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A 68 year's old patient came with Obstructive jaundice. We performed his ERCP and found cholangio & periampullary carcinoma placed a metallic stent. 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 FINDINGS : PAPILLA: Looks normal buldge and ulcerated. No bile flow seen. PANCREATOGRAM: Not attempted. CHOLANGIOGRAM: The terminal CBD is narrowed. Rest of CBD up to cystic duct region is grossly dilated. Another narrowing at the cystic duct region up to distal CHD. Proximal CHD and intrahepatic ducts are grossly dilated. A 10cm uncovered metallic stent is implanted into the billiary tree across the narrowed segments with establishment of free flow of bile. BIOPSY: Taken from ampulla for histopathology. COMMENTS: Findings are highly suggestive of Ampullary Ca. (Please see the description also). THERAPEUTIC INTERVENTION: ERCP and metallic stenting done. #cholangiocarcinoma #ercp_metallic_stent_placement #ercp #metallic_stent #matal_stent #stent #obstructive_jaundice #prof._brig_gen_sk_md_bahar_hussain