Double-balloon-enteroscopy-based endoscopic retrograde cholangiopancreatography in post-surgical patients

Figure 1 Endoscopic finding of stenotic hepaticojejunostomy in recurrent cholangitis with putrid secretion after careful ostium incision during double balloon enteroscopy-endoscopic retrograde cholangiopancreatography in prograde technique.

Figure 2 Radiological findings of stenotic hepaticojejunostomy in recurrent cholangitis with unsuccessful percutaneous drainage (A), but selective access to dilated bile ducts (width 8 mm) through a high-grade stricture (3 mm long, arrow) by double balloon enteroscopy-endoscopic retrograde cholangiopancreatography in prograde technique (B).

Figure 3 Endoscopic finding of stenotic hepaticojejunostomy in recurrent cholangitis after ostial incision and insertion of two endoprotheses during double balloon enteroscopy-endoscopic retrograde cholangiopancreatography in prograde technique.

Figure 4 Radiological finding of insertion of a nasobiliary probe for irrigation in recurrent cholangitis with sludge after liver transplantation and hepaticojejunostomy by double balloon enteroscopy-endoscopic retrograde cholangiopancreatography through 120 cm of small bowel.