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. 2019 Apr 29;92(1098):20180957. doi: 10.1259/bjr.20180957

Figure 1.

Figure 1.

A 63-year-old male (Patient no. 5) with a post-operative nonanastomotic stricture in the proximal small bowel 21 days after total gastrectomy with esophagojejunostomy. He demonstrated complete resolution of obstructive symptoms and resumed oral food intake within 3 days after placement of an 18 mm diameter 8-cm-long partially-covered SEMS (Hercules SP Pyloric; S&G Biotech). (a) CT image before SEMS placement showing a transition zone (arrow) at the proximal jejunum with a dilated bowel loop (arrowheads). (b) Radiograph before SEMS placement showing a 4-cm-long stricture (arrows) at the proximal jejunum distal to the anastomotic site. (c) Radiograph immediately after SEMS placement showing good passage of contrast medium through the SEMS (arrows). (d) Radiograph 79 days after SEMS placement showing the migrated SEMS in the distal small bowel (arrows). The patient underwent surgical removal of the migrated SEMS and remained recurrence-free for 1714 days. SEMS,self-expandable metallic stent.