Abstract
Pancreaticojejunostomy anastomotic stricture (PJAS) is a late adverse event after pancreaticoduodenectomy [1] that can lead to pancreatic stones, pancreatitis, and abdominal pain. Radial incision and cutting (RIC) has shown promising results for esophagogastric stricture [2], and its usefulness for refractory PJAS was reported in 2021 [3]. However, there have been only a few cases, and the procedure remains challenging. The advantages of gel immersion endoscopy using a clear gel (VISCOCLEAR; Otsuka Pharmaceutical Factory) have been reported for securing a good visual field, including in endoscopic submucosal dissection [4]. Here, we report a case of PJAS treated by RIC during gel immersion endoscopy.
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