Copyright ©2014 Baishideng Publishing Group Inc.
World J Surg Proced. Jul 28, 2014; 4(2): 23-32
Published online Jul 28, 2014. doi: 10.5412/wjsp.v4.i2.23
Figure 7
Figure 7 Using a therapeutic linear-array echoendoscope, a 19 G fine-needle-aspiration needle can be directed into dilated intrahepatic bile ducts in the left lobe of the liver. Once biliary access is established, up to an 0.035” guidewire can be passed antegrade across the extrahepatic bile duct and into the duodenum so as to facilitate rendezvous endoscopic retrograde cholangiopancreatography or antegrade bile duct therapy, such as large papillary balloon dilation to create sufficient space to push stones out of the bile duct and into the duodenum.