Loading...
Among the approaches to endoscopic ultrasound (EUS)-guided biliary drainage, hepaticogastrostomy is more technically challenging than more commonly used choledochoduodenostomy and is often employed for more complex, proximal biliary strictures that are usually due to malignancy.
To review long-term outcomes of EUS-guided hepaticogastrostomy, investigators evaluated 110 patients who underwent the procedure at two centers in Japan. Biliary drainage was achieved using a long, partially covered, self-expanding metal stent across the hepaticogastrostomy. Lengths of stents used were 8 cm in 2% of patients, 10 cm in 84%, and 12 cm in 15%; the median intragastric stent length was 54 mm.
Technical success was achieved in 100% of patients, and clinical…