This was a 50 year old gentleman who had undergone living donor liver transplant in June 2013. He underwent his first ERCP after developing an anastomotic stricture in February. An 8.5 French stent of 12cm length was placed after dilating the stricture with graduated dilatation catheters http://ercp365.blogspot.com/2014/02/post-transplant-anastomotic-biliary.html. We removed his previously placed stent. Contrast injection outlined a persistent stricture (A: Black arrow). We dilated the stricture using a 6 mm balloon of 3 cm length (B: White arrows). A 10 French plastic biliary stent of 15 cm length was placed (C1 & C2: White arrows).
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