{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T07:43:03Z","timestamp":1777102983751,"version":"3.51.4"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Roux-en-Y hepaticojejunostomy enables tension-free bile-duct reconstruction and minimizes reflux. However, factors like a short mesentery or severe peri-hilar inflammation may prevent the jejunal loop from reaching the hepatic hilum, making safe anastomosis unfeasible. We have developed a novel surgical technique that overcomes these challenges. In this case report, we describe our triple bypass technique, in which a vascularized gastric tube graft is anastomosed to the common bile duct, and we present short-term outcomes from the use of this technique in a patient with chronic pancreatitis; overall, this patient recovered well, with a viable graft and no leakage. This novel technique expands surgical options for complex extrahepatic bile-duct reconstruction.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf542","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T18:02:31Z","timestamp":1753120951000},"source":"Crossref","is-referenced-by-count":2,"title":["Rethinking biliary reconstruction: alternatives to standard Roux-en-Y hepaticojejunostomy"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5057-980X","authenticated-orcid":false,"given":"Omar","family":"Barakat","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Surgical Oncology and Hepatobiliary and Pancreas Surgery, Baylor College of Medicine , 7200 Cambridge St., 7th Floor, Houston, TX 77030 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8996-572X","authenticated-orcid":false,"given":"Samuel P","family":"Creden","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baylor College of Medicine , One Baylor Plaza, Houston, TX 77030 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1613-7987","authenticated-orcid":false,"given":"David M","family":"Holmes","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baylor College of Medicine , One Baylor Plaza, Houston, TX 77030 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0393-1754","authenticated-orcid":false,"given":"Waleed","family":"Ageedi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baylor College of Medicine , One Baylor Plaza, Houston, TX 77030 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,21]]},"reference":[{"key":"2026042503013418300_ref1","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1007\/s00423-023-02818-3","article-title":"Hepaticojejunostomy for bile duct injury: state of the art","volume":"408","author":"Marichez","year":"2023","journal-title":"Langenbecks Arch Surg"},{"key":"2026042503013418300_ref2","doi-asserted-by":"publisher","first-page":"4097","DOI":"10.3748\/wjg.15.4097","article-title":"Iatrogenic bile duct injuries: etiology, diagnosis and management","volume":"15","author":"Jab\u0142o\u0144ska","year":"2009","journal-title":"World J Gastroenterol"},{"key":"2026042503013418300_ref3","doi-asserted-by":"publisher","first-page":"1641","DOI":"10.1016\/j.hpb.2019.04.003","article-title":"Post cholecystectomy bile duct injury: early, intermediate or late repair with hepaticojejunostomy - an E-AHPBA multi-center study","volume":"21","author":"European-African HepatoPancreatoBiliary Association Research Collaborative Study management group, European-African HepatoPancreatoBiliary Association Research Collaborative","year":"2019","journal-title":"HPB (Oxford)"},{"key":"2026042503013418300_ref4","doi-asserted-by":"publisher","first-page":"1269","DOI":"10.29011\/2574-7754.101269","article-title":"Autologous peritoneal interposition graft for repair of proximal hepatic duct transection after laparoscopic cholecystectomy","volume":"8","author":"Barakat","year":"2023","journal-title":"Ann Case Rep"},{"key":"2026042503013418300_ref5","doi-asserted-by":"publisher","first-page":"rjaf050","DOI":"10.1093\/jscr\/rjaf050","article-title":"A novel surgical technique for repairing duodenal and bile duct perforations following endoscopic retrograde cholangiopancreatography","volume":"2025","author":"Abdirahman","year":"2025","journal-title":"J Surg Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf542\/63812155\/rjaf542.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf542\/63812155\/rjaf542.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T07:01:37Z","timestamp":1777100497000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf542\/8209970"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf542","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]},"article-number":"rjaf542"}}