A Novel approach for Successful Endoscopic ultrasound‐guided Hepaticogastrostomy Using A Double guidewire technique

Abstract

Endoscopic ultrasound‐guided hepaticogastrostomy (EUS‐HGS) is associated with less technical success and more adverse events than other kinds of EUS‐guided biliary drainage (EUS‐BD) [1,2]. Therefore, EUS‐HGS is challenging specially for less experienced operators. The major reasons for technical failure are loss of the endoscopic position, migration of guidewire and failure of needle tract dilatation.

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