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. 2012 Apr;2(2):88-90.
doi: 10.4161/jig.22206. Epub 2012 Apr 1.

Synchronous EUS-guided choledochoduodenostomy with metallic biliary and duodenal stents placement in a patient with malignant papillary tumor

Raja V Thotakura  1 , Sreekiran Thotakura, Aijaz Sofi, Muhammad Z Bawany, Ali Nawras
Affiliations

Synchronous EUS-guided choledochoduodenostomy with metallic biliary and duodenal stents placement in a patient with malignant papillary tumor

Raja V Thotakura et al. J Interv Gastroenterol. 2012 Apr.
No abstract available

Keywords: EUS-Guided Choledochoduodenostomy (EUS-CDS); ampullary cancer; biliary obstruction; duodenal obstruction; failed ERCP; metallic stents.

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Figures

Figure 1
Figure 1
Recurrent infiltrative and ulcerated malignant mass in the second part of duodenum causing biliary and duodenal obstruction (arrow).
Figure 2
Figure 2
EUS showing dilated CBD (15 mm) with distal obstruction (arrow).
Figure 3
Figure 3
Fluoroscopic image showing balloon dilatation of choledochoduodenostomy tract with the guide wire located in the intra-hepatic bile ducts (arrow).
Figure 4
Figure 4
Fluoroscopic image showing successful deployment of Wallstent I fully covered biliary expandable endoprosthesis (8 mm × 60 mm) (arrow). Endoscopic view of the choledochoduodenal stent within the duodenal bulb (inset).
Figure 5
Figure 5
Fluoroscopic visualization after successful deployment of choledochoduodenostomy (red arrow) and duodenal (blue arrow) stents.
Figure 6
Figure 6
Endoscopic visualization after successful deployment of duodenal (blue arrow) and choledochoduodenostomy (red arrow) stents.
Figure 7
Figure 7
CT visualization after successful deployment of choledochoduodenostomy (red arrow) and duodenal (blue arrow) stents.
See this image and copyright information in PMC

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