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57 year's old lady presented with Ca.GB involving the bile ducts with liver mets and Obstructive jaundice. We perform her ercp and deploy a metallic stent in CBD. 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 Procedure : E. R. C. P with Metal Stenting of CBD Indication: Obstructive jaundice Medication : Under sedation Known case of Ca. GB involving the bile ducts with liver mets FINDINGS: PAPILLA: Looks normal. No initial bile flow seen. PANCREATOGRAM: Not attempted. CHOLANGIOGRAM: Selective cannulation could be done after needle papillotomy. The CBD and distal part of the CHD is narrowed and irregular. Rest of the CHD is dilated. Dilated intrahepatic ducts are partially visualized. A 6cm uncovered metallic billiary stent is implanted into the bile duct across the narrowed segment with establishment of free flow of bile. COMMENTS: Please see the description. THERAPEUTIC INTERVENTION: Papillotomy and metallic billiary stenting done. #cholangiocarcinoma #ercp_metallic_stent_placement #ercp #metallic_stent #matal_stent #stent #obstructive_jaundice #prof._brig_gen_sk_md_bahar_hussain