{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:31:43Z","timestamp":1788517903065,"version":"build-2803163510"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2002Management of biliary adverse events (BAEs) after biliodigestive anastomosis is challenging. We propose a new endoscopic approach to improve BAEs in this clinical setting.<\/jats:p><jats:p>\n          Methods\u2002Patients who had BAEs after a hepaticojejunostomy with Roux-en-Y loop or a Whipple procedure underwent creation of an entero-enteral endoscopic bypass (EEEB) between the duodenal\/gastric wall and the biliary jejunal loop under endoscopic ultrasound (EUS) and fluoroscopic guidance using specifically designed fully covered self-expandable metal stents.<\/jats:p><jats:p>\n          Results\u200232 consecutive patients underwent EEEB, which was successful in all but one patient. One procedural and five long-term mild adverse events occurred. Endoscopic retrograde cholangiography (ERC) through the EEEB successfully treated all types of BAEs in these patients. Disease recurred in two patients who were successfully re-treated through the EEEB.<\/jats:p><jats:p>\n          Conclusions\u2002Our retrospective study showed that in patients with BAEs after biliodigestive anastomosis, EEEB is safe, feasible, and allows a successful long-term treatment of different BAEs in a tertiary referral center with high-level experience in both endoscopic retrograde cholangiopancreatography and EUS.<\/jats:p>","DOI":"10.1055\/a-0914-2855","type":"journal-article","created":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T22:50:07Z","timestamp":1559688607000},"page":"1146-1150","source":"Crossref","is-referenced-by-count":29,"title":["Endoscopic entero-enteral bypass: an effective new approach to the treatment of postsurgical complications of hepaticojejunostomy"],"prefix":"10.1055","volume":"51","author":[{"given":"Massimiliano","family":"Mutignani","sequence":"additional","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Forti","sequence":"additional","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Larghi","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Pugliese","sequence":"additional","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Cintolo","sequence":"additional","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mutaz","family":"Massad","sequence":"additional","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Italia","sequence":"additional","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Tringali","sequence":"additional","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni Carlo","family":"Ferrari","sequence":"additional","affiliation":[{"name":"Oncological and Mininvasive Surgery, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"De Gasperi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Rampoldi","sequence":"additional","affiliation":[{"name":"Interventional Radiology, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano","family":"De Carlis","sequence":"additional","affiliation":[{"name":"Hepato-biliary-pancreatic Surgery and Liver Transplantation Unit, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osvaldo","family":"Chiara","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Center, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Paparozzi","sequence":"additional","affiliation":[{"name":"Department of Surgery and Translational Medicine, Careggi Hospital, Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Dioscoridi","sequence":"additional","affiliation":[{"name":"Digestive and Interventional Endoscopy Unit, Niguarda-Ca\u2019 Granda Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,6,4]]},"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0914-2855.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,6]],"date-time":"2019-12-06T10:24:10Z","timestamp":1575627850000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0914-2855"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,4]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2019,11,27]]},"published-print":{"date-parts":[[2019,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0914-2855","relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,4]]}}}