Self-expandable metal stent (SEMS) placement in surgically reconstructed intestine is technically challenging, and only a few reports have been published.1, 2 Here, we describe a case of successful SEMS placement for surgically reconstructed jejunal stenosis using a newly developed short-type single-balloon enteroscope (sSBE). A 70-year-old man presented to our hospital with fever and jaundice. Six months earlier, he had undergone subtotal stomach-preserving pancreatoduodenectomy with PD-II reconstruction for duodenal cancer. Computed tomography revealed a dilated intrahepatic bile duct as a result of stenosis in the surgically reconstructed jejunal loop caused by cancer recurrence (Fig. 1a). We could reach the stenosis using a sSBE (SIF-H290S; channel diameter, 3.2 mm; Olympus, Tokyo, Japan); however, it was impossible to pass beyond the stenosis (Fig. 1b). Because of the advanced stage of cancer, palliative through-the-scope (TTS) SEMS placement was attempted. A 0.035-inch guidewire was advanced beyond the stenosis, and an uncovered SEMS (18-mm wide, 80-mm long; Niti-S Enteral Colonic Stent; Taewoong Medical, Gimpo, Korea) was deployed (Fig. 2, Video S1). The postoperative period was uneventful. Jaundice and cholangitis resolved in a few days. Abdominal X-ray revealed that the stent was well expanded. The sSBE is compatible with the use of various interventional devices through its large working channel. To date, there is only one report on TTS SEMS placement, but it used a short-type double-balloon enteroscope (DBE).3 In comparison with DBE, SBE was assumed to be more disadvantageous in carrying out deep insertion.4 Having been equipped with a passive bending part, the sSBE has an increased endoscope flexibility. A recent article using sSBE showed its success rate of insertion to the blind end to be 92%.5 Although the safety of SEMS placement in the jejunum is yet to be established, TTS SEMS placement using sSBE could be an effective, minimally invasive treatment option for patients with advanced cancer. Authors declare no conflicts of interest for this article. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.