Fig. 4. (A) The stricture was confirmed by endoscopic view and contrast imaging and advancement of the guidewire beyond the site of stricture (endoscopic and fluoroscopic view). (B) The overtube was retained inside with the guidewire, the DBE was withdrawn, and the SEMS was inserted along the guidewire (fluoroscopic view). (C) The ultra-slim endoscope was inserted through the overtube and the deployment of a stent with a direct view of the endoscope was possible (endoscopic and fluoroscopic view). (D) The SEMS deployment was successfully confirmed by fluoroscopy (fluoroscopic view). DBE = double balloon endoscopy; SEMS = self-expanding metal stent.

Gastrointestinal Intervention 2014;3:69~74 https://doi.org/10.1016/j.gii.2014.09.004

© Int J Gastrointest Interv