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Advances in self-expandable metal stents for endoscopic ultrasound-guided interventions

  • Dong Kee Jang (Department of Internal Medicine, Seoul Metropolitan Government Boramae Medical Center, Seoul National University College of Medicine) ;
  • Dong Wook Lee (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Seong-Hun Kim (Department of Internal Medicine, Jeonbuk National University Hospital) ;
  • Kwang Bum Cho (Department of Internal Medicine, Keimyung University School of Medicine) ;
  • Sundeep Lakhtakia (Asian Institute of Gastroenterology)
  • Received : 2023.07.02
  • Accepted : 2023.08.20
  • Published : 2024.09.30

Abstract

Endoscopic ultrasound (EUS)-guided interventions have evolved rapidly in recent years, with dedicated metal stents playing a crucial role in this process. Specifically, the invention of biflanged short metal-covered stents, including lumen-apposing metal stents (LAMS), and modifications in a variety of tubular self-expandable metal stents (SEMS), have led to innovations in EUS-guided interventions. LAMS or non-LAMS stents are commonly used in the EUS-guided drainage of pancreatic fluid collections, especially in cases of walled-off necrosis. Additionally, LAMS is commonly considered for drainage of the EUS-guided gallbladder or dilated common bile duct and EUS-guided gastroenterostomy. Fully or partially covered tubular SEMS with several new designs are being considered for EUS-guided biliary drainage. This review focuses on advances in SEMS for EUS-guided interventions and discusses related research results.

Keywords

References

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