{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T04:03:46Z","timestamp":1793160226699,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T00:00:00Z","timestamp":1633564800000},"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":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Cholecystectomy and endoscopic retrograde cholangiopancreatography are the gold standard for managing acute cholecystitis and malignant biliary obstruction, respectively. Recent advances in therapeutic endoscopic ultrasound (EUS) have provided alternatives for managing patients in whom these approaches fail, namely, EUS\u2010guided gallbladder drainage (EUS\u2010GB) and EUS\u2010guided bile duct drainage (EUS\u2010BD). We aimed to assess the technical and clinical success of these techniques in the largest multicenter cohort published to date.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective, multicenter, observational study involving 17 centers across Australia and New Zealand was conducted. All patients who had EUS\u2010GB or EUS\u2010BD performed in a participating center using a lumen apposing metal stent between 2016 and 2020 were included. Primary outcome was technical success, defined as intra\u2010procedural successful drainage. Secondary outcomes included clinical success and 30\u2010day mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and fifteen patients underwent EUS\u2010GB (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a049) or EUS\u2010BD (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a066). EUS\u2010GB was technically successful in 47 (95.9%) while EUS\u2010BD was successful in 60 (90.9%). All failed cases were due to maldeployment of the distal flange outside of the targeted lumen. Clinical success of EUS\u2010GB was achieved in 39 (79.6%). No patients required subsequent cholecystectomy. Clinical success of EUS\u2010BD was achieved in 52 (78.8 %). Thirty\u2010day mortality was 14.3% for EUS\u2010GB and 12.1% for EUS\u2010BD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EUS\u2010guided gallbladder drainage and EUS\u2010BD are promising alternatives for managing nonsurgical candidates with cholecystitis and malignant biliary obstruction following failed endoscopic retrograde pancreatography. Both techniques delivered high technical success with acceptable clinical success. Further research is needed to investigate the gap between technical and clinical success.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgh.15688","type":"journal-article","created":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T11:37:55Z","timestamp":1632569875000},"page":"179-189","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Endoscopic ultrasound\u2010guided gallbladder and bile duct drainage with lumen apposing metal stent: A large multicenter cohort (with videos)"],"prefix":"10.1111","volume":"37","author":[{"given":"Anton","family":"Rajadurai","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7921-5631","authenticated-orcid":false,"given":"Leonardo","family":"Zorron Cheng Tao Pu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rees","family":"Cameron","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Tagkalidis","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronte","family":"Holt","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan","family":"Bassan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Croagh","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Swan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Payal","family":"Saxena","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2569-5163","authenticated-orcid":false,"given":"Marios","family":"Efthymiou","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhys","family":"Vaughan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujievvan","family":"Chandran","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"ANZEC","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,7]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"735","article-title":"Endoscopic ultrasound\u2010guided transmural drainage by cauterytipped lumen\u2010apposing metal stent: exploring the possible indications","volume":"31","author":"Anderloni A","year":"2018","journal-title":"Ann. 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