Endoscopic ultrasound-guided jejunojejunostomy with rendezvous contrast-filling assistance in afferent limb syndrome

A 79-year-old man who previously underwent pancreaticoduodenectomy for distal biliary duct cancer presented with abdominal pain and jaundice. Computed tomography (CT) and magnetic resonance cholangiopancreatography showed dilation of the afferent loop, intrahepatic bile duct, and pancreatic duct, with peripancreatic fat stranding ([Fig. 1]), and revealed a recurrent tumor obstructing the biliojejunal anastomotic...