health
Preprint Finds EUS-Guided Drainage Had Higher Technical Success Than ERCP
A medRxiv systematic review and meta-analysis of three randomized controlled trials involving 519 patients found that EUS-guided choledochoduodenostomy with a lumen-apposing metal stent had higher technical success than ERCP with a self-expandable metal stent for malignant distal biliary obstruction. Procedure time and postprocedural pancreatitis risk were also lower, while clinical success and overall adverse events were comparable.