Through-the-mesh technique after endoscopic ultrasonography-guided hepaticogastrostomy: a novel re-intervention method

Endoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS) is increasingly used to manage failed endoscopic biliary drainage in patients with malignant biliary obstruction [1] [2] [3]. A recent study showed that, for EUS-HGS, a stent ≥ 3 cm in length in the luminal portion may be suitable to prevent stent migration and achieve long-term stent patency [4]. However, such a placement can sometimes make re-intervention difficult. Here, we describe a novel re-intervention technique for HGS stent occlusion.