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Fig. 1 | BMC Gastroenterology

Fig. 1

From: Outcomes and limitations of endoscopic ultrasound-guided hepaticogastrostomy in malignant biliary obstruction

Fig. 1

ag EUS-guided hepaticogastrostomy in a patient with unresectable pancreatic head tumor (adenocarcinoma). Dilated bile ducts of left liver lobe visible in endosonographic image preceding endoscopic hepaticogastrostomy (a, b). Transmural puncture of the enlarged bile ducts within the left liver lobe was performed using a 19G needle and a contrast agent filled the enlarged bile ducts (c). A guidewire was introduced into the left bile duct and was directed towards the main bile duct. A 10 Fr cystostome was used to established a hepaticogastric fistula (d). Half-coated self-expandable endoprosthesis was introduced via the fistula (eg)

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