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Insertion of a large-bore fully covered SEMS (FCSEMS-L). (A) The distal bile duct was obstructed by pancreatic cancer ingrowth, and the proximal bile duct was dilated. (B) The FCSEMS L was endoscopically inserted into the obstructed site. (C) The FCSEMS-L was fully deployed, and the bile duct was decompressed using an “air-biliarygram” three days after stent insertion.
