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procedure for biliary stent placement during ERCP biliary stenting for palliating malignant obstructions of the bile ducts can be performed percutaneously or endoscopic Lee required devices for endoscopic biliary stent replacements are an ERCP catheter guide wire and a delivery system with a biliary stent there are four types of Aegis biliary stents the most popular stent is the double bare Aegis due to an excellent flexibility and conformability and reduce shortening on deployment tubular gold markers on the stent increase radio pasady and visibility on fluoroscopy the guide wire helps cross the structure and guides the delivery system into place it can also be used to assess the length of the stricture more accurately the ERCP catheter is used to cannulate the bile duct and inject contrast to outline the biliary tree and the structure the endoscope is passed into the duodenum and the major papilla visualized an ERCP catheter is inserted through the endoscope and the papilla cannulate