Obstructive jaundice is often the first symptom of malignant disease of the pancreas (for example, pancreatic ampullary carcinoma and carcinoma of the papilla of Vater). As jaundice increases, it ...

Exclusion of the presence of vasculature in the path of the needle using color Doppler ultrasound ... If necessary, use of a biliary catheter or papillary balloon dilator for dilatation of ...