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A 47 years old woman presented at SQUARE HOSPITALS LTD. Dhaka Bangladesh with Obstructive jaundice. we perform her ERCP and placed a plastic stent in the CBD. Procedure: E. R. C. P. with billiary stenting Indication: Obstructive jaundice Medication Under sedation FINDINGS: PAPILLA: Small juxtra papillary diverticulum is seen at the papilla. Bile flow seen. PANCREATOGRAM: Not attempted. CHOLANGIOGRAM: There is a sharp narrowing at mid half of the CBD up to hilum. The intrahepatic ducts are grossly dilated. Papillotomy is done with conventional papillotome. A 10Fr X 7cm plastic stent is implanted into the billiary tree duct across the narrowed segment with establishment of free flow of bile. COMMENTS: Findings are highly suggestive of Ca. GB involving the bile duct (Please see the description also). THERAPEUTIC INTERVENTION: Papillotomy and billiary stenting done. Procedure performed by................. Prof. Brig. Gen. Sk Md. Bahar Hussain (Retd.) MBBS,FCPS(Medicine),FRCP(Edin,Glasg),FACP(USA). Senior. Consultant & Interventional Gastroenterologist Department Of Gastroenterology. SQUARE Hospitals Ltd. For more videos please visit my You Tube channel BD ENDOSCOPY / @bdendoscopy3663 #cholangiocarcinoma #ercp_plastic_stent_placement #obstructive_jaundice #billiary_stenting