Published online May 7, 2014. doi: 10.3748/wjg.v20.i17.5051
Revised: January 5, 2014
Accepted: February 17, 2014
Published online: May 7, 2014
Core tip: Endoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS) with direct transluminal stenting is a complex procedure in terms of guidewire manipulation, fistula dilation and stent deployment. We prospectively evaluated our simplified and modified EUS-HGS technique; fistula dilation with a 4 mm balloon dilation catheter with a stainless steel stylet and stent deployment maneuver with an 8 mm fully covered metal stent with dual flaps. The technical and clinical success was 96% (27/28) and 89% (24/27). The overall adverse event rate was 7%. Compared with the conventional EUS-HGS technique, the procedural time was shorter and early adverse events were less frequent with our modified technique.