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. 2018 Mar 7;6(3):E363–E369. doi: 10.1055/s-0043-123468

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Fig. 1 — Direct EUS-guided gastroenterostomy. a Using a forward-viewing gastroscope, the small bowel is filled with saline mixed with methylene blue and contrast. b Transgastric puncture of the small bowel with a 19-gauge needle. c Aspiration of blue-tinged fluid confirming the proper location of the puncture. d LAMS insertion with cautery assistance and stent deployment as seen on EUS. e Dilation of the stent with a 15-mm radial expansion balloon. f Endoscopic view of the gastroenterostomy stent post dilation.