Troubleshooting guidewire perforation of the bile duct during endoscopic ultrasound-guided hepaticogastrostomy using the liver impaction technique

CC BY 4.0 · Endoscopy 2025; 57(S 01): E1136-E1137
DOI: 10.1055/a-2704-6702

E-Videos

Authors

Yuichi Takano

¹Division of Gastroenterology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan (Ringgold ID: RIN26858)
Naoki Tamai

¹Division of Gastroenterology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan (Ringgold ID: RIN26858)
Masataka Yamawaki

¹Division of Gastroenterology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan (Ringgold ID: RIN26858)
Jun Noda

¹Division of Gastroenterology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan (Ringgold ID: RIN26858)
Tetsushi Azami

¹Division of Gastroenterology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan (Ringgold ID: RIN26858)
Fumitaka Niiya

¹Division of Gastroenterology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan (Ringgold ID: RIN26858)
Masatsugu Nagahama

¹Division of Gastroenterology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan (Ringgold ID: RIN26858)

References
1 Vila JJ, Pérez-Miranda M, Vazquez-Sequeiros E. et al. Initial experience with EUS-guided cholangiopancreatography for biliary and pancreatic duct drainage: a Spanish national survey. Gastrointest Endosc 2012; 76: 1133-1141
2 Miwa H, Sugimori K, Matsuoka Y. et al. Loop technique for guidewire manipulation during endoscopic ultrasound-guided hepaticogastrostomy. JGH Open 2023; 7: 358-364
3 Ogura T, Masuda D, Takeuchi T. et al. Liver impaction technique to prevent shearing of the guidewire during endoscopic ultrasound-guided hepaticogastrostomy. Endoscopy 2015; 47: E583-E584
4 Nakamura J, Ogura T, Ueno S. et al. Liver impaction technique improves technical success rate of guidewire insertion during EUS-guided hepaticogastrostomy (with video). Therap Adv Gastroenterol 2023; 16: 17562848231188562