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. 2023 May 4;55(Suppl 1):E698–E699. doi: 10.1055/a-2062-5718

Fig. 2.

Fig. 2

 The “echo-free space” method. a First, advance the endoscopic ultrasound (EUS) scope in front of the pyloric ring (arrows) and search for the lumen of the duodenal bulb, which is depicted as an echo-free space (*) on EUS. b Next, search for the site where the continuity of the intestinal wall adjacent to the echo-free space (*) is interrupted (arrow). This part would be the pyloric ring. c Aligning the tip of the scope with the discontinuity on the EUS screen will lead to successful insertion of the EUS scope into the pylorus.