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EUS-guided hepaticogastrostomy for surgically altered anatomy patient with bilioenteric anastomotic stricture. (a) The intrahepatic bile duct was punctured using a 22G needle with a 0.018-inch guidewire; (b) passing of the guidewire over the stricture site was achieved; (c) after exchanging to a 0.025-inch guidewire, the dedicated stent was inserted. The tip of stent was placed over the stricture site into the jejunum after the balloon dilation
