This 50 year old gentleman had come for his 4th follow up procedure after developing jaundice and recurrent fever. We removed his old plastic sent placed during his previous (3rd) ERCP http://ercp365.blogspot.com/2014/09/third-follow-up-ercp-for-post.html using a snare. Contrast injection outlined the anastomotic stricture (A: black arrow). We dilated the stricture using a TTS balloon inflated to 8mm (B: white arrows show the balloon assembly in place at the stricture site with the balloon inflated). A 10 French plastic stent of 12 cm length was placed.
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