A 67-year-old woman with an abnormal biliary–pancreatic junction and a tumor of the gallbladder underwent cholecystectomy plus R2, extrahepatic cholangiectomy, hepatocholangiojejunostomy, and Roux-en-Y reconstruction on 2 February 2001. In the postoperative period pancreatic fistulization occurred, with endoscopic retrograde cholangiopancreatography (ERCP) revealing a leak of contrast medium medially to the common bile duct. A pancreatic stent (GEPD, 7-Fr; Wilson-Cook, Winston-Salem, North Carolina, USA) was therefore put in place. Unfortunately, the stent migrated 2 days later, and so it was replaced with a constructed pancreatic stent with a shape which approximated to that of the main pancreatic duct (Figure 1) (constructed Stype pancreatic stent, 7-Fr; Olympus, Tokyo, Japan). This was followed by excellent progress, which allowed removal of the stent and discharge of the patient from hospital 6 weeks later.