2024年9月1日 · EUS-guided hepaticogastrostomy (EUS-HGS) has gained traction as a reliable and safe method for definitive biliary drainage in patients who cannot undergo traditional transampullary procedures. Many of the newly developed single-stage devices are not yet approved for clinical use in Western practice.

2016年5月3日 · 这时我们可以应用超声内镜（eus）引导下的胆汁引流，主要有两种方法，eus 引导下胆总管十二指肠吻合（cds）及 eus 肝内胆管胃吻合（hgs），而且在并发十二指肠梗阻时，放置十二指肠支架并不影响引流术的操作。

Typically, EUS-guided gallbladder drainage or choledochoduodenostomy can be performed via both approaches, as can EUS-guided hepaticogastrostomy (HGS). EUS-HGS, because of its transgastric approach, can be performed in patients with malignant duodenal obstruction.

The transduodenal approach for extrahepatic bile ducts is called EUS-guided choledochoduodenostomy (EUS-CDS)[6-8], and the transgastric approach for intrahepatic bile ducts is called EUS-guided hepaticogastrostomy (EUS-HGS). For EUS-BD, EUS-HGS can be performed if the duodenal bulb is obstructed due to malignant tumor.

EUS-HGS represents an effective and safe procedure for EUS-guided biliary drainage in patients with MBO. Future studies should address the impact of center experience, patient selection, and the use of dedicated stents to improve performance of this technique.

Among EUS-guided biliary drainage, EUS-guided hepaticogastrostomy with transmural stenting (EUS-HGS) may be the most promising procedure since this procedure can overcome the limitation of ERCP. However, EUS-HGS has disadvantages, and the …

2015年12月21日 · 超声内镜引导下胆汁引流术（EUS-BD）是内镜操作的高阶技术，对于内镜下逆行胆胰管造影术（ERCP）失败的梗阻性黄疸患者，不失为一种有效的替代治疗手段。 日本学者 Takuji Iwashita 对该技术进行了详尽总结，并发表于 Clin J Gastroenterol 杂志上。 在此基础上，笔者对 EUS-BD 操作方法进行了进一步延伸、总结，并对 EUS-BD 的相关技术视频进行编辑整理，以便大家更好地掌握。 如此 EUS-BD 高级教程，你值得拥有！

2022年3月14日 · This technical review mainly focuses on EUS-HGS with self-expandable metal stents for unresectable malignant biliary obstruction and presents the latest and detailed tips for safe and successful performance of the technique.

2022年9月1日 · EUS-guided hepaticogastrostomy (EUS-HGS) is a recognized second-line strategy for biliary drainage when endoscopic retrograde cholangiopancreatography fails or is impossible. Substantial technical and procedural progress in …

2024年7月1日 · Background/Objectives: Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) has emerged as an alternative option for biliary drainage in cases of failed endoscopic retrograde cholangiopancreatography (ERCP). Limited data exist on the safety and efficacy of EUS-HGS. In this comprehensive …