Abstract
EUS-guided expandable biliary metal stent placement (EUS-BD) has emerged as an acceptable alternative in patients with failed ERCP. However there is no consensus over the preferred access route (point of initial needle puncture; trans-hepatic or extra-hepatic), direction of stent insertion (antegrade or retrograde) or drainage route (the route by which the stent drains to the enteral system; trans-luminal or trans-papillary).
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