Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2024; 12(26): 5859-5862
Published online Sep 16, 2024. doi: 10.12998/wjcc.v12.i26.5859
Endoscopic ultrasound-guided biliary drainage using electrocautery-enhanced lumen-apposing metal stent for malignant biliary obstruction: A promising procedure
Si-Ze Wu
Si-Ze Wu, Department of Ultrasound, The First Affiliated Hospital of Hainan Medical University, Haikou 570102, Hainan Province, China
Author contributions: Wu SZ conceptualized and wrote the manuscript.
Conflict-of-interest statement: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Si-Ze Wu, MD, Chief Physician, Professor, Department of Ultrasound, The First Affiliated Hospital of Hainan Medical University, No. 31 Longhua Road, Haikou 570102, Hainan Province, China. wsz074@aliyun.com
Received: April 20, 2024
Revised: May 19, 2024
Accepted: June 7, 2024
Published online: September 16, 2024
Processing time: 94 Days and 4.5 Hours
Core Tip

Core Tip: Some malignant distal biliary obstructions require drainage for palliative treatment, and endoscopic retrograde cholangiopancreatography (ERCP) with placement of a stent has been a first choice. However, ERCP can fail or may not be suitable for some challenging cases. Endoscopic ultrasound (EUS)-guided biliary drainage with electrocautery-enhanced lumen-apposing metal stent can be an alternative choice for ERCP, with the strength to perform biliary-enteric anastomosis under EUS guidance in a single step without the need for prior bile duct puncture or a guidewire. In this editorial, the efficacy and safety of it have been discussed, and the latest advances are highlighted.