Fig. 6. (A) Dilated common bile duct (CBD) to 2.2 cm in a patient with malignant obstruction. (B) Endoscopic ultrasound (EUS) image of needle puncture directly into the CBD. (C) Endoscopic retrograde cholangiopancreatography image of EUS guided cholangiography. (D–G) EUS guided stent deployment directly into the bile duct from the duodenum with a view of the left and right intrahepatic ducts (all images courtesy of Dr. Rishi Pawa).
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