Case Report

Endosonography-Guided Biliary Drainage with One-Step Placement of a Newly Developed Fully Covered Metal Stent Followed by Duodenal Stenting for Pancreatic Head Cancer

Figure 1

Endosonography-guided biliary drainage ((a) endosonography; (b) duodenoscopy; (c) fluoroscopy). Using a convex linear-array echoendoscope, puncture of the extrahepatic bile duct via the duodenal bulb was performed with a 19G needle (arrow) (a). A fully-covered metal stent (c, arrows) (covered ZEOSTENT), 6 cm in length and 1 cm in diameter, was placed via the puncture tract (b, c).
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(a)
426534.fig.001b
(b)
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(c)