Sahaj Rathi

Two main reasons for a failed EUS- guided hepaticogastrostomy (EUS-HG) are, inability to access the bile ducts due to non-dilated intrahepatic ducts (IHD), and failure of tract dilation due to cirrhosis/ductal scarring or stent passage from misaligned vector forces…

Recurrent or refractory hepatic encephalopathy in patients with cirrhosis can be difficult to manage. Liver transplant is the most effective modality, but may be precluded by financial, logistical, or organ availbility limitations…