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Updated: May 26, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Gastric perforation related to a transgastric biliary drainage procedure with endoscopic Rendez-Vous technique
J Vila Juan1, L A Artifon Everson, Marta Basterra
1Endoscopy Unit, Gastroenterology Dpt., Complejo Hospitalario de Navarra, Pamplona, Spain. juanjvila@gmail.com
Abstract:
Endoscopic ultrasound-guided bilio-pancreatic drainage (EBPD) has become an endoscopic alternative to percutaneous biliary drainage for patients with unsuccessful transpapillary approach. EBPD has a significant complication rate and expertise in advanced therapeutical endoscopy and endosonography are required. We present a 43 year-old male with pancreatic head adenocarcinoma, who after underwent a transgastric endoscopic rendez-vous technique, a gastric wall perforation at the fistula location was detected. We endoscopically sealed the gastric perforation and the patient had an uneventful recovery.
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