Fig. 2. (A) Dilated afferent limb (arrows) in a patient with Roux-en-Y hepaticojejunostomy who presented with cholangitis. Balloon assisted enteroscopy demonstrating a dilated and obstructed afferent limb (B) treated with a 7 Fr/15 cm double pigtail stent (arrow) (C). (D) Subsequent surgical exploration demonstrated torsion of the afferent limb as it exited the transverse mesocolon. Postoperative enteroscopy demonstrated a widely patent afferent limb (arrow). Note air in the biliary tree demonstrating intrahepatic duct dilation in this patient whose original surgery was undertaken for choledochal cyst.

Gastrointestinal Intervention 2016;5:124~128 https://doi.org/10.18528/gii150017

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