Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. We describe the case of occluded hepaticojejunostomy anastomosis (HJA) with a thick and hard fibrous membrane which was able to be safely resected under direct double-endoscopic views using a cholangioscope and enteroscope (short-type double balloon endoscope). This technique …
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