Successful biliary drainage using a metal stent through the gastric stoma

Figure 1 Contrast-enhanced computed tomography showed a 3-cm enhanced mass in the middle bile duct (white arrow) and dilatation of the intra-hepatic bile duct.

Figure 2 Endoscopic view of the papilla of Vater obtained by looking up from the anal side of the duodenal second portion.

Figure 3 Cholangiogram showing a 3-cm stricture in the middle bile duct (white arrow); the scope was inserted through the gastric stoma (white arrowhead) (A), and successful placement of the 6F introducer metallic stent into the middle bile duct (B).