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EUS guided HepaticoGastrostomy


In EUS guided hepatico-gastrostomy, under endoscopic sonography guidance, a wire is placed across the stomach wall into the bile ducts in the liver, followed by a “cystotome”, a device with cautery current to create a hole in the stomach and the liver, followed by placement of a metal stent across the stomach into the bile ducts in the liver to bypass the blockage. This allows free flow of bile out of the bile duct and jaundice improves. This is a painless procedure and performed under sedation.

Transpapillary stenting via Hepaticogastrostomy