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Updated: Aug 19, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Combined endoscopic percutaneous drainage and endoscopic biliary lithotripsy in the management of acute cholangitis.
1Servicio de Gastroenterología, Hospital Gorgas.
Abstract:
Two unusual cases of acute cholangitis are presented. One patient had a 3 cm. common duct stone successfully fragmented with an endoscopic mechanical lithotriptor. The other patient had a hemigastrectomy with a Billroth II anastomosis. A combined percutaneous--endoscopic approach was required to perform the sphincterotomy and remove the duct stones. The different treatment alternatives and the literature are discussed.
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