{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T02:07:33Z","timestamp":1778638053612,"version":"3.51.4"},"reference-count":46,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T00:00:00Z","timestamp":1564617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T00:00:00Z","timestamp":1564617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["jgisurgery.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Gastrointestinal Surgery"],"published-print":{"date-parts":[[2019,8]]},"DOI":"10.1007\/s11605-018-4026-0","type":"journal-article","created":{"date-parts":[[2019,1,2]],"date-time":"2019-01-02T14:21:51Z","timestamp":1546438911000},"page":"1593-1603","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Dilemma of the Dilated Main Pancreatic Duct in the Distal Pancreatic Remnant After Proximal Pancreatectomy for IPMN"],"prefix":"10.1016","volume":"23","author":[{"given":"Rachel E.","family":"Simpson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugene P.","family":"Ceppa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard H.","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatih","family":"Akisik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael G.","family":"House","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas J.","family":"Zyromski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Nakeeb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad A.","family":"Al-Haddad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"DeWitt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart","family":"Sherman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. Max","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1007\/s11605-018-4026-0_bb0010","first-page":"348","article-title":"Four cases of mucous secreting pancreatic cancer","volume":"20","author":"Ohashi","year":"1982","journal-title":"Prog Dig Endosc."},{"key":"10.1007\/s11605-018-4026-0_bb0015","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.1056\/NEJMra031623","article-title":"Cystic neoplasms of the pancreas","volume":"351","author":"Brugge","year":"2004","journal-title":"N Engl J Med."},{"key":"10.1007\/s11605-018-4026-0_bb0020","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1159\/000090023","article-title":"International consensus guidelines for management of intraductal papillary mucinous neoplasms and mucinous cystic neoplasms of the pancreas","volume":"6","author":"Tanaka","year":"2006","journal-title":"Pancreatology."},{"key":"10.1007\/s11605-018-4026-0_bb0025","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.pan.2012.04.004","article-title":"International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas","volume":"12","author":"Tanaka","year":"2012","journal-title":"Pancreatology."},{"key":"10.1007\/s11605-018-4026-0_bb0030","first-page":"50","article-title":"A large multicenter study of recurrence after surgical resection of branch-duct intraductal papillary mucinous neoplasm of the pancreas","volume":"63","author":"Yan","year":"2017","journal-title":"Minerva Gastroenterol Dietol."},{"key":"10.1007\/s11605-018-4026-0_bb0035","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1097\/SLA.0b013e3182a690ff","article-title":"Treatment strategy for main duct intraductal papillary mucinous neoplasms of the pancreas based on the assessment of recurrence in the remnant pancreas after resection: a retrospective review","volume":"259","author":"Tamura","year":"2014","journal-title":"Ann Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0040","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/MPA.0b013e318222bc9c","article-title":"Recurrences after surgical resection of intraductal papillary mucinous neoplasm of the pancreas: a single-center study of recurrence predictive factors","volume":"41","author":"Passot","year":"2012","journal-title":"Pancreas."},{"key":"10.1007\/s11605-018-4026-0_bb0045","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.amjsurg.2011.04.007","article-title":"Follow-up study after resection of intraductal papillary mucinous neoplasm of the pancreas; special references to the multifocal lesions and development of ductal carcinoma in the remnant pancreas","volume":"204","author":"Ohtsuka","year":"2012","journal-title":"Am J Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0050","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1001\/archsurg.2011.2276","article-title":"Fate of the pancreatic remnant after resection for an intraductal papillary mucinous neoplasm: a longitudinal level II cohort study","volume":"147","author":"Moriya","year":"2012","journal-title":"Arch Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0055","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/j.hpb.2017.03.007","article-title":"Patterns of recurrence and long-term outcomes in patients who underwent pancreatectomy for intraductal papillary mucinous neoplasms with high grade dysplasia: implications for surveillance and future management guidelines","volume":"19","author":"Blackham","year":"2017","journal-title":"HPB: the official journal of the International Hepato Pancreato Biliary Association."