Endoscopic ultrasound guided biliary drainage in surgically altered anatomy: A comprehensive review of various approaches

Figure 3 Endoscopic ultrasound guided Hepaticogastrostomy in case of right hepatectomy with extrahepatic biliary tract excision with left hepatiojejunostomy with stenosis with new onset recurrence in left lobe. A: Computed tomography scan showing dilated left intrahepatic biliary radicles with hypodense lesion in segment II; B: Puncture from segment III with 19G FNA needle; C: Covered self- expandable metal stent (SEMS) placed across the hepaticogastrostomy tract; D: Endoscopic view of SEMS protruding in the proximal stomach with drainage of bile.