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Updated: Jul 15, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Pseudocysto-gastrostomy guided by endoscopic ultrasound---new approach to old therapeutic problem]
Milorad Opacić1, Nadan Rustemovic, Eleonora Goluza
1Centar za intervencijsku gastroenterologiju, Klinika za unutrasnje bolesti Rebro, KBC Zagreb. m_opacic@net.hr
Abstract:
It has been appreciated for a long time that surgery is the treatment of choice for pancreatic pseudocysts. Endoscopic internal drainage is an alternative to surgical intervention, but requires bulging of pseudocyst in gastric lumen and carries the risk of bleeding from gastric vessels. Endosonographically guided pseudocyst drainage, an elegant one-step method to connect gastric lumen with pseudocyst avoiding the risk of bleeding using EUS guidance and Doppler is described with review of literature. The procedure was for the first time successfully performed in Croatia.
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