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. 2025 Dec;57(S 01):E469-E470.
doi: 10.1055/a-2598-4134. Epub 2025 May 22.

Endoscopic ultrasound-guided hepaticogastrostomy using a 22G needle with a 0.018-inch ultra-stiff guidewire without tract dilation

Takeshi Ogura  1   2 , Jun Matsuno  2 , Takafumi Kanadani  2 , Ahmad F Aboelezz  3 , Hiroki Nishikawa  2
Affiliations

Endoscopic ultrasound-guided hepaticogastrostomy using a 22G needle with a 0.018-inch ultra-stiff guidewire without tract dilation

Takeshi Ogura 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
A novel 0.018-inch ultra-stiff guidewire made of a titanium, nickel, and cobalt alloy, with a sheath material coated with polytetrafluoroethylene.
Fig. 2
Fig. 2
The diameter of the intrahepatic bile duct is 1 mm on EUS imaging.
Fig. 3
Fig. 3
Contrast medium is injected after successful bile duct puncture using the 22G needle.
Fig. 4
Fig. 4
The novel 0.018-inch guidewire is inserted, followed by successful deployment.
Fig. 5
Fig. 5
A partially covered self-expandable metal stent delivery system is successfully inserted into the biliary tract without tract dilation, and is deployed from the intrahepatic bile duct to the stomach.
See this image and copyright information in PMC

References

    1. Caillol F, Godat S, Solovyev A et al. EUS-BD for calibration of benign stenosis of the bile duct in patients with altered anatomy or inaccessible papilla. Endosc Int Open. 2024;12:E377–E384. doi: 10.1055/a-2261-2968. - DOI - PMC - PubMed
    1. Matsunami Y, Itoi T, Sofuni A et al. EUS-guided hepaticoenterostomy with using a dedicated plastic stent for the benign pancreaticobiliary diseases: a single-center study of a large case series. Endosc Ultrasound. 2021;10:294–304. - PMC - PubMed
    1. Ogura T, Nishioka N, Yamada M et al. Novel transluminal treatment protocol for hepaticojejunostomy stricture using covered self-expandable metal stent. Surg Endosc. 2021;35:209–215. doi: 10.1007/s00464-020-07381-2. - DOI - PubMed

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