Lariat preparation using a snare catheter for removal of a pancreaticogastric stent in a rendezvous stent exchange.

A 61-year-old man who had previously undergone pancreaticoduodenectomy underwent subsequent endoscopic ultrasound (EUS)-guided stent placement to bridge the jejunum, pancreatic duct, and stomach as treatment for pancreaticojejunal anastomosis stricture ([Fig. 1]). Stent exchange was attempted 6 months later ([Video 1]). However, a guidewire could not be advanced along or through the previous stent from the stomach due to an unstable scope position.