Abbreviation: GJ (gastrojejunal) A 48-year-old woman who had previously undergone laparoscopic Roux-en-Y gastric bypass presented with unintentional weight loss, oral intolerance, nausea, and vomiting. The patient had a history of chronic gastrojejunostomy (GJ) stenosis managed by surgical GJ revision; however, the revision GJ developed chronic stenosis (Fig. 1). Multiple endoscopic balloon dilations of the revised surgical GJ had been attempted without clinical success.