Endoscopic ultrasonography-guided drainage for patients with symptomatic obstruction and enlargement of the pancreatic duct

Figure 3 Patient with recurrent episodes of severe chronic pancreatitis and manifested retention of fluid in the pancreatic duct against a background of pancreatolithiasis in whom endoscopic retrograde cholangiopancreatography failed. A: Endoscopic ultrasonography-guided puncture of the clearly dilated pancreatic duct; B: Pancreatography showed complete obturation of the pancreatic duct; C: After failure to advance the guide wire through and out of the papilla, a 10 mm × 10 mm AXIOS^TM stent was released and the position of the intraductal part of the stent checked by endoscopic ultrasonography; D: The intragastric part of the AXIOS^TM stent with secreted opaque pancreatic juice flowing into the gastric lumen.