Volume 3, Issue 6, Pages (June 2018)

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Volume 3, Issue 6, Pages 196-198 (June 2018) Successful EUS-guided retrograde pancreatic duct stent placement for refractory pancreaticojejunostomy stricture after pancreaticoduodenectomy with a forward- viewing echoendoscope Yuji Hodo, MD, PhD, Yukihiro Shirota, MD, PhD, Tsuyoshi Suda, MD, Tokio Wakabayashi, MD, PhD VideoGIE Volume 3, Issue 6, Pages 196-198 (June 2018) DOI: 10.1016/j.vgie.2018.03.009 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Contrast-enhanced CT image showing swelling of the residual pancreas with dilatation of the pancreatic duct (arrow). VideoGIE 2018 3, 196-198DOI: (10.1016/j.vgie.2018.03.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Endoscopic image of the pancreaticojejunostomy stricture (arrow). VideoGIE 2018 3, 196-198DOI: (10.1016/j.vgie.2018.03.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 EUS image showing dilatation of the pancreatic duct (arrow). VideoGIE 2018 3, 196-198DOI: (10.1016/j.vgie.2018.03.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Puncture of the pancreatic duct with a 19-gauge needle, and injection of contrast medium. VideoGIE 2018 3, 196-198DOI: (10.1016/j.vgie.2018.03.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Insertion of a 0.025-inch guidewire into the pancreatic duct, and performance of stepwise dilatation with a tapered catheter and a dilator. VideoGIE 2018 3, 196-198DOI: (10.1016/j.vgie.2018.03.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Placement of a plastic stent across the puncture site. A, Endoscopic view. B, Fluoroscopic image. VideoGIE 2018 3, 196-198DOI: (10.1016/j.vgie.2018.03.009) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions