Figure 2

(A) Image of the ampulla after ampullectomy, endoscopic sphincterotomy and the placement of a plastic 10 Fr biliary stent. Post ampullectomy endoscopy (B) The papilla after additional excision of remnant tissue in combination with argon plasma coagulation and placement of a partially covered metallic biliary stent, 1 month after the initial intervention. One month later, additional argon plasma coagulation and metallic stent placement.