{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:40:27Z","timestamp":1762868427493},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T00:00:00Z","timestamp":1613952000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>One of the main challenges encountered by endosonographers is performing diagnostic and interventional pancreato-biliary endoscopic ultrasound (EUS) procedures in the presence of surgically altered upper gastrointestinal anatomy. We describe the water-filled technique (WFT) for EUS examination and treatment of the pancreato-biliary region in patients with surgically altered upper gastrointestinal anatomy. Using the WFT, the scope is advanced up to the gastro-jejunal anastomosis and, after placing the tip of the scope 2\u200acm beyond it, enlargement of the jejunal lumen is obtained by water instillation of the jejunal loop.\u200aAn enlargement of more than 1.5\u200acm allows advancement of the tip of the scope under EUSguidance up to the duodenum, in a retrograde way. The WFT is useful for reaching the ampullary area and performing diagnostic and therapeutic EUS in patients with surgically altered anatomy. The technique is also reproducible and can be easily used by endoscopists who regularly perform EUS.<\/jats:p>","DOI":"10.1055\/a-1339-0690","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T00:34:53Z","timestamp":1614040493000},"page":"E487-E489","source":"Crossref","is-referenced-by-count":7,"title":["Water-filled technique for therapeutic pancreato-biliary EUS in patients with surgically altered anatomy"],"prefix":"10.1055","volume":"09","author":[{"given":"Benedetto","family":"Mangiavillano","sequence":"additional","affiliation":[{"name":"Gastrointestinal Endoscopy Unit \u2013 Humanitas Mater Domini \u2013 Castellanza, Italy"},{"name":"Humanitas University, Rozzano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Carrara","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Humanitas Clinical and Research Center, Rozzano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo H.","family":"Eusebi","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Department of Medical and Surgical Sciences, Sant\u2019Orsola University Hospital, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franceasco","family":"Auriemma","sequence":"additional","affiliation":[{"name":"Gastrointestinal Endoscopy Unit \u2013 Humanitas Mater Domini \u2013 Castellanza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Bianchetti","sequence":"additional","affiliation":[{"name":"Gastrointestinal Endoscopy Unit \u2013 Humanitas Mater Domini \u2013 Castellanza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Repici","sequence":"additional","affiliation":[{"name":"Humanitas University, Rozzano, Italy"},{"name":"Digestive Endoscopy Unit, Humanitas Clinical and Research Center, Rozzano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,2,22]]},"reference":[{"key":"ref1","first-page":"343","article-title":"Imaging preoperatively for pancreatic adenocarcinoma","volume":"6","author":"J A Pietryga","year":"2015","journal-title":"J Gastrointest Oncol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"12118","DOI":"10.3748\/wjg.v20.i34.12118","article-title":"Early detection and prevention of pancreatic cancer: is it really possible today?","volume":"20","author":"M Del Chiaro","year":"2014","journal-title":"World J Gastroenterol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.gie.2010.01.072","article-title":"EUS and survival in patients with pancreatic cancer: a population-based study","volume":"72","author":"S Ngamruengphong","year":"2010","journal-title":"Gastrointest 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