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Updated: Jul 10, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
LAMS use in malignant stricture of duodenal apex with synchronous malignant biliary obstruction: a potentially
Hugh D Mai1, Linoj Panicker2, James J Stone3
1EUS and Advanced Endoscopy, Gastroenterology, Department of Veterans Affairs, Health Care System, West Palm Beach, FL, USA. HDM899@GMAIL.COM.
Abstract:
We report the first case of lumen apposing metal stent (LAMS) use in malignant stricture of the duodenal apex to treat gastric outlet obstruction (GOO) and to facilitate endoscopic retrograde management of synchronous malignant biliary obstruction due to pancreatic head adenocarcinoma. This technique may be an effective alternative and a simpler approach than current methodology to this endoscopically challenging condition.

