Dilation of a severe bilioenteric or pancreatoenteric anastomotic stricture using a Soehendra Stent Retriever

Figure 1 Endoscopic view and cholangiography by short double-balloon enteroscopy in a 66-year-old male. A: Bilioenteric anastomotic stricture looking like a pinhole (arrow); B: Dilated bilateral intrahepatic bile ducts were revealed.

Figure 2 Dilation of the severe bilioenteric anastomotic stricture using a 7-Fr Soehendra Stent Retriever. A: The Soehendra Stent Retriever (SSR) was introduced to the anastomosis over the guidewire, and turned clockwise carefully with pressure to advance through the stricture into the bile duct; B: Fluoroscopic view showing dilation for the stricture by the SSR; C: Endoscopic view showing the dilated anastomosis by the SSR; D: Fluoroscopic view showing subsequent balloon dilation to 8-mm dia; E: Conclusive endoscopic view after balloon dilation for this severe bilioenteric anastomotic stricture.

Figure 3 Endoscopic view and pancreatography by short double-balloon enteroscopy in a 78-year-old female. A: Pancreatoenteric anastomotic stricture looking like a pinhole with pancreatic juice flowing out slightly (arrow); B: Dilated pancreatic duct and pancreatic stone (arrowhead) were revealed.

Figure 4 Dilation of the severe pancreatoenteric anastomotic stricture using a 7-Fr Soehendra Stent Retriever. A: The Soehendra Stent Retriever (SSR) was introduced to the anastomosis over the guidewire, and turned clockwise carefully with pressure to advance through the stricture into the pancreatic duct; B: Fluoroscopic view showing dilation for the stricture by the SSR; C: Endoscopic view showing the dilated anastomosis by the SSR; D: Fluoroscopic view showing subsequent balloon dilation to 6-mm dia; E: Conclusive endoscopic view after balloon dilation for this severe pancreatoenteric anastomotic stricture.