Single-session endoscopic ultrasound-guided hepaticogastrostomy and pancreatic duct drainage for concomitant biliary and pancreatic duct stones in a patient with a surgically altered anatomy.

Highlight Interventional endoscopic ultrasound has become widely used although it remains challenging. Nagai and colleagues present the first case of single-session endoscopic ultrasound-guided hepaticogastrostomy and endoscopic ultrasound-guided pancreatic duct drainage, and demonstrate that it is feasible for the management of biliary and pancreatic duct stones in patients with surgically altered anatomy.