Endoscopic ultrasonography-guided hepaticogastrostomy with a novel 0.018-inch guidewire and a slim-delivery metallic stent

Endoscopic ultrasonography-guided hepaticogastrostomy with a novel 0.018-inch guidewire and a slim-delivery metallic stent Video 1 A novel 0.018-inch guidewire without markers and a 7-Fr slimdelivery metallic stent were useful for endoscopic ultrasonography-guided hepaticogastrostomy. Fig. 1 a A novel 0.018-inch guidewire (J-wire NM; J-MIT) without markers was developed for endoscopic ultrasound-guided hepaticogastrostomy to prevent guidewire stacking at the needle tip.b Novel self-expandable metallic stent with a 7-Fr slim-delivery system (Niti-S EUS-BD system End Bare Single Flare; Taewoong Medical Co., Ltd.) features an ultra-tapered tip that minimizes the gap with a 0.018-inch guidewire. Fig. 2 Computed tomography images show huge lymph node metastases (arrowheads) that obstruct the common bile duct and the duodenum.a Axis plane.b Coronal plane.