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. 2025 Dec;57(S 01):E122-E123.
doi: 10.1055/a-2521-4987. Epub 2025 Feb 6.

Novel methods to confirm successful puncture in endoscopic ultrasound-guided hepaticogastrostomy

Haruo Miwa  1 , Ritsuko Oishi  1 , Shotaro Tsunoda  1 , Yuichi Suzuki  1 , Kazuki Endo  1 , Hiromi Tsuchiya  1 , Shin Maeda  2
Affiliations

Novel methods to confirm successful puncture in endoscopic ultrasound-guided hepaticogastrostomy

Haruo Miwa et al. Endoscopy. 2025 Dec.
No abstract available

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Schema of double-wall puncture showing: a a nondilated bile duct; b double-wall puncture (puncture of both anterior and posterior wall); c pull back of the needle into the bile duct lumen; d subsequent contrast injection and guidewire insertion.
Fig. 2
Fig. 2
Photograph showing the extension tube filled with contrast agent with a few air bubbles within it that is connected to the end of needle.
Fig. 3
Fig. 3
Images of endoscopic ultrasound-guided hepaticogastrostomy being performed in a patient with a nondilated bile duct showing: a the nondilated bile duct being punctured with a 19-gauge needle; b double-wall puncture being performed; c the Doppler signal aligning with the needle when an assistant creates negative pressure; d cholangiography being successfully performed.
See this image and copyright information in PMC

References

    1. Ogura T, Yamada T, Yamada M et al.Contrast-enhanced endoscopic ultrasound-guided access to nondilated bile duct. Endoscopy. 2019;51:E211–E212. doi: 10.1055/a-0885-9722. - DOI - PubMed
    1. Seldinger SI. Catheter replacement of the needle in percutaneous arteriography; a new technique. Acta Radiol. 1953;39:368–376. doi: 10.1080/02841850802133386. - DOI - PubMed
    1. Matsubara S, Nakagawa K, Suda K et al.Practical tips for safe and successful endoscopic ultrasound-guided hepaticogastrostomy: A state-of-the-art technical review. J Clin Med. 2022;11:1591. doi: 10.3390/jcm11061591. - DOI - PMC - PubMed