Published online Apr 21, 2016. doi: 10.3748/wjg.v22.i15.3945
Peer-review started: December 24, 2015
First decision: January 28, 2016
Revised: January 29, 2016
Accepted: March 1, 2016
Article in press: March 2, 2016
Published online: April 21, 2016
Core tip: Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) has been developed as an alternative biliary drainage method. The reported technical success rate of EUS-HGS ranges from 65% to 100%, and the clinical success rate ranges from 87% to 100%. Furthermore, the overall technical success rate was 82%, and the overall clinical success rate was 97%. Based on the currently available literature, the overall adverse event rate for EUS-HGS is 23%. EUS-HGS has high rate of adverse events that are sometimes fatal. Therefore, EUS-HGS should continue to be performed by experienced endoscopists who can use various strategies when adverse events occur.