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REVIEW ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 7  |  Page : 50-56

Drainage of the right liver using EUS guidance


1 Endoscopy Unit, Paoli Calmettes Institute, Marseille, France
2 Surgery Unit, Paoli Calmettes Institute, Marseille, France

Correspondence Address:
Dr. Fabrice Caillol
Endoscopy Unit, Paoli Calmettes Institute, 232 bd Ste Marguerite, 13009 Marseille
France
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eus.eus_52_19

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Hepaticogastrostomy (HGS) has been reported for the management of palliative malignant hilar stricture and involves draining the left liver as rescue therapy. For the management of this complex stenosis, another new option for draining the right liver under EUS guidance was introduced. Ten publications involving 38 patients have been reported in the literature, in which the following two main techniques have been described: direct puncture of the right liver from the bulbus and the bridge technique allowing the drainage of the right liver across the left liver through HGS. In this review, we describe the techniques used and the potential advantages and complications of these procedures. Although this kind of drainage is demanding and probably limited to specific patients, EUS-biliary drainage of the right liver seems feasible with acceptable complications.


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