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Updated: Dec 18, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Bleeding From Buried Cholecystogastrostomy Lumen-Apposing Metal Stent: The Double Pigtail Catheter Rescue Treatment
Sergio A Sánchez-Luna1, Morgan Wong1, Tarun Rustagi1
1Division of Gastroenterology and Hepatology, The University of New Mexico School of Medicine, Albuquerque, NM.
Abstract:
Lumen-apposing metal stents (LAMS) allow transmural drainage of the gallbladder for endoscopic management of acute cholecystitis in nonsurgical candidates. Delayed bleeding from cholecystogastrostomy or gallbladder after the LAMS placement has not been reported. There are no data for the replacement of LAMS with plastic stents to prevent recurrent delayed bleeding. We present a case to describe an alternative treatment approach for cholecystogastrostomy bleeding related to a buried LAMS.
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