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  Indian J Med Microbiol
 

Figure 2A: EUS-guided choledochojejunostomy for severe anastomotic stricture. (a) Endoscopic image shows a complete stricture of choledochojejunostomy. (b) EUS image shows jejunal muscle layer (arrow), scar (arrowhead), dilated bile duct (asterisk), and blood flow signals. (c) Puncture an anastomosis with a 19G needle. (d) Dilate puncture site with a cautery dilator. (e) Fluoroscopic image shows right and left intrahepatic bile ducts. (f) Deployed fully covered metallic stent and plastic stent in each bile duct to prevent obstruction. (g) The endoscopic image shows two stents placed at the anastomosis. (h) Endoscopic image shows recanalized anastomosis after stent removal Figure 2B: EUS-guided pancreaticojejunostomy for severe anastomotic stricture. (a) The endoscopic image illustrates the complete stricture of pancreaticojejunostomy. (b) EUS image shows a 19G needle passed into a dilated main pancreatic duct. (c) The fluoroscopic image shows the injection of the contrast medium into the main pancreatic duct. (d) Advancement of a guidewire into the main pancreatic duct. (e) Placement of a 7-Fr pancreatic stent (allow) after dilatation with a cautery dilator. (f) The endoscopic image depicts a plastic stent at the anastomosis

Figure 2A: EUS-guided choledochojejunostomy for severe anastomotic stricture. (a) Endoscopic image shows a complete stricture of choledochojejunostomy. (b) EUS image shows jejunal muscle layer (arrow), scar (arrowhead), dilated bile duct (asterisk), and blood flow signals. (c) Puncture an anastomosis with a 19G needle. (d) Dilate puncture site with a cautery dilator. (e) Fluoroscopic image shows right and left intrahepatic bile ducts. (f) Deployed fully covered metallic stent and plastic stent in each bile duct to prevent obstruction. (g) The endoscopic image shows two stents placed at the anastomosis. (h) Endoscopic image shows recanalized anastomosis after stent removal

Figure 2B: EUS-guided pancreaticojejunostomy for severe anastomotic stricture. (a) The endoscopic image illustrates the complete stricture of pancreaticojejunostomy. (b) EUS image shows a 19G needle passed into a dilated main pancreatic duct. (c) The fluoroscopic image shows the injection of the contrast medium into the main pancreatic duct. (d) Advancement of a guidewire into the main pancreatic duct. (e) Placement of a 7-Fr pancreatic stent (allow) after dilatation with a cautery dilator. (f) The endoscopic image depicts a plastic stent at the anastomosis