PMC6713960_01
PMC6713960_02
PMC6713960_03
MRCP demonstrates stricture of the anastomosis (arrow).. MRCP, magnetic resonance colangiopancreatography.
10.1177_2631774519867786-fig1.jpg
PMC6713960_03_10.1177_2631774519867786-fig1.jpg
fig1-2631774519867786
(a) Benign biliary stricture (BBS). (b) Refractory BBS balloon dilation fluoroscopy view.
10.1177_2631774519867786-fig2.jpg
PMC6713960_03_10.1177_2631774519867786-fig2.jpg
fig2-2631774519867786
Balloon dilation up to 10 mm was performed, followed by biliary balloon scanning and biliary sludge removal (Figure 2(a) and (b)).
SpyGlass cholangioscopy. (a) BBS direct view after balloon dilation. (b) Cholangioscopy-guided steroid injection.. BBS, benign biliary stricture.
10.1177_2631774519867786-fig3.jpg
PMC6713960_03_10.1177_2631774519867786-fig3.jpg
fig3-2631774519867786
Cholangioscopy followed by CSI were performed and no stents were placed (Figure 3(a) and (b)).
Control ERCP after 17 months of the procedure. Adequate anastomosis diameter.. ERCP, endoscopic retrograde cholangiopancreatography.
10.1177_2631774519867786-fig4.jpg
PMC6713960_03_10.1177_2631774519867786-fig4.jpg
fig4-2631774519867786
The exam showed no signs of stricture, with good anastomosis diameter and easy contrast and bile flown (Figure 4).