Lee JH, et al. - Researchers investigated the long-term efficacy of transhepatic portal vein (PV) stent placement in patients with postoperative PV obstruction. In addition, they sought risk factors for stent failure. From January 2007 to October 2019, technically successful stent placement was achieved in all the 60 patients with postoperative PV obstruction in whom percutaneous transhepatic PV stent placement was attempted. In the same session, the patients received thromboaspiration (n = 19) and jejunal variceal embolization (n = 7). Outcomes suggest that for postoperative PV obstruction after hepatobiliary and pancreatic surgery, percutaneous transhepatic PV stent placement is a technically feasible and effective treatment to improve portal hypertension–related symptoms. They indicate pancreatic fistula to be a risk factor for stent failure.