2 In their letter, the authors rightly underlined the complexity and issues of biliary drainage in patients with GOO, supported by data from their recent “CABRIOLET Study.” 3 In this retrospective analysis involving patients affected by both biliary and duodenal obstruction, a significant trend toward higher biliary stent dysfunction in patients treated with EUS-guided choledochoduodenostomy (EUS-CDS) and duodenal stenting was found, compared to other combinations, that is, hepaticogastrostomy (EUS-HGS), EUS-guided gastroenterostomy (EUS-GE), and transpapillary biliary stenting.
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