Endoscopic ultrasound guided biliary drainage in surgically altered anatomy: A comprehensive review of various approaches

Figure 2 Endoscopic ultrasound guided transhepatic rendezvous in a case of carcinoma stomach post distal gastrectomy with intraoperative bile duct injury. A: Puncture and passage of wire from segment II in left hepatic duct with proximal common bile duct stricture; B: Guide-wire passed across the papilla after tract was dilated with cystotome; C: Scope changed to upper gastrointestinal (GI) endoscope and passed till the level of the papilla; D: Bilateral plastic stent placement using upper GI endoscope.