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September 12, 2025Endoscopic UltrasoundOpen Access

EUS-guided bridging stent placement using a new slim-delivery system for malignant hilar biliary obstruction: Two case reports (with video)

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Authors

FKFumiya KataokaTohoku University MOMitsuru OkunoGifu Municipal Hospital TMTsuyoshi MukaiKanazawa Medical University

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Implication

Case reports highlight the efficacy of EUS-guided hepaticogastrostomy for malignant hilar biliary obstruction, suggesting that a new slim delivery system can improve stent placement.

Key Points

EUS-guided hepaticogastrostomy effectively improved biliary drainage in malignant hilar biliary obstruction patients.
The new slim delivery system allowed successful stent placement in cases with severe duct obstructions and angulations.
Cholangiography played a crucial role in diagnosing and guiding the stenting process for both case reports.
The slim delivery system's tapered design significantly facilitated bridging drainage in tight anatomical conditions.

Cite This Study

Kataoka et al. (2025) studied this question.

synapsesocial.com/papers/68d44f7b31b076d99fa56be4 https://doi.org/10.1097/eus.0000000000000137

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Implication

Case reports highlight the efficacy of EUS-guided hepaticogastrostomy for malignant hilar biliary obstruction, suggesting that a new slim delivery system can improve stent placement.