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  Indian J Med Microbiol
 

Figure 4: (a) A needle is introduced through the duodenal wall and into the common bile duct. After confirmation of proper position with contrast a wire is inserted through the needle toward the intrahepatic ducts. (b) A stent is deployed so that the proximal end is in the biliary system while the distal end traverses the duodenal wall above the papilla. (c) Final result after deploying a metal stent in the biliary system

Figure 4: (a) A needle is introduced through the duodenal wall and into the common bile duct. After confirmation of proper position with contrast a wire is inserted through the needle toward the intrahepatic ducts. (b) A stent is deployed so that the proximal end is in the biliary system while the distal end traverses the duodenal wall above the papilla. (c) Final result after deploying a metal stent in the biliary system