Fig. 6. (A) Cholangiogram demonstrates a biliary stricture at the hepaticojejunostomy recalcitrant to balloon dilation. (B) A fully covered Viabil stent (Gore, Flagstaff, AZ, USA; arrow) has been placed across the stricture with resultant antegrade flow of contrast. (C) A percutaneous wire has been advanced into the afferent jejunal limb and grasped by the endoscope. The wire is used to pull the endoscope into position to retrieve the stent. (D) Completion cholangiogram showing resolution of the stricture post stent removal. The catheter was subsequently removed.
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