{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:02:09Z","timestamp":1773032529201,"version":"3.50.1"},"reference-count":4,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JGH Open"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Biliary strictures are a known complication of hepatobiliary and pancreatic surgeries. This retrospective descriptive series highlights six consecutive patients with complete bile duct occlusion or disruption who required a multidisciplinary approach with a combination of interventional radiology (IR) and endoscopic techniques to either re\u2010cannulate or create a neo\u2010anastomosis in the biliary system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>\n                      The biliary system was either re\u2010cannulated or a neo\u2010anastomosis was created using a small gauge needle (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20093), a rendezvous procedure (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20091), a radiofrequency ablation wire (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20091), and the back end of a wire (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20091). There was one major adverse event (bacteremia requiring antibiotic therapy). Follow\u2010up protocol included scheduled biliary catheter checks every 10\u201312\u2009weeks to assess biliary duct patency or tract maturation. At each interval, cholangioscopy and cholangioplasty were performed as indicated. Once the tract demonstrated maturity and liver function tests normalized, the catheter was converted to an external\u2010only drain. Patients who successfully tolerated a capping trial of the external biliary catheter subsequently underwent catheter removal. Patients who remained asymptomatic with normal liver function tests following catheter removal were considered to have achieved catheter\u2010free status.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Four of the six patients are biliary catheter free, while two of the patients are progressing toward being catheter free. Additional data from larger series and planned prospective registries should help delineate standards for outcomes and patient management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jgh3.70278","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:10:04Z","timestamp":1772982604000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful Biliary Re\u2010Cannulation and Neo\u2010Anastomosis Creation in Complete Bile Duct Occlusion or Disruption Using a Combination of Interventional Radiology and Endoscopic Techniques: A Case Series"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0361-3016","authenticated-orcid":false,"given":"Joshua G.","family":"Fricker","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarik","family":"Babar","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Husameddin","family":"El Khudari","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dalton","family":"Norwood","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio A.","family":"S\u00e1nchez\u2010Luna","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Bready","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramzi","family":"Mulki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kondal","family":"Kyanam","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shajan","family":"Peter","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Gunn","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000216285.07069.fc"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010007\u20100369\u20107"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2022.12.468"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270\u2010022\u201003059\u20105"}],"container-title":["JGH 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