Stephen KK Ng

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…

EUS-GBD with lumen apposing stent (LAMS) has been included in ESGE and ASGE guidelines for acute calculous cholecystitis for patients who are unfit for surgery. Whether to perform cholecystoscopy for stone removal and LAMS removal, or the LAMS should be kept for long term is still a controversy…