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Dilation of a severe bilioenteric or pancreatoenteric anastomotic stricture using a Soehendra Stent Retriever

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Author(s): Koichiro Tsutsumi | Hironari Kato | Ichiro Sakakihara | Naoki Yamamoto | Yasuhiro Noma | Shigeru Horiguchi | Ryo Harada | Hiroyuki Okada | Kazuhide Yamamoto

Journal: World Journal of Gastrointestinal Endoscopy
ISSN 1948-5190

Volume: 5;
Issue: 8;
Start page: 412;
Date: 2013;
Original page

Keywords: Bilioenteric anastomotic stricture | Soehendra Stent Retriever | Dilation | Pancreatoenteric anastomotic stricture | Double-balloon enteroscopy

ABSTRACT
Bilioenteric or pancreatoenteric anastomotic strictures often occur after surgery for a pancreaticobiliary disorder. Therapeutic endoscopic retrograde cholangiopancreatography using balloon enteroscopy has been shown to be feasible and effective in patients with such strictures. However, when a benign anastomotic stricture is severe, a dilation catheter cannot pass through the stricture despite successful insertion of the guidewire. We report on the usefulness of the Soehendra Stent Retriever over a guidewire for dilating a severe bilioenteric or pancreatoenteric anastomotic stricture under short double-balloon enteroscopy, in two patients with surgically altered anatomies.
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