Romero-Castro, RafaelJimenez-Garcia, Victoria AlejandraBoceta-Osuna, JaimeCastilla-Guerra, LuisPellicer-Bautista, FranciscoCaunedo-Alvarez, AngelHerrerias-Gutierrez, Juan ManuelRomero-Gómez, ManuelGiovannini, Marc2025-01-072025-01-072017-10-272364-3722https://hdl.handle.net/10668/26593Endoscopic ultrasound (EUS)-guided drainage is now the treatment of choice in cases of pancreatic pseudocysts and walled-off necrosis, especially in the absence of luminal bulging and in patients with portal hypertension. Malignant refractory ascites usually heralds a poor prognosis and substantially impairs the quality of life of patients because of the symptoms experienced and the need for repeated paracentesis. EUS-guided placement of lumen-apposing, fully covered, self-expandable metal stents (FCSEMS) has been reported for the drainage of malignant ascites. Herein, we present the results of EUS-guided placement of plastic pigtails stents for the drainage of refractory malignant ascites in three patients. The aim was to improve symptoms and minimize the possible drawbacks of large-caliber FCSEMS. In this preliminary experience, EUS-guided placement of plastic stents was feasible and avoided further paracentesis.enAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/research article29250586open access10.1055/s-0043-118746PMC5659864http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0043-118746.pdfhttps://pmc.ncbi.nlm.nih.gov/articles/PMC5659864/pdf