Year 2025 / Volume 117 / Number 11
Digestive Diseases Image
Use of a novel screw-type dilator for endoscopic ultrasonography-guided hepaticogastrostomy via a 22-gauge needle and 0.018-inch guidewire

667-668

DOI: 10.17235/reed.2024.10261/2024

Shin Kato, Mariko Tsukamoto, Taichi Murai, Yuta Koike,

Abstract
Tract dilation is an essential step in completing endoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS). EUS-HGS using a 22-gauge needle is currently attracting attention; however, the complexity of subsequent dilation and guidewire exchange is problematic. A-60-year-old man with duodenal cancer was referred to our center for the drainage of obstructive jaundice. As endoscopic retrograde cholangiopancreatography was not feasible because of duodenal obstruction, EUS-HGS was performed.
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References
1. Chantarojanasiri T, Ratanachu-Ek T, Pausawasdi N. What You Need to Know Before Performing Endoscopic Ultrasound-guided Hepaticogastrostomy. Clin Endosc 2021; 54: 301-8. doi: 10.5946/ce.2021.103.
2. Okuno N, Hara K, Haba S et al. Novel drill dilator facilitates endoscopic ultrasound-guided hepaticogastrostomy. Dig Endosc 2023; 35: 389-93. doi: 10.1111/den.14447.
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Kato S, Tsukamoto M, Murai T, Koike Y. Use of a novel screw-type dilator for endoscopic ultrasonography-guided hepaticogastrostomy via a 22-gauge needle and 0.018-inch guidewire. 10261/2024


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Publication history

Received: 12/01/2024

Accepted: 17/01/2024

Online First: 29/01/2024

Published: 11/11/2025

Article Online First time: 17 days

Article editing time: 669 days


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