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Related Experiment Video

Updated: Jun 15, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

A novel method for performing multiple wire insertions during endoscopic cyst gastrostomy.

John A Evans1, Jason D Conway, Girish Mishra

  • 1Division of Gastroenterology, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, USA. georg.spaun@gmail.com

Gastrointestinal Endoscopy
|March 2, 2010
PubMed
Summary

A Haber ramp simplifies endoscopic cyst gastrostomy by enabling easy insertion of multiple guidewires into pancreatic pseudocysts. This technique ensures successful wire access, improving the management of these cysts.

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Last Updated: Jun 15, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

Area of Science:

  • Gastroenterology
  • Endoscopic Procedures
  • Surgical Innovation

Background:

  • Endoscopic cyst gastrostomy is a key treatment for pancreatic pseudocysts.
  • A significant challenge is the secure insertion of multiple guidewires.
  • Existing methods for guidewire insertion are often complex.

Purpose of the Study:

  • To present a simple, effective method for guidewire insertion during endoscopic cyst gastrostomy.
  • To highlight the utility of a commercially available catheter for multiple wire placement.

Main Methods:

  • A case series of four patients undergoing EUS-guided cyst gastrostomy.
  • Utilized a Haber ramp for introducing multiple guidewires into pancreatic pseudocysts.
  • Focused on achieving and maintaining wire access throughout the procedure.

Main Results:

  • Successful pancreatic cyst gastrostomy was achieved in all four patients.
  • No loss of wire access occurred during any procedure.
  • No intraprocedure or postprocedure complications were observed.

Conclusions:

  • The Haber ramp offers a straightforward and efficient solution for wire access in endoscopic cyst gastrostomy.
  • This method simplifies a critical step in the procedure.
  • Further studies are warranted due to the small patient cohort.