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  Indian J Med Microbiol
 

Figure 4: Successful transpapillary drainage after EUS-guided transmural pancreatic duct drainage and ESWL in a case with calcified chronic pancreatitis. (a) EUS-guided rendezvous was attempted but the guidewire passage failed due to stone impaction (arrowhead). (b) EUS-guided transmural pancreatic duct stent was placed. (c) Guidewire passage through the minor papilla (arrow) was eventually successful through pancreatico-gastrostomy route after ESWL. (d) A pancreatic stent was placed across the minor papilla using the rendezvous technique. ESWL: Extracorporeal shock wave lithotripsy

Figure 4: Successful transpapillary drainage after EUS-guided transmural pancreatic duct drainage and ESWL in a case with calcified chronic pancreatitis. (a) EUS-guided rendezvous was attempted but the guidewire passage failed due to stone impaction (arrowhead). (b) EUS-guided transmural pancreatic duct stent was placed. (c) Guidewire passage through the minor papilla (arrow) was eventually successful through pancreatico-gastrostomy route after ESWL. (d) A pancreatic stent was placed across the minor papilla using the rendezvous technique. ESWL: Extracorporeal shock wave lithotripsy