How to solve misplacement of a lumen-apposing metal stent during cholecystogastrostomy: immediately perform a second one!

A 66-year-old man was referred to our endoscopy unit because of a computed tomography (CT) scan diagnosis of a 4-cm pancreatic head neoplasia causing malignant biliary obstruction (MBO) with a 3-cm distal common bile duct (CBD) obstruction owing to neoplastic infiltration. The patient underwent endoscopic ultrasonography (EUS) plus fine needle biopsy with macroscopic on-site evaluation (MOSE) of the specimen [1]. Subsequently an attempt to...