Endoscopic ultrasound guided hepatico-gastrictubestomy for bile duct stent obstruction in a patient with recurrent cancer after esophageal cancer surgery with gastric tube reconstruction.

Endoscopic ultrasound-guided (EUS) biliary drainage has been reported in cases using a variety of puncture routes. However, there have been no previous reports of EUS-guided intrahepatic bile duct fistulation from a reconstructed gastric tube. 1-4.