Abstract
EUS-guided biliary access is an alternative for percutaneous access or surgery in patients with malignant unresectable distal biliary obstruction. When rendezvous or anterograde transpapillary/transanastomotic intervention fails as primary drainage options, a choledochoduodenostomy (CD) or a hepaticogastrostomy (HG) can still be performed in selected patients. CD is more frequently performed and there are no studies that recommend or metal or plastic stents in this procedure.
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