Juan L. Romero-Flores, Endoscopy Unit, Medica Sur Clinic and Foundation, Mexico City, Mexico
Eva Juárez-Hernández, Translational Research Unit, Medica Sur Clinic and Foundation, Mexico City, México
Iván López-Méndez, Division of Gastroenterology and Therapeutic Endoscopy Unit, Medica Sur Clinic and Foundation, Mexico City, Mexico

Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is a therapeutic tool that allows for biliary drainage when conventional endoscopic retrograde cholangiopancreatography is technically or clinically unsuccessful. For those cases where re-intervention of HGS stent is necessary to treat obstruction, this kind of approach could be an option. We describe a novel technique to treat EUS-HGS obstruction.

Keywords: Endoscopic ultrasound. Hepaticogastrostomy. Stent. Obstruction.