Endoscopic ultrasound-guided choledochoduodenostomies with fully covered self-expandable metallic stents

Figure 1 Technique for endoscopic ultrasound-guided choledochoduodenostomy with a fully covered self-expandable metallic stent. A: The bile duct was punctured with a 19-gauge needle under linear-array echoendoscopic guidance; B: A guidewire was introduced through the needle; C: A fully covered self-expandable metallic stent was inserted under fluoroscopic guidance; D: Illustration of a biliary stent extending from the first portion of the duodenum to the extrahepatic bile duct.