simplified Approach (With Video)"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6345-8921","authenticated-orcid":false,"given":"Alan","family":"Chuncharunee","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital Mahidol University  Bangkok Thailand"},{"name":"Department of Gastroenterology, Aichi Cancer Center Hospital  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Hara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Aichi Cancer Center Hospital  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7578-5610","authenticated-orcid":false,"given":"Shin","family":"Haba","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Aichi Cancer Center Hospital  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8348-8926","authenticated-orcid":false,"given":"Takamichi","family":"Kuwahara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Aichi Cancer Center Hospital  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6376-687X","authenticated-orcid":false,"given":"Nozomi","family":"Okuno","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Aichi Cancer Center Hospital  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimpei","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Aichi Cancer Center Hospital  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Koda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Aichi Cancer Center Hospital  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keigo","family":"Oshiro","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Aichi Cancer Center Hospital  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuma","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Aichi Cancer Center Hospital  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2019-319996"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07409-7"},{"issue":"2","key":"e_1_2_10_4_1","first-page":"142","article-title":"Endoscopic Ultrasound\u2010Guided Gallbladder Drainage: A Technical Review","volume":"34","author":"Rana S. 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