},{"key":"10.1007\/s11605-018-4026-0_bb0060","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1097\/01.sla.0000124386.54496.15","article-title":"Main-duct intraductal papillary mucinous neoplasms of the pancreas: clinical predictors of malignancy and long-term survival following resection","volume":"239","author":"Salvia","year":"2004","journal-title":"Ann Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0065","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.surg.2010.03.013","article-title":"Prognostic impact of pancreatic margin status in the intraductal papillary mucinous neoplasms of the pancreas","volume":"148","author":"Fujii","year":"2010","journal-title":"Surgery."},{"key":"10.1007\/s11605-018-4026-0_bb0070","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1097\/MPA.0b013e3181f66b74","article-title":"Risk factors associated with the postoperative recurrence of intraductal papillary mucinous neoplasms of the pancreas","volume":"40","author":"Park","year":"2011","journal-title":"Pancreas."},{"key":"10.1007\/s11605-018-4026-0_bb0075","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/S0002-9610(00)00376-7","article-title":"Clinical presentation of mucin-secreting tumors of the pancreas","volume":"179","author":"Tibayan","year":"2000","journal-title":"Am J Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0080","first-page":"445","article-title":"Acute recurrent pancreatitis curtaining an intraductal papillary mucinous tumor of the pancreas","volume":"16","author":"Retter","year":"2007","journal-title":"J Gastrointestin Liver Dis."},{"key":"10.1007\/s11605-018-4026-0_bb0085","doi-asserted-by":"crossref","first-page":"8705195","DOI":"10.1155\/2017\/8705195","article-title":"Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem","volume":"2017","author":"Berger","year":"2017","journal-title":"Case reports in gastrointestinal medicine."},{"key":"10.1007\/s11605-018-4026-0_bb0090","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s11605-015-3012-z","article-title":"Pancreaticojejunostomy Stricture After Pancreatoduodenectomy: Outcomes After Operative Revision","volume":"20","author":"Cioffi","year":"2016","journal-title":"J Gastrointest Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0095","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s11605-006-0026-6","article-title":"Repeated pancreatectomy after pancreatoduodenectomy","volume":"11","author":"Miura","year":"2007","journal-title":"J Gastrointest Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0100","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/S0016-5107(03)02300-9","article-title":"EUS-guided rendezvous drainage of obstructed biliary and pancreatic ducts: Report of 6 cases","volume":"59","author":"Mallery","year":"2004","journal-title":"Gastrointest Endosc."},{"key":"10.1007\/s11605-018-4026-0_bb0105","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1007\/s11605-007-0369-7","article-title":"Long-term anastomotic complications after pancreaticoduodenectomy for benign diseases","volume":"11","author":"Reid-Lombardo","year":"2007","journal-title":"J Gastrointest Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0110","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1016\/j.gie.2010.07.017","article-title":"Pancreatic antegrade needle-knife (PANK) for treatment of symptomatic pancreatic duct obstruction in Whipple patients (with video)","volume":"72","author":"Ryou","year":"2010","journal-title":"Gastrointest Endosc."},{"key":"10.1007\/s11605-018-4026-0_bb0115","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1016\/j.gie.2009.10.048","article-title":"Therapeutic EUS-assisted endoscopic retrograde pancreatography after failed pancreatic duct cannulation at ERCP","volume":"71","author":"Barkay","year":"2010","journal-title":"Gastrointest Endosc."},{"key":"10.1007\/s11605-018-4026-0_bb0120","doi-asserted-by":"crossref","first-page":"5182","DOI":"10.3748\/wjg.v19.i31.5182","article-title":"Pancreatic duct drainage using EUS-guided rendezvous technique for stenotic pancreaticojejunostomy","volume":"19","author":"Takikawa","year":"2013","journal-title":"World J Gastroenterol."