Figure 3. Technique of hepaticogastrostomy guided by EUS. a. EUS guided puncture of the left hepatic duct using a 19 G Wilson-Cook EUS needle. b. Insertion of a 0.035 guide wire. c. Deployment of a covered expandable metallic stent (Boston Scientific Co., Natick, MA, USA) through the stomach. d. Endoscopic view of the stent creating a hepaticogastrostomy.