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Updated: Aug 21, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Displacement of endoscopically placed plastic biliary endoprostheses into the duodenum with a simple transhepatic
Karen T Brown1, Johanna Schubert, Anne M Covey
1Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, New York 10021, USA. brown6@mskcc.org
Abstract:
The authors to describe the technique and report the results of percutaneous displacement of endoscopically placed plastic biliary endoprostheses into the duodenum at the time of transhepatic intervention in 34 patients. Displacement into the duodenum was effected by simply passing a guide wire through the stent, and then pushing it into the gut with a catheter. Thirty-three of 36 stents (92%) were successfully displaced in this manner. No complications related to stent passage out of the gastrointestinal tract were encountered. Plastic biliary stents can be safely displaced into the duodenum when patients undergo transhepatic biliary procedures, thus avoiding repeated endoscopy.