Fig. 1

Fluoroscopic images of both EUS-GE techniques (@: orointestinal catheter; ¤: electrocautery-enhanced catheter; &: EUS scope; # : 19 G needle; *: guidewire; + : lumen apposing metal stent). (a) Free hand puncture of the target jejunal limb of the wireless endoscopy simplified technique (WEST). (b) Needle puncture of the target jejunal limb of the direct technique over a guidewire (DTOG). (c) Deployment of the LAMS between the jejunal and the gastric lumen.