},{"key":"10.1007\/s11605-018-4026-0_bb0125","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/S0016-5107(99)70240-3","article-title":"The transduodenal rendezvous: a new approach to deeply cannulate the main pancreatic duct","volume":"50","author":"Dumonceau","year":"1999","journal-title":"Gastrointest Endosc."},{"key":"10.1007\/s11605-018-4026-0_bb0130","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1067\/mge.2002.123621","article-title":"A new application for therapeutic EUS: main pancreatic duct drainage with a \u201cpancreatic rendezvous technique\u201d","volume":"55","author":"Bataille","year":"2002","journal-title":"Gastrointest Endosc."},{"key":"10.1007\/s11605-018-4026-0_bb0135","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1111\/j.1477-2574.2010.00216.x","article-title":"Pancreatectomy risk calculator: an ACS-NSQIP resource","volume":"12","author":"Parikh","year":"2010","journal-title":"HPB: the official journal of the International Hepato Pancreato Biliary Association."},{"key":"10.1007\/s11605-018-4026-0_bb0140","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1111\/j.1477-2574.2010.00214.x","article-title":"The inconsistent nature of symptomatic pancreatico-jejunostomy anastomotic strictures","volume":"12","author":"Demirjian","year":"2010","journal-title":"HPB: the official journal of the International Hepato Pancreato Biliary Association."},{"key":"10.1007\/s11605-018-4026-0_bb0145","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/j.1477-2574.2009.00154.x","article-title":"Revision of anastomotic stenosis after pancreatic head resection for chronic pancreatitis: is it futile?","volume":"12","author":"Morgan","year":"2010","journal-title":"HPB: the official journal of the International Hepato Pancreato Biliary Association."},{"key":"10.1007\/s11605-018-4026-0_bb0150","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1007\/s00534-006-1204-3","article-title":"Management of a stenotic pancreatico-digestive tract anastomosis following pancreatoduodenectomy","volume":"14","author":"Mucci-Hennekinne","year":"2007","journal-title":"J Hepatobiliary Pancreat Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0155","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s11605-016-3309-6","article-title":"Is Revision Surgery Justified for Symptomatic Pancreatico-enteric Anastomotic Stenosis in Long-term Survivors Following Pancreaticoduodenectomy for Malignancy?","volume":"21","author":"Wagle","year":"2017","journal-title":"J Gastrointest Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0160","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1053\/j.sult.2013.04.001","article-title":"Magnetic resonance imaging of the postoperative pancreas","volume":"34","author":"Brook","year":"2013","journal-title":"Semin Ultrasound CT MR."},{"key":"10.1007\/s11605-018-4026-0_bb0165","doi-asserted-by":"crossref","first-page":"2","DOI":"10.2214\/AJR.12.9647","article-title":"CT after pancreaticoduodenectomy: spectrum of normal findings and complications","volume":"201","author":"Raman","year":"2013","journal-title":"AJR Am J Roentgenol."},{"key":"10.1007\/s11605-018-4026-0_bb0170","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.ejrad.2011.01.066","article-title":"Intraductal papillary mucinous neoplasm of the pancreas: differentiate from chronic pancreatits by MR imaging","volume":"81","author":"Kim","year":"2012","journal-title":"Eur J Radiol."},{"key":"10.1007\/s11605-018-4026-0_bb0175","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1111\/j.1477-2574.2011.00354.x","article-title":"Outcome of the pancreatic remnant following segmental pancreatectomy for non-invasive intraductal papillary mucinous neoplasm","volume":"13","author":"Miller","year":"2011","journal-title":"HPB: the official journal of the International Hepato Pancreato Biliary Association."},{"key":"10.1007\/s11605-018-4026-0_bb0180","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/MPA.0b013e318181b90d","article-title":"Preoperative evaluation of invasive and noninvasive intraductal papillary-mucinous neoplasms of the pancreas: clinical, radiological, and pathological analysis of 123 cases","volume":"38","author":"Nara","year":"2009","journal-title":"Pancreas."