{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T13:50:14Z","timestamp":1775656214370,"version":"3.50.1"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T00:00:00Z","timestamp":1705536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Chronic Pancreatitis is an irreversible inflammation of the pancreas that can lead to fibrosis and scar formation. Pseudocysts are a late complication of chronic pancreatitis and abdominal pain is the most common presenting complaint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 48-year-old male who is a known case of chronic pancreatitis presented to our department complaining of abdominal pain for a duration of three weeks. A CT scan revealed a pseudocyst in the head of the pancreas, stones in the unicate process along with dilatation of the body and tail of the pancreas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>After multiple ERCP failures and considering other endoscopic options, the patient was indicated for the Whipple procedure with Roux-en-y reconstruction. Postoperatively, the patient stayed in the hospital for about a week. He was asymptomatic and well but had an elevated random blood sugar level. He was discharged and recommended to follow up with an endocrinologist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Whipple procedure can be used for patients with multiple pancreatic duct stones when endoscopic therapies are not effective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109286","type":"journal-article","created":{"date-parts":[[2024,1,21]],"date-time":"2024-01-21T03:44:22Z","timestamp":1705808662000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Pancreatic duct stones treated by Whipple as a last resort: A case report"],"prefix":"10.1097","volume":"115","author":[{"given":"Usra I.","family":"Ghanem","sequence":"first","affiliation":[{"name":"Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter R.","family":"Bael","sequence":"additional","affiliation":[{"name":"Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izzeddin","family":"Bakri","sequence":"additional","affiliation":[{"name":"Department of Pathology, Al-Makassed Islamic Charitable Society Hospital, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bashar","family":"Jaber","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Al-Makassed Islamic Charitable Society Hospital, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Abu-Zaydeh","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Al-Makassed Islamic Charitable Society Hospital, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled N.","family":"Alshawwa","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Al-Makassed Islamic Charitable Society Hospital, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"6","key":"R1-82-20260408","first-page":"385","article-title":"Chronic pancreatitis: diagnosis and treatment","volume":"97","author":"Barry,","year":"2018","journal-title":"Am. 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