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. 2023 Jan 4;11(1):E24–E31. doi: 10.1055/a-1952-2135

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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Fig. 3 — Endoscopic and radiographic images of Patient B requiring percutaneous transhepatic biliary drainage (PTBD). a Endoscopic view of hepaticojejunostomy anastomotic stricture (red arrow) with adjacent remnant suture string covered with debris/sludge (blue arrow). The wire could not be advanced through the HJAS endoscopically and the patient was referred for PTBD. b Percutaneous transhepatic cholangiogram (PTC) showing dilated intrahepatic ducts with no flow of contrast into the small bowel. c Wire traversed through HJAS into small bowel shown on PTC. d Percutaneous transhepatic balloon dilatation with waisting visible across the HJAS. e Successful biliary drainage with contrast flowing through the hepaticojejunostomy into the small bowel.