Volume 154, Issue 1, Pages (January 2018)

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Volume 154, Issue 1, Pages 23-25 (January 2018) Rendezvous Biliary Recanalization of Complete Biliary Obstruction With Direct Peroral and Percutaneous Transhepatic Cholangioscopy Majidah A. Bukhari, Yamile Haito-Chavez, Saowanee Ngamruengphong, Olaya Brewer Gutierrez, Yen-I Chen, Mouen A. Khashab Gastroenterology Volume 154, Issue 1, Pages 23-25 (January 2018) DOI: 10.1053/j.gastro.2017.09.050 Copyright © 2018 AGA Institute Terms and Conditions

Figure 1 (A) Endoscopic retrograde cholangiopancreatography revealed complete anastomotic obstruction (arrow). (B) During percutaneous cholangiography, a complete anastomotic obstruction with no flow of contrast into the small bowel (arrow). (C) Endoscopic view of direct needle knife puncture. (D) Endoscopic view revealed flow of methylene blue through the puncture site. (E) Fluoroscopic view of balloon dilation of anastomotic stricture using an 8-mm diameter balloon catheter. (F) Fluoroscopic view of anastomotic stricture 4 months later. Gastroenterology 2018 154, 23-25DOI: (10.1053/j.gastro.2017.09.050) Copyright © 2018 AGA Institute Terms and Conditions