{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:01Z","timestamp":1753877221762,"version":"3.41.2"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T00:00:00Z","timestamp":1749168000000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We present the unusual case of a 66-year-old female who was found to have ascending cholangitis following hepatobiliary scintigraphy and fatty meal administration, in the setting of isolated cholelithiasis. Given her surgical history of Roux-en-Y gastric bypass, a robotic cholecystectomy with transcystic common bile duct (CBD) exploration was performed. Patient was discharged on post-operative day (POD) 7 with a T-tube following antibiotic completion. Tube study at 1\u00a0week confirmed resolution of her CBD outlet obstruction. Acute cholangitis is a concerning outcome following hepatobiliary iminodiacetic acid scan and cholecystokinin (CCK) administration in patients with preexisting cholelithiasis. We do believe that this is a risk that warrants consideration and informed patient discussion when using this imaging modality. We also present an early experience with transcystic common bile duct exploration with balloon dilation. A technique, we believe, will be of benefit for our bariatric patient population when presenting with choledocholithiasis or acute cholangitis.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf365","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T18:57:13Z","timestamp":1749236233000},"source":"Crossref","is-referenced-by-count":0,"title":["Ascending cholangitis in gastric bypass patients following hepatobiliary scintigraphy and oral protein shake administration: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Mahmoud K","family":"Abd-El-Hafez","sequence":"first","affiliation":[{"name":"Menorah Medical Center Department of General Surgery Residency, HCA Midwest Healthcare System , Overland Park, KS 66209 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monte L","family":"Roper","sequence":"additional","affiliation":[{"name":"Menorah Medical Center Department of General Surgery Residency, HCA Midwest Healthcare System , Overland Park, KS 66209 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Durkee","sequence":"additional","affiliation":[{"name":"Department of Bariatric and Metabolic Surgery, HCA Midwest Healthcare System , Overland Park, KS 66209 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger A","family":"De la Torre","sequence":"additional","affiliation":[{"name":"Department of Bariatric and Metabolic Surgery, HCA Midwest Healthcare System , Overland Park, KS 66209 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,6]]},"reference":[{"key":"2025060614570779000_ref1","doi-asserted-by":"publisher","first-page":"1094","DOI":"10.1016\/j.crad.2011.07.045","article-title":"Tc99m-hepatobiliary iminodiacetic acid (HIDA) scintigraphy in clinical practice","volume":"66","author":"Lambie","year":"2011","journal-title":"Clin Radiol"},{"key":"2025060614570779000_ref2","first-page":"1603","article-title":"Comparison of fatty meal and intravenous cholecystokinin infusion for gallbladder ejection fraction","volume":"43","author":"Krishnamurthy","year":"2002","journal-title":"J Nucl Med"},{"key":"2025060614570779000_ref3","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1016\/j.gtc.2021.02.005","article-title":"Acute cholangitis: causes, diagnosis, and management","volume":"50","author":"An","year":"2021","journal-title":"Gastroenterol Clin North Am"},{"key":"2025060614570779000_ref4","doi-asserted-by":"publisher","first-page":"e47","DOI":"10.1097\/TA.0000000000003478","article-title":"Antegrade balloon sphincteroplasty as an adjunct to laparoscopic common bile duct exploration for the acute care surgeon","volume":"92","author":"Bosley","year":"2022","journal-title":"J Trauma Acute Care Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf365\/63447409\/rjaf365.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf365\/63447409\/rjaf365.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T18:57:13Z","timestamp":1749236233000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf365\/8158019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":4,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf365","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,6]]},"published":{"date-parts":[[2025,5,31]]},"article-number":"rjaf365"}}