{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T05:18:35Z","timestamp":1780636715742,"version":"3.54.1"},"reference-count":43,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,1,27]],"date-time":"2024-01-27T00:00:00Z","timestamp":1706313600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Malignant distal biliary obstructions are becoming increasingly common, especially in patients with cancers of the pancreatic head, despite progress in medical oncology research. ERCP is the current gold standard for management of such strictures, but the emergence of EC-LAMS has rendered EUS-CDS both safe and efficient. It is a \u201cgame changer\u201d; originally intended for ERCP failure, two randomised clinical trials recently proposed EUS-CDS as a first-intent procedure in palliative settings. For resectable diseases, the absence of iatrogenic pancreatitis associated with a lower rate of postsurgical adverse events (compared with ERCP) leads us to believe that EUS-CDS might be used in first-intent as a pre-operative endoscopic biliary drainage.<\/jats:p>","DOI":"10.3390\/medicina60020220","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T08:11:27Z","timestamp":1706515887000},"page":"220","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Will Endoscopic-Ultrasound-Guided Choledocoduodenostomy with Electrocautery-Enhanced Lumen-Apposing Metal Stent Placement Replace Endoscopic Retrograde Cholangiopancreatography When Treating Distal Malignant Biliary Obstructions?"],"prefix":"10.3390","volume":"60","author":[{"given":"Thomas","family":"Guilmoteau","sequence":"first","affiliation":[{"name":"Hepatogastroenterology, Centre Hospitalier Universitaire Dupuytren, 87000 Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9r\u00e9mie","family":"Albouys","sequence":"additional","affiliation":[{"name":"Hepatogastroenterology, Centre Hospitalier Universitaire Dupuytren, 87000 Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelkader","family":"Taibi","sequence":"additional","affiliation":[{"name":"Hepatogastroenterology, Centre Hospitalier Universitaire Dupuytren, 87000 Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Legros","sequence":"additional","affiliation":[{"name":"Hepatogastroenterology, Centre Hospitalier Universitaire Dupuytren, 87000 Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5002-0486","authenticated-orcid":false,"given":"Marion","family":"Schaefer","sequence":"additional","affiliation":[{"name":"Hepatogastroenterology, Nancy Regional University Hospital Center, 54500 Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9r\u00e9mie","family":"Jacques","sequence":"additional","affiliation":[{"name":"Hepatogastroenterology, Centre Hospitalier Universitaire Dupuytren, 87000 Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.giec.2012.12.009","article-title":"Endoscopic Management of Malignant Bile Duct Strictures","volume":"23","author":"Webb","year":"2013","journal-title":"Gastrointest. 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