Published online Aug 16, 2013. doi: 10.4253/wjge.v5.i8.412
Revised: July 7, 2013
Accepted: July 17, 2013
Published online: August 16, 2013
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.
Core tip: The Soehendra Stent Retriever can be useful for the dilation of severe, tight bilioenteric or pancreatoenteric anastomotic strictures over a guidewire, and it is available for endoscopic dilation even under short double-balloon enteroscopy for patients with surgically altered anatomies.