Recently, endoscopic ultrasonography-guided bile duct drainage (EUS-BD) has become popular as an alternative method of biliary drainage in cases of failed endoscopic retrograde cholangiopancreatography. In terms of EUS-guided extrahepatic bile duct drainage, recently, EUS-guided choledochoantrostomy has been reported as a variation of EUS-BD. We describe a case of successful choledochoantrostomy using a fully covered self-expandable metallic stent. We conclude that EUS-guided choledochoantrostomy should be one option for biliary decompression. In particular, if patients have duodenal strictures, with or without a duodenal metal stent, it seems to be an ideal alternative to choledochoduodenostomy.
© 2013 The Authors. Digestive Endoscopy © 2013 Japan Gastroenterological Endoscopy Society.