Jorge Aquino-Matus, Division of Gastroenterology and Therapeutic Endoscopy Unit, Medica Sur Clinic and Foundation, Mexico City, Mexico
Eva Juárez-Hernández, Translational Research Unit, Medica Sur Clinic and Foundation, Mexico City, México
Iván López-Méndez, Division of Gastroenterology and Therapeutic Endoscopy Unit, Medica Sur Clinic and Foundation, Mexico City, Mexico

Endoscopic retrograde cholangiopancreatography in patients with surgical alterations in the normal biliary anatomy is technically challenging. We describe the case of a 73-year-old patient with an afferent limb syndrome secondary to a Whipple procedure for pancreatic cancer, in which a percutaneous rendezvous technique assisted in the endoscopic metallic stent placement with a favorable outcome.

Keywords: Cholangiopancreatography endoscopic retrograde. Pancreaticoduodenectomy. Cholangitis. Stent.