Figure 1.

EUS-HGS using a L-PCMS. (a) Illustration of the L-PCMS (Niti-S Biliary Silicone Covered Stent, Taewoong Medical, Gimpo, South Korea) made of braided nitinol wire partially covered by a silicone membrane; the proximal end has a 1-cm uncovered part, and the distal end has a flared portion. (b) Endoscopic view revealing a long intragastric portion of the L-PCMS after EUS-HGS. (c) Computed tomography image showing the L-PCMS deployed between the left intrahepatic bile duct and the gastric body. EUS-HGS: EUS-hepaticogastrostomy; L-PCMS: Long partially covered metal stent