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  Indian J Med Microbiol
 

Figure 7: EUS and ERCP in chronic pancreatitis: EUS (a) shows a dilated MPD (8.5 mm between markers) caused by a larger obstructing stone (arrowheads). On ERCP, the obstructing stone (*) is seen within the dilated MPD (double head arrows; b). Pancreatic sphinterotomy is performed (directed to the 1 o'clock position), the pancreatic duct ostium is found 10 mm below the biliary ostium (arrow; c). After passing the obstructing stone with a guide wire, bougienage (d) and balloon dilatation (e) are performed by the placement of a pancreatic plastic endoprosthesis (f). Extraction of the fragmented pancreatic stone was possible following extracorporal shock wave lithotrypsy (g). MPD: Main pancreatic duct

Figure 7: EUS and ERCP in chronic pancreatitis: EUS (a) shows a dilated MPD (8.5 mm between markers) caused by a larger obstructing stone (arrowheads). On ERCP, the obstructing stone (*) is seen within the dilated MPD (double head arrows; b). Pancreatic sphinterotomy is performed (directed to the 1 o'clock position), the pancreatic duct ostium is found 10 mm below the biliary ostium (arrow; c). After passing the obstructing stone with a guide wire, bougienage (d) and balloon dilatation (e) are performed by the placement of a pancreatic plastic endoprosthesis (f). Extraction of the fragmented pancreatic stone was possible following extracorporal shock wave lithotrypsy (g). MPD: Main pancreatic duct