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Creation of reintervention route after endoscopic ultrasound‐guided hepaticogastrostomy

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Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) has been developed as an alternative biliary drainage method. Recently, some reports have favored the use of a long self-expandable metal stent (SEMS) in order to… Click to show full abstract

Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) has been developed as an alternative biliary drainage method. Recently, some reports have favored the use of a long self-expandable metal stent (SEMS) in order to prevent the proximal migration and obtain a longer duration of stent patency 1, 2 . However, owing to the long intragastric portion, endoscopic re-interventions via the SEMS are difficult. This report describes a novel drainage technique after EUS-HGS using argon plasma coagulation (APC). This article is protected by copyright. All rights reserved.

Keywords: creation reintervention; guided hepaticogastrostomy; ultrasound guided; endoscopic ultrasound; endoscopic

Journal Title: Digestive Endoscopy
Year Published: 2019

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