Fig. 6. A 74-year-old male who underwent palliative total gastrectomy for advanced gastric cancer. (A) Upper gastrointestinal contrast study shows segmental stricture and fold thickening at just below the anastomosis site (arrow), suggestive of tumor invasion. (B) A multipurpose gastroduodenal catheter was introduced over the guide wire to measure length of the stricture, which was 70 mm. A covered self-expandable dual stent was inserted, so that nylon mesh fully covered the stricture site. (C) Completion contrast study shows an improved flow of contrast material through the stricture and no extraluminal leakage.
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