{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T17:48:17Z","timestamp":1777139297960,"version":"3.51.4"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T00:00:00Z","timestamp":1739232000000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Duodenal perforation (DP), though rare, is a severe complication of Endoscopic retrograde cholangiopancreatography (ERCP) with high mortality rates. This report introduces a novel surgical approach for repairing a complex combined bile duct and duodenal perforation. A 37-year-old male with recurrent pyloric stenosis and choledocholithiasis, previously treated with multiple procedures, presented with gastric outlet and bile duct obstruction. Following a complex ERCP, he developed a large combined duodenal and bile duct perforation requiring urgent surgical intervention. A 40% circumferential duodenal perforation combined with bile duct perforation was repaired using a novel approach: a vascularized isolated distal gastric pouch was created and anastomosed to the duodenal and bile duct defects. A Roux-en-Y gastrojejunostomy was performed, and the patient recovered in stable condition. When traditional reconstruction is not feasible for DP, an isolated, vascularized distal gastric pouch offers a less invasive alternative and reduces the risk of morbidity.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf050","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T20:18:02Z","timestamp":1737577082000},"source":"Crossref","is-referenced-by-count":1,"title":["A novel surgical technique for repairing duodenal and bile duct perforations following endoscopic retrograde cholangiopancreatography"],"prefix":"10.1093","volume":"2025","author":[{"given":"Hana","family":"Abdirahman","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Surgical Oncology and Hepatobiliary and Pancreas Surgery, Baylor College of Medicine , 7200 Cambridge Street, Houston, TX 77030-3411 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Barakat","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Surgical Oncology and Hepatobiliary and Pancreas Surgery, Baylor College of Medicine , 7200 Cambridge Street, Houston, TX 77030-3411 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Nichols","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Surgical Oncology and Hepatobiliary and Pancreas Surgery, Baylor College of Medicine , 7200 Cambridge Street, Houston, TX 77030-3411 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oluwatobi","family":"Soares","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Surgical Oncology and Hepatobiliary and Pancreas Surgery, Baylor College of Medicine , 7200 Cambridge Street, Houston, TX 77030-3411 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