Fig. 1. (A) Dilated distal common bile duct due to pancreatic head cancer while “freestyle” puncture with lumen-apposing stent introducer is performed under endoscopic ultrasound (EUS)-guidance using forward viewing therapeutic echoendoscope Olympus TGF-UC180J. (B) EUS-guided choledochoduodenostomy (EUS-CDS) with lumen apposing metal stent. (C) Fluoroscopic view of deployed lumen-apposing metal stent in EUS-CDS performed by forward viewing therapeutic echoendoscope Olympus TGF-UC180J. (D) Combined iodine contrast cholangiogram and pneumocholangiogram by carbondioxide after EUS-CDS is created.
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