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

Figure 4 Endoscopic ultrasound guided antegrade self- expandable metal stent placement in a patient post subtotal gastrectomy with recurrence in portocaval lymph node with proximal common bile duct obstruction with inaccessible papilla. A: Puncture into segment II radicle with 19G FNA needle; B: Cholangiogram showing Bismuth type I block; C: Self- expandable metal stent placement across the papilla with drainage of contrast.