PMC5854923_01
Gastroscopy (A) Gastrojejunal anastomosis with ulceration. (B) Guide wire not passing the stricture during an attempt of dilatation.
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PMC5854923_01_gr1.jpg
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A tight anastomotic stenosis with coexisting ulceration at gastrojejunostomy level was diagnosed and neither the scope or a guidewire could not be passed through on 2 separate attempts (Fig. 1).
Small bowel follows through (A) Gastrografin  given orally fills the gastric pouch but does not pass to the small intestine. (B) Gastrografin  administered via the nasojejunal tube passes into jejunum.
gr2.jpg
PMC5854923_01_gr2.jpg
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When Gastrografin  was given through the nasojejunal tube, normal contrast passage through the jejunum was demonstrated (Fig. 2).