F. Ait Iten, S. Hidye, A. Benhamdane, T. Addajou, S. Mrabti, H. Seddik
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 3
Issue: 1
Date of Publication: 2026/01/11
Abstract
Background: Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HG) has emerged as a valuable alternative for biliary drainage in cases of malignant obstruction when endoscopic retrograde cholangiopancreatography (ERCP) fails. Limited data are available from North African and Middle Eastern regions. This study reports outcomes of EUS-HG performed in a Moroccan tertiary referral center.
Methods: Seven consecutive patients undergoing EUS-guided hepaticogastrostomy for malignant biliary obstruction were retrospectively analyzed. Clinical and technical success, stent characteristics, procedural indications, and complications were evaluated and compared with outcomes reported in international literature.
Results: Technical success was achieved in all seven procedures. Clinical success occurred in six patients (85.7%), reflected by resolution of jaundice and improvement in bilirubin levels. All procedures were performed using metal biliary stents, with appropriate dilation and transgastric deployment. No immediate or delayed complications such as bile leak, bleeding, peritonitis, or stent migration were observed. These results align with international data, where technical success ranges from 91% to 100% and complication rates from 10% to 25% [1–4].
Conclusion: EUS-guided hepaticogastrostomy demonstrated excellent technical success and an outstanding safety profile in this Moroccan cohort. These findings support the integration of EUS-HG as a reliable rescue modality for malignant biliary obstruction when ERCP is unsuccessful.
Endoscopic ultrasound-guided, hepaticogastrostomy, Malignant biliary obstruction, EUS-guided biliary drainage, ERCP failure
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