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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
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Endoscopic ultrasound-assisted rendezvous by transgastric approach in malignant extrahepatic bile duct stricture
Hidetoshi Kitamura1,2, Mikinori Kataoka1,3, Yuri Imura1
1Department of Gastroenterology, Mita Hospital, International University of Health and Welfare, Minata-ku, Japan.
Journal of Hepato-Biliary-Pancreatic Sciences
|November 30, 2022
Abstract:
Endoscopic ultrasonography rendezvous (EUS-RV) is useful in cases of difficult deep biliary cannulation. However, in malignant extrahepatic bile duct strictures (MEHBDS), transduodenal routes are challenging and the transgastric approach often requires fistula dilation. We report a case of resectable MEHBDS in which transgastric puncture from the antrum of the stomach as EUS-RV was useful.

