Direct comparison of simultaneous and sequential endoscopic metallic bilateral stenting in malignant hilar biliary obstruction

Figure 2 Sequential side by side bilateral drainage on X-ray and endoscopic view. A: Placement of guidewires across the strictures; B: Dilation of left stricture; C: Dilation of right stricture; D: Simultaneous placement of two metallic biliary stents; E: Endoscopic view after drainage with two biliary self-expandable metallic stent well distinct in the duodenal lumen.