A system for endoscopic ultrasound guided drainage includes an access sheath extending longitudinally from a proximal end to a distal end and including an access lumen extending therethrough from the proximal end to the distal end a stylet slidably received within the access lumen, the stylet extending longitudinally from a proximal end to distal end and including a channel extending therethrough, the channel configured to receive a fluid therethrough and a dilating sheath extending longitudinally from a proximal end to a distal end and including a dilating lumen extending therethrough. The dilating lumen is sized and shaped to slidably receive the access sheath.