Endoscopic Ultrasound-Guided Biliary Drainage Using Self-Expandable Metal Stent for Malignant Biliary Obstruction

Figure 2

Endoscopic ultrasound-guided hepaticogastrostomy. Under real-time EUS guidance, the dilated intrahepatic bile duct was punctured and a cholangiogram was obtained (a and b). After transmural fistula dilation (c), a fully covered self-expandable metal stent was deployed (d).

(a)

(b)

(c)

(d)