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- Shigeto Ishii, Hiroyuki Koga, Hiroaki Saito, Shogo Seo, Mako Ushio, Sho Takahashi, Yusuke Takasaki, Akinori Suzuki, Koichi Ito, Kazushige Ochiai, Ko Tomishima, Toshio Fujisawa, Atsuyuki Yamataka, Shuichiro Shiina, and Hiroyuki Isayama.
- Department of Gastroenterology, Juntendo University Graduate School of Medicine, Japan.
- Intern. Med. 2022 Dec 1; 61 (23): 352135243521-3524.
AbstractEndoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is an effective biliary drainage procedure in adult cases with difficult biliary access. However, there have been no reports on this procedure being used in pediatric cases. We successfully performed EUS-HGS in a pediatric case with a surgically altered anatomy. A standard convex-type echoendoscope and standard devices were used, and there were no device-related complications. The benefit of EUS-HGS for pediatric patients was avoidance of a percutaneous tube, which is difficult to maintain in active children. The accumulation of further cases and performance of a prospective study are warranted to standardize and expand the experience with this procedure.
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