Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 21, 2016; 22(15): 3945-3951
Published online Apr 21, 2016. doi: 10.3748/wjg.v22.i15.3945
Technical tips for endoscopic ultrasound-guided hepaticogastrostomy
Takeshi Ogura, Kazuhide Higuchi
Takeshi Ogura, Kazuhide Higuchi, Second Department of Internal Medicine, Osaka Medical College, Osaka 569-8686, Japan
Author contributions: Ogura T and Higuchi K equally contributed to this paper.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Takeshi Ogura, MD, PhD, Second Department of Internal Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan.
Telephone: +81-72-6831221 Fax: +81-72-6846532
Received: December 22, 2015
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

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.