The Role of EUS-BD in the Management of Malignant Biliary Obstruction: The Indonesian Perspective

Figure 1

EUS-BD in a patient with a periampullary tumor with unidentifiable ampulla and failed ERCP: (a) endoscopy view of the periampullary tumor; (b) EUS imaging of the puncture into dilated CBD; (c) puncture point enlargement using Cystotome; (d) dilated intra- and extrahepatic CBD; (e) transduodenal plastic biliary stent placement; (f) bile drainage through the stent.

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(b)

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