Abstract
Endoscopic ultrasound (EUS-guided hepaticogastrostomy; HGS) might be the most complex because of the EUS-guided biliary drainage procedures, variations in the course of the intrahepatic bile duct compared with the common bile duct. Appropriate guidewire insertion is essential. Physician-controlled guidewire manipulation (PCGW) might improve technical success rates of bile duct cannulation. The present study aimed to determine the technical feasibility and safety of PCGW during EUS-HGS.
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