Arguably, the most exciting thing which has happen in ERCP, in the last 50 years, is EUS and the development of easy to place, 'lumen apposing metal stents' (LAMS).  It's transforming ERCP for the benefits of patients who no longer need to put up with painful PTC's.  Ideally, every region should offer this service but who should be referred for EUS-guided biliary drainage (EUS-BD) and what risks should you quote to your patients?  Monz Ahmed poses some probing questions to Bharat Paranandi, Consultant Gastroenterologist and HPB physician and Aaron On, this years HPB Endoscopy Fellow in Leeds. 

​If you would like to learn more about what EUS can do, for example draining the gallbladder (EUS-GBD) or reaching the bypassed stomach and biliary tract (EDGE), here is the presentation which Bharat Paranandi recorded for the BSG Campus 2021 !