The article discusses the use of lumen-apposing metal stents (LAMS) for biliary drainage in patients with obstructions. The technique, known as endoscopic ultrasound guided choledochoduodenostomy (EUS-CDS), has become increasingly popular due to its simplicity and high success rates. The article highlights the need for prevention and treatment of LAMS dysfunction, as well as the importance of identifying risk factors and developing management strategies. The authors emphasize the technical expertise required for the procedure and the potential impact on oncological treatment. [Extracted from the article]