},{"key":"10.1007\/s11605-018-4026-0_bb0185","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/S1091-255X(02)00152-X","article-title":"Mucus is a predictor of better prognosis and survival in patients with intraductal papillary mucinous tumor of the pancreas","volume":"7","author":"Kitagawa","year":"2003","journal-title":"J Gastrointest Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0190","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1007\/s11605-006-0069-8","article-title":"Predictive factors of malignant or invasive intraductal papillary-mucinous neoplasms of the pancreas","volume":"11","author":"Murakami","year":"2007","journal-title":"J Gastrointest Surg."},{"key":"10.1007\/s11605-018-4026-0_bb0195","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1016\/j.surg.2015.11.003","article-title":"Risk of misdiagnosis and overtreatment in patients with main pancreatic duct dilatation and suspected combined\/main-duct intraductal papillary mucinous neoplasms","volume":"159","author":"Crippa","year":"2016","journal-title":"Surgery."},{"key":"10.1007\/s11605-018-4026-0_bb0200","first-page":"217","article-title":"Molecular analysis of pancreatic cyst fluid: a comparative analysis with current practice of diagnosis","volume":"117","author":"Shen","year":"2009","journal-title":"Cancer."},{"key":"10.1007\/s11605-018-4026-0_bb0205","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.gie.2013.05.026","article-title":"Performance characteristics of molecular (DNA) analysis for the diagnosis of mucinous pancreatic cysts","volume":"79","author":"Al-Haddad","year":"2014","journal-title":"Gastrointest Endosc."},{"key":"10.1007\/s11605-018-4026-0_bb0210","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/j.gie.2012.11.009","article-title":"EUS-guided pancreatic fluid aspiration for DNA analysis of KRAS and GNAS mutations for the evaluation of pancreatic cystic neoplasia: a pilot study","volume":"77","author":"Siddiqui","year":"2013","journal-title":"Gastrointest Endosc."},{"key":"10.1007\/s11605-018-4026-0_bb0215","doi-asserted-by":"crossref","first-page":"92ra66","DOI":"10.1126\/scitranslmed.3002543","article-title":"Recurrent GNAS mutations define an unexpected pathway for pancreatic cyst development","volume":"3","author":"Wu","year":"2011","journal-title":"Sci Transl Med."},{"key":"10.1007\/s11605-018-4026-0_bb0220","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1016\/j.surg.2010.07.023","article-title":"Pancreatic cyst aspiration analysis for cystic neoplasms: mucin or carcinoembryonic antigen--which is better?","volume":"148","author":"Morris-Stiff","year":"2010","journal-title":"Surgery."},{"key":"10.1007\/s11605-018-4026-0_bb0225","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1016\/S1542-3565(05)00409-X","article-title":"The role of pancreatic cyst fluid molecular analysis in predicting cyst pathology","volume":"3","author":"Khalid","year":"2005","journal-title":"Clin Gastroenterol Hepatol."},{"key":"10.1007\/s11605-018-4026-0_bb0230","first-page":"129","article-title":"Ultrasound guided pancreatic ductography","volume":"9","author":"Das","year":"1990","journal-title":"Indian J Gastroenterol."},{"key":"10.1007\/s11605-018-4026-0_bb0235","doi-asserted-by":"crossref","first-page":"893632","DOI":"10.6064\/2012\/893632","article-title":"Intraductal papillary mucinous neoplasm of the pancreas: an update","volume":"2012","author":"Xiao","year":"2012","journal-title":"Scientifica."}],"container-title":["Journal of Gastrointestinal Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11605-018-4026-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s11605-018-4026-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1091255X23030706?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1091255X23030706?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11605-018-4026-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T19:55:23Z","timestamp":1761076523000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1091255X23030706"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8]]},"references-count":46,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["S1091255X23030706"],"URL":"https:\/\/doi.org\/10.1007\/s11605-018-4026-0","relation":{},"ISSN":["1091-255X"],"issn-type":[{"value":"1091-255X","type":"print"}],"subject":[],"published":{"date-parts":[[2019,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Dilemma of the Dilated Main Pancreatic Duct in the Distal Pancreatic Remnant After Proximal Pancreatectomy for IPMN","name":"articletitle","label":"Article Title"},{"value":"Journal of Gastrointestinal Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1007\/s11605-018-4026-0","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2018 Society for Surgery of the Alimentary Tract. Published by ELSEVIER INC. All rights reserved. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}