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Background and Aim: This study aimed to determine safety and risk factors for adverse events (AEs) of endoscopic ultrasound‐guided gallbladder drainage (EUS‐GBD) with long‐term indwell of lumen‐apposing metal stents (LAMS). Methods: This study is a multicenter prospective observational study on consecutive high surgical‐risk patients requiring gallbladder drainage who underwent EUS‐GBD with LAMS over 12 months. Centralized telephone follow‐up interviews were conducted every 3 months for 1 year. Patients were censored at LAMS removal, cholecystectomy, or death. AE‐free survival was determined using log–rank tests. Cumulative risks were estimated using life‐table analysis. Results: Eighty‐two patients were included (53.7% male, median [interquartile range] age of 84.6 [76.5–89.8] years, and 85.4% with acute cholecystitis). Technical success was achieved in 79 (96.3%), and clinical success in 73 (89%). No patient was lost to follow‐up; 45 patients (54.9%) completed 1‐year follow‐up with in situ LAMS. Median (interquartile range) LAMS indwell time was 364 (47–367) days. Overall, 12 (14.6%) patients presented 14 AEs, including 5 (6.1%) recurrent biliary events (3 acute cholangitis, 1 mild acute pancreatitis, and 1 acute cholecystitis). Patients with pancreatobiliary malignancy had an increased risk of recurrent biliary events (33% vs 1.5%, P = 0.001). The overall 1‐year cumulative risk of recurrent biliary events was 9.7% (4.1–21.8%). The 1‐year risk of AEs and of severe AEs was 18.8% (11–31.2%) and 7.9% (3.3–18.2%), respectively. Pancreatobiliary malignancy was the single risk factor for recurrent biliary events; LAMS misdeployment was the strongest risk factor for AEs. Conclusions: Long‐term LAMS indwell does not increase the risk of delayed AEs following EUS‐GBD. [ABSTRACT FROM AUTHOR]

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The article presents a case study of an obese 63-year-old woman with clinical symptoms of periodic hypoglycemic episodes was diagnosed with an insulinoma in the pancreatic body that had not been detected by previous computed tomography and magnetic resonance imaging. It mentions identification of neuroendocrine tumor by endoscopic ultrasonography (EUS).

Endoscopic ultrasound-guided ostomy repermeabilization as a rescue technique to resolve a deeply buried lumen-apposing stent With the increasing use of lumen-apposing metal stents (LAMS), some cases of buried stents have been reported in various scenarios (ie. gastroentorostomy, pancreatic fluid collection, gallbladder), but mainly with the use of the 10 × 10-mm size and located in the gastric cavity. 2019; 111: 243 - 5. 4 Ligresti D, Cipolletta F, Amata M, Cimavilla M, Traina M, Tarantino I. Buried lumen-apposing metal stent (LAMS) following endoscopic ultrasound-guided gallbladder drainage: the LAMS-in-LAMS rescue treatment. [Extracted from the article]

The article presents a case study of a patient with unresectable pancreatic cancer causing obstructive jaundice was admitted to a hospital. The patient underwent for an endoscopic ultrasonography (EUS)-guided biliary drainage after a failed endoscopic retrograde cholangiopancreatography (ERCP) using Hot AXIOS system. The article also cites the use of Serum saline physiological (SSF) irrigation and cleaning of the stent.

The article discusses the use of strangulation technique with a mechanical lithotriptor for endoscopic removal of eroded gastric band as a minimally invasive procedure. Topics include the case study of a 52-year-old woman with morbid obesity who undergone an adjustable gastric band placement in 1996, the use of argon plasma coagulation to remove the band, and the mechanical lithotriptor.

The article presents the case study of 75-year-old man who developed complete stenosis of the upper esophagus after resection and radiotherapy for supraglottis carcinoma and endoscopic gastrostomy feeding. It states that a guidewire was passed and grapsed with forceps and withdrawn out of the mouth, avoiding the use of electrocautery. It adds that a new endoscopic gastrostomy tube was placed through the gastrocutaneous fistula.

The article presents information on a 65-year-old patient presented with non-specific abdominal discomfort and occult gastrointestinal bleeding. Endoscopic ultrasound showed an isoechoic tumor. Pathology study of the patient revealed that found a low grade of dysplasia without malignancy and the patient was discharged from the hospital a day after.