Endoscopic ultrasound guided hepaticogastrostomy (EUS HGS) || Dr. Yogesh Harwani

+91 81416 55955
dryharwani@gmail.com
Monday - Saturday 09:00AM to 08:00PM

Endoscopic ultrasound guided hepaticogastrostomy (EUS HGS)

27/09/2021

52 yr female with obstructive jaundice due to pancreatic head mass lesion (metastasis) with complete duodenal obstruction.
Patient had distal gastrectomy due to carcinoma stomach and gastro jejunostomy
Enteroscopy assisted ERCP failed.
Hence Endoscopic ultrasound guided trans gastric metal stent placed into left lobe bile duct leading to releif on jaundice
EUS procedure is better than PTBD and leads to internal drainage of bile