Abstract
An 83-year-old man with a chief complaint of fever was transferred to our hospital. Though the patient was judged to have a carcinoma of papilla of Vater indicative for surgery, he refused operation because of his age. The patient was then suffering from obstructive jaundice and underwent endoscopic biliary drainage. Twenty one months later, endoscopic ultrasound-guided biliary drainage from the first portion of the duodenum was performed because of several incidences of stent troubles. No complications were encountered. The stent has remained patent for more than ten months.