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#BD_ENDOSCOPY ERCP STENTING, BILLIARY PLASTIC STENTING, BILLIARY STENTING, ইআরসিপি স্টেন্টিং, ইআরসিপি প্লাস্টিক স্টেন্টিং, পিত্ত নালীতে রিং বসানো Procedure performed by Prof. Brig. Gen. Dr. Md. Delwar Hossain MBBS, FCPS (Medicine), FCPS (Gastroenterology) Senior Consultant - Gastroenterology SQUARE Hospitals Ltd. For more videos please visit my You Tube channel BD ENDOSCOPY / @bdendoscopy3663 Procedure: ERCP with Pancreatic and Billiary Stenting Indication: Obstructive jaundice Medication: TIVA Patient Age 58 year's Female FINDINGS: PAPILLA: Looks normal with scanty bile flow seen. CHOLANGIOGRAM: Stenosis is noted at opening of CBD. The distal 1/3 of CBD is narrowed. Rest of the CBD, CHD, RHD, LHD and IHDs are dilated. Papillotomy is done with conventional papillotome. Repeated balloon sweeping of the CBD is done but revealed nothing. A 10Fr. X 5cm. pigtail plastic stent is implanted into the bile duct across the narrowed segment with establishment of free flow of bile. PANCREATOGRAM: The head region of the MPD is narrowed. A 07Fr. X 127cm, stent is implanted into the bile duct across the narrowed segment. COMMENTS: Findings are suggestive of partially stenosis with distal billiary stricture (most likely benign). THERAPEUTIC INTERVENTION: Papillotomy done with separation of the bile duct and pancreatic duct opening and stenting done. ADVICE: Removal of stent after 6 weeks.