case_images: PMC7424373_01
case_images: Pinhole inflammatory fibrotic biliary stricture observed using fluoroscopy (a) and the SpyGlass  DS Visualization System (b,c).
case_images: CRIHEP2020-8850000.001.jpg
case_images: PMC7424373_01_CRIHEP2020-8850000.001.jpg
case_images: fig1
case_images: The procedure showed a nonnegotiable (with a 0.021 inch wire) pinhole inflammatory fibrotic stricture of the bile duct as well as anastomosis with excess exudate that was not amenable to stenting (Figure 1).
case_images: PMC7424373_02
case_images: Severely tight anastomotic, fibrotic stricture and a pinhole orifice stricture observed using fluoroscopy (a) and the SpyGlass  DS Visualization System (b).
case_images: CRIHEP2020-8850000.002.jpg
case_images: PMC7424373_02_CRIHEP2020-8850000.002.jpg
case_images: fig2
case_images: The SDDVS revealed a severely tight anastomotic, fibrotic stricture and a pinhole orifice (Figure 2).
case_images: PMC7424373_03
case_images: Anastomotic bile stricture with persistent scarring observed using fluoroscopy (a) and the SpyGlass  DS Visualization System (b,c).
case_images: CRIHEP2020-8850000.003.jpg
case_images: PMC7424373_03_CRIHEP2020-8850000.003.jpg
case_images: fig3
case_images: On November 14, 2019, he had an ERCP-guided cholangioscopy with the SDDVS that revealed an anastomotic bile duct stricture with persistent scarring (Figure 3).
case_images: PMC7424373_04
case_images: Scarring in the common bile duct located using fluoroscopy (a) and the SpyGlass  DS Visualization System (b-d).
case_images: CRIHEP2020-8850000.004.jpg
case_images: PMC7424373_04_CRIHEP2020-8850000.004.jpg
case_images: fig4
case_images: The SDDVS showed scarring in the CBD, but no narrowing; the ostia of the hepatic ducts appeared to be normal (Figure 4).
case_images: PMC7424373_05
case_images: Scarring in the anastomosis observed using fluoroscopy (a) and the SpyGlass  DS Visualization System (b,c).
case_images: CRIHEP2020-8850000.005.jpg
case_images: PMC7424373_05_CRIHEP2020-8850000.005.jpg
case_images: fig5
case_images: On November 14, 2019, he underwent an ERCP-guided cholangioscopy with the SDDVS that showed scarring in the anastomosis (Figure 5).