2022 Volume 64 Issue 3 Pages 256-261
An 84-year-old woman with a history of laparoscopic cholecystectomy and Roux-en-Y choledochojejunostomy (CDJ) for post-cholecystectomy bile duct stenosis was admitted to our hospital following an acute cholangitis diagnosis due to suspected CDJ anastomotic stricture. After conservative treatment with fasting, fluid replacement, and antibiotics, endoscopic retrograde cholangiopancreatography (ERCP) was performed using a balloon-assisted enteroscope (BAE). Multiple membranous stenoses were observed in the small bowel. A BAE was advanced through the small bowel strictures by endoscopic balloon dilation. Finally, the passage allowed access to the CDJ anastomosis.
The CDJ anastomosis stricture was scarred and dilated using a biliary balloon dilator. Currently, the patient is in stable condition without recurrence of cholangitis.
This report describes a case of CDJ anastomosis stricture and nonsteroidal anti-inflammatory drug-induced multiple small bowel strictures treated with a BAE and endoscopic balloon dilation.
