and maybe seen as a variation of the intrahepatic approach, butwithout selective drainage through the ampulla.In terms of a minimally invasive concept and low com-plication rate, this is the first presentation of hepatico-gas-trostomy drainage using both endoscopic ultrasound andfluoroscopy guidance performed at the Gastrointestinal En-doscopy Unit in the Hospital das Clinicas – University ofSao Paulo School of Medicine.
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Artifon et al. (2007) studied this question.
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