EUS-guided hepaticogastrostomy: practical tips and tricks.

ABSTRACT:

Background and aims

EUS-guided hepaticogastrostomy (EUS-HGS) has gained traction as a reliable and safe method for definitive biliary drainage in patients who cannot undergo traditional transampullary procedures. Many of the newly developed single-stage devices are not yet approved for clinical use in Western practice.

Methods

We highlight key clinical and technical aspects of EUS-HGS using devices that are currently available in Western countries. The article is a comprehensive step-by-step technical review of EUS-HGS, and the video demonstrates high-level tips to overcome commonly encountered procedural challenges.

Results

Patients with biliary obstruction underwent EUS-HGS at our center. The technical difficulties that were encountered are highlighted in the articl

SUBMITTER: Kadkhodayan K 

PROVIDER: S-EPMC11489514 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature