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

Figure 3

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

(a)

(b)

(c)

(d)