Specialized coaxial hepaticogastrostomy stent and lumen-apposing stent for salvage of dysfunctional EUS-guided cholecochoduodenostomy.

This case is recruited in a randomized trial (Multicenter study of lumen-apposing metal stents with or without pigtail in endoscopic ultrasound-guided biliary drainage for malignant obstruction-BAMPI TRIAL: an open-label, randomized controlled trial protocol). The DPS was removed and a specifically designed hepaticogastrostomy stent (8 × 80-mm, Niti-S Giobor biliary stent; TaeWoong Medical, Seoul, Korea) was inserted through the LAMS (Fig. 2 a Placement of a specialized hepaticogastrostomy stent through the biliary lumen-apposing metal stent. b Cholangiogram showing patent lumen with newly inserted stent. c Endoscopic image of the hepaticogastrostomy stent in place. [Extracted from the article]