Fig. 1. A decision flowchart for the treatment approaches in patients with malignant distal biliary obstruction. ERCP, endoscopic retrograde cholangiopancreatography; EUS-BD, endoscopic ultrasound-guided biliary drainage; EUS-RV, endoscopic ultrasound-assisted rendezvous; IHD, intrahepatic bile duct; EUS-AGS, endoscopic ultrasound-guided antegrade stenting; EUS-CDS, endoscopic ultrasound-guided choledochoduodenostomy; EUS-HGS, endoscopic ultrasound-guided hepaticogastrostomy; PTBD, percutaneous transhepatic biliary drainage.
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