PMC7424373_01
Pinhole inflammatory fibrotic biliary stricture observed using fluoroscopy (a) and the SpyGlass  DS Visualization System (b,c).
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fig1
The procedure showed a nonnegotiable (with a 0.021 inch wire) pinhole inflammatory fibrotic stricture of the bile duct as well as anastomosis with excess exudate that was not amenable to stenting (Figure 1).
PMC7424373_02
Severely tight anastomotic, fibrotic stricture and a pinhole orifice stricture observed using fluoroscopy (a) and the SpyGlass  DS Visualization System (b).
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fig2
The SDDVS revealed a severely tight anastomotic, fibrotic stricture and a pinhole orifice (Figure 2).
PMC7424373_03
Anastomotic bile stricture with persistent scarring observed using fluoroscopy (a) and the SpyGlass  DS Visualization System (b,c).
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fig3
On November 14, 2019, he had an ERCP-guided cholangioscopy with the SDDVS that revealed an anastomotic bile duct stricture with persistent scarring (Figure 3).
PMC7424373_04
Scarring in the common bile duct located using fluoroscopy (a) and the SpyGlass  DS Visualization System (b-d).
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fig4
The SDDVS showed scarring in the CBD, but no narrowing; the ostia of the hepatic ducts appeared to be normal (Figure 4).
PMC7424373_05
Scarring in the anastomosis observed using fluoroscopy (a) and the SpyGlass  DS Visualization System (b,c).
CRIHEP2020-8850000.005.jpg
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fig5
On November 14, 2019, he underwent an ERCP-guided cholangioscopy with the SDDVS that showed scarring in the anastomosis (Figure 5).