• EUS-guided hepaticogastrostomy


  • Partially covered design
    (1) The long covered portion (70%)
    – prevents bile leakage between the left hepatic duct and the stomach
    (2) The bare portion (30%)
    – avoids the blockage of the side branches in the hepatic duct
    – prevents migration into the hepatic duct


  • The Anti-migration flared end
    – is placed out of the stomach wall and prevents migration in the left intrahepatic duct


  • Radiopaque markers: 3 (three) at both ends & 2 (two) at the end of the covered part

Procedure Video

Released Articles

  • Feasibility of endoscopic ultrasound-guided hepaticogastrostomy in a patient with previous gastric banding
    by D. Galasso et al [Endoscopy. 2013;45 Suppl 2 UCTN:E233-4]

 Key Resources