Rescue ERCP after delayed migration of a lumen-apposing metal stent following endoscopic ultrasound-guided choledochoduodenostomy

Endoscopic retrograde cholangiopancreatography (ERCP) can be challenging in patients with altered anatomy or luminal narrowing. Endoscopic ultrasound-guided biliary drainage (EUS-BD) by placement of a lumen-apposing metal stent (LAMS; Hot-Axios; Boston Scientific, Marlborough, Massachusetts, USA) has emerged as an effective technique to allow biliary access after failed ERCP in a high-volume center...