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Nageshwar D. Reddy & Krithi Krishna Koduri on "Biflanged metal stents versus plastic stents for endoscopic ultrasound-guided drainage of walled-off necrosis: a randomized controlled trial" Walled-off pancreatic necrosis was treated by EUS-guided drainage using either a biflanged metal stent (BFMS) or two 7-Fr plastic stents, in this randomized single-center study including 92 patients. The rates of overall clinical success, adverse events, and recurrence did not differ between the groups; however, drainage with a BFMS required fewer reinterventions, a shorter hospital stay, and had a higher reintervention-free clinical success at 4 weeks. This highlights that more reinterventions are needed with plastic stents compared with BFMSs to achieve similar clinical success. Find the article at: https://doi.org/10.1055/a-2332-3448 Krithi Krishna Koduri, Nitin Jagtap, Sundeep Lakhtakia et al. Biflanged metal stents versus plastic stents for endoscopic ultrasound-guided drainage of walled-off necrosis: a randomized controlled trial Endoscopy 2024; 56: 915–923 DOI 10.1055/a-2332-3448 ISSN 0013-726X © 2024. Thieme. All rights reserved. Georg Thieme Verlag KG, Rüdigerstraße 14, 70469 Stuttgart, Germany