EUS-Choledochoduodenostomy versus Hepaticogastrostomy combined with EUS-Gastroenterostomy in malignant double obstruction (CABRIOLET_Pro): a prospective comparative study.

This article, published in the journal Endoscopy, presents the findings of a prospective comparative study on the treatment of combined biliary and gastric outlet obstruction. The study compared the outcomes of EUS-guided choledochoduodenostomy (EUS-CDS) and EUS-guided hepaticogastrostomy (EUS-HGS) in patients with double obstruction. The results showed that while both procedures had similar clinical success rates, EUS-CDS had a higher rate of post-procedural adverse events and biliary dysfunctions during follow-up. Additionally, the study found that patients who underwent EUS-CDS had a significantly shorter survival time without biliary events compared to those who underwent EUS-HGS. [Extracted from the article]