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 26 April 2018

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GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

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Biliary strictures and leaks

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Cholangiocarcinoma - Type II hilar tumor with double metal stenting.

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A 78-year-old man presented with abdominal pain and obstructive jaundice. At ERCP a tight stricture was seen involving the hilum and the distal portions of the right and left hepatic ducts (Bismuth type II) (top left). Guidewires were placed in the left and right hepatic systems (top center) and the stricture was brushed and biopsies were taken (top right). A 10mm diameter 68mm length expandable metal stent was placed into the right hepatic tree and deployed (bottom left). A further 10mm diameter 42 mm length expandable stent was placed into the left system (bottom right).
This image is reproduced with the kind permission of MUSC.
Rafael Perini, Charleston, USA

Cholangiocarcinoma - Type II hilar tumor with double metal stenting.

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