Volume 3, Issue 6, Pages (June 2018)

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Volume 3, Issue 6, Pages 193-195 (June 2018) Long-lasting patent fistula after EUS-guided choledochoduodenostomy in a patient with refractory benign biliary stricture  Tomohisa Iwai, PhD, Mitsuhiro Kida, PhD, Hiroshi Yamauchi, PhD, Toru Kaneko, PhD, Kosuke Okuwaki, PhD, Hiroshi Imaizumi, PhD, Wasaburo Koizumi, PhD  VideoGIE  Volume 3, Issue 6, Pages 193-195 (June 2018) DOI: 10.1016/j.vgie.2018.03.011 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Three 7F double-pigtail biliary stents and one 7F pancreatic stent are placed for the stricture of chronic pancreatitis. VideoGIE 2018 3, 193-195DOI: (10.1016/j.vgie.2018.03.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 One 10-mm diameter fully covered self-expanding metallic stent (arrows) and one 7F pancreatic stent are placed for the stricture of chronic pancreatitis. VideoGIE 2018 3, 193-195DOI: (10.1016/j.vgie.2018.03.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 The fully covered self-expanding metallic stent designed to minimize stent-induced bile duct injury; 10 mm at both convex ends, 8 mm in diameter at the midportion, and 60 mm in total length. VideoGIE 2018 3, 193-195DOI: (10.1016/j.vgie.2018.03.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Stent deployment in the duodenal bulb by EUS-guided choledochoduodenostomy. VideoGIE 2018 3, 193-195DOI: (10.1016/j.vgie.2018.03.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Retrieval lasso grasped with forceps to remove a fully covered self-expanding metallic stent. VideoGIE 2018 3, 193-195DOI: (10.1016/j.vgie.2018.03.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Opening of a fistula in the duodenal bulb. VideoGIE 2018 3, 193-195DOI: (10.1016/j.vgie.2018.03.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 Cholangiogram contrasted from a created fistula showing disruption of the distal bile duct. VideoGIE 2018 3, 193-195DOI: (10.1016/j.vgie.2018.03.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions