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. 2024 Oct 8;56(Suppl 1):E856–E857. doi: 10.1055/a-2418-3257

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1 — Images during endoscopic papillectomy showing: a, b on endoscopic view: a an ampullary tumor that was localized to the papilla; b pancreatic duct cannulation being attempted after prophylactic clipping had been carried out; c, d on fluoroscopic view; c significant bends within the main pancreatic duct; d pancreatic duct injury caused by guidewire penetration into the retroperitoneal cavity.