Fig. 5
From: Enlarged fistulotomy of the papilla as access to the biliary tract during ERCP
EFP2: enlarged fistulotomy of the papilla second attempt. a pancreatic head tumor; b FNA of pancreatic câncer; c difficult papilla and failed cannulation with the guide wire; d EFP1 with wide incisions and dissection of the papilla; e bleeding; f hemostasis was achieved by submucosa injection of saline and coagulation; g 2 days later the fistular orifice is identified and easy cannulation of the common bile duct is performed; h passage of the guidewire through the malignant stenosis; i biliary stenting