Abstract
In patients with a biliodigestive anastomosis after pancreatic head resection, biliary strictures are a common complication that carry the risk of stone impaction, pain, and cholangitis. Altered anatomy poses a significant challenge for endoscopists, and often standard endoscopic equipment is not adequate to the task [1] [2]. In the case where there is an extended pancreaticobiliary limb, motorized spiral enteroscopy (MSE) can be used to reach the biliodigestive anastomosis. This procedure, however, requires skilled and well-trained endoscopists, and further anesthesia with orotracheal intubation is mandatory [3] [4].
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