Endoscopic management of biliary strictures post-liver transplantation

Figure 3 Anastomotic bile duct stricture treated with rendezvous technique. A: A 56-year-old patient who presented two years after transplantation with jaundice and found to have a severe anastomotic stricture which was not able to be traversed with a guidewire; B: Percutaneous transhepatic cholangiogram showing a stricture at the anastomosis with the guidewire inserted through the transhepatic tract; C: The rendezvous technique was used to advance the endoscopic catheter over the transhepatic guidewire and proximal to the anastomotic stricture; D: A fully covered metal biliary stent was placed traversing the anastomosis.