Successful re-intervention with antegrade insertion of the metal stent into the hepaticojejunostomy through the hepaticogastrostomy route

Abstract

Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is a therapeutic tool that allows for biliary drainage when conventional endoscopic retrograde cholangiopancreatography is technically or clinically unsuccessful. For those cases where re-intervention of HGS stent is necessary to treat obstruction, this kind of approach could be an option. We describe a novel technique to treat EUS-HGS obstruction.