Conversion of endoscopic ultrasound-guided hepaticogastrostomy to transpapillary drainage by anterograde intervention via dedicated biliary metal stent for benign biliary stenosis

An 80-year-old woman with obstructive jaundice caused by distal biliary stenosis secondary to chronic pancreatitis was referred for biliary drainage. After failed endoscopic retrograde cholangiopancreatography, endoscopic ultrasound (EUS)-guided biliary drainage was proposed. Portal cavernomatosis prevented an extrahepatic route and EUS-hepaticogastrostomy (HGS) was...