case_images: PMC6015712_01
case_images: Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS). (a) Bile duct is punctured with a 19-G needle. (b) Guidewire is inserted into the bile duct. (c) Metallic stent is placed.
case_images: CRIGM2018-7201967.001.jpg
case_images: PMC6015712_01_CRIGM2018-7201967.001.jpg
case_images: fig1
case_images: After the absence of blood vessels crossing the puncture route was confirmed, the bile duct was punctured with a 19-G needle (EZ shot 3; Olympus) (Figure 1(a)). Subsequently, the puncture site was dilated with a 3.6-Fr double-lumen catheter (Uneven Double Lumen Catheter; PIOLAX, Tokyo, Japan), and another 0.035-inch wire (Revowave; PIOLAX, Tokyo, Japan) was introduced into the jejunum (Figure 1(b)). An 8 mm covered MS (Niti-S; TaeWoong Medical Inc., Seoul, Korea) was placed (Figure 1(c)).
case_images: PMC6015712_02