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. 2023 Mar 3;12(2):237–244. doi: 10.4103/EUS-D-22-00120

Table 5.

Details of stent obstruction and endoscopic deobstruction procedures

Etiology of biliary obstruction Bile duct diameter Presence of duodenal stenosis Cause of LAMS obstruction Delay of obstruction Treatment for deobstruction Success of deobstruction
Pancreatic adenocarcinoma 9 Yes Food impaction 247 SEMS Yes
Duodenal adenocarcinoma 22 Yes Food impaction 370 Endoscopic deobstruction Yes
Pancreatic adenocarcinoma 14 Yes Food impaction 44 Endoscopic deobstruction+double pigtail stent Yes
Cholangiocarcinoma 13 Yes Food impaction 39 Endoscopic deobstruction Yes
Pancreatic adenocarcinoma 16 No Food impaction 16 Endoscopic deobstruction + double pigtail stent Yes
Cholangiocarcinoma 23 No LAMS migration 486 SEMS Yes
Vater adenocarcinoma 14 Yes Tumoral invasion 37 Double pigtail stent Yes
Pancreatic adenocarcinoma 16 No Sump syndrome 66 Double pigtail stent Yes
Pancreatic adenocarcinoma 18 Yes Food impaction 6 Endoscopic deobstruction + double pigtail stent Yes
Pancreatic adenocarcinoma 19 Yes Tumoral invasion 231 ERCP No
Lymph node compression 16 No Reflux cholangitis 205 Antibiotics Yes
Pancreatic adenocarcinoma 16 No Sump syndrome 9 Double pigtail stent Yes
Vater adenocarcinoma 17 No Food impaction 155 Endoscopic deobstruction + double pigtail stent Yes
Lymph node compression 19 No Sump syndrome 378 Double pigtail stent Yes
Pancreatic adenocarcinoma 14 No Sump syndrome 9 Double pigtail stent Yes
Pancreatic adenocarcinoma 12 No Sump syndrome 7 Double pigtail stent Yes
Pancreatic adenocarcinoma 25 Yes Sump syndrome 23 SEMS+duodenal stent Yes
Cholangiocarcinoma 13 No Liver tumoral involvement 6 Double pig tail stent No
Pancreatic adenocarcinoma 14 No Sump syndrome 12 Double pig tail stent Yes
Pancreatic adenocarcinoma 20 Yes Food impaction 37 Double pig tail stent+duodenal stent Yes

LAMS: Lumen-apposing metal stents; SEMS: Self-expanding metal stents