Jose Ramon Aparicio

INTRODUCTION: It is unclear whether the insertion of an axis-orienting double-pigtail plastic stent (DPS) through biliary lumen-apposing metal stents (LAMS) in EUS-guided choledochoduodenostomy (CDS) improves the stent patency…

BACKGROUND: Clinically significant portal hypertension (GPVH>10mmHg) is a major cause of decompensation and death in patients with liver cirrhosis. Hepatic venous pressure gradient (HVPG) is considered the current gold standard to estimate the portal pressure gradient…

ERCP remains the primary approach to choledocolithiasis. 30% of patients who undergo clearance of choledocholitiasis by ERCP without subsequent cholecystectomy will suffer recurrent biliary events…