{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T03:01:19Z","timestamp":1789182079522,"version":"build-2803163510"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We report the case of a 51-year-old female with a history of iatrogenic bile duct injury treated with hepaticojejunostomy in 2013 and reconstruction in 2016. She developed recurrent anastomotic stricture and intrahepatic lithiasis, with multiple failed surgical and endoscopic attempts, for that reason a two-stage percutaneous approach was performed: initial transhepatic cholangiography, crossing the stricture area and placing an internal-external biliary catheter; followed by cholangioscopy through a mature tract using the Spyglass Discover system, electrohydraulic lithotripsy of intrahepatic stones, endoluminal balloon plasty, and placement of biodegradable stent fifteen days later. The patient achieved complete clearance of intrahepatic stones, stricture resolution, and normalization of liver biochemistry without early recurrence. This case highlights the feasibility and efficacy of a minimally invasive percutaneous strategy combining cholangioscopy, lithotripsy, and biodegradable stenting for complex benign hepaticojejunostomy strictures, even in nondilated bile ducts, avoiding the morbidity of open surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf878","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T05:56:48Z","timestamp":1762667808000},"source":"Crossref","is-referenced-by-count":1,"title":["Innovation in the percutaneous management of benign hepaticojejunostomy stricture with multiple lithiasis using SpyGlass Discover and biodegradable stent: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Edison Santiago","family":"Borja Villacr\u00e9s","sequence":"first","affiliation":[{"name":"Department of Surgery, Hospital de los Valles , Quito, 170902 ,","place":["Ecuador"]},{"name":"Department of Surgery, Cl\u00ednica Internacional , Quito, 170508 ,","place":["Ecuador"]},{"name":"Pontificia Universidad Cat\u00f3lica del Ecuador , Quito, 170143 ,","place":["Ecuador"]},{"name":"Universidad Tecnol\u00f3gica Equinoccial , Quito, 170147 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jefferson Andr\u00e9s","family":"Carvajal Torres","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital Vozandes , Quito, 170521 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8040-4379","authenticated-orcid":false,"given":"Santiago Andr\u00e9s","family":"Mu\u00f1oz-Palomeque","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hospital Metropolitano , Quito, 170508 ,","place":["Ecuador"]},{"name":"Faculty of Medical, Health and Life Sciences, Universidad Internacional del Ecuador , Quito, 170411 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for benign extrahepatic biliary strictures: report of a case","volume":"10","author":"Rdzanek","year":"2015","journal-title":"Videosurgery Miniinvasive Tech"},{"key":"2025110900564005600_ref7","doi-asserted-by":"publisher","first-page":"e13396","DOI":"10.1111\/ctr.13396","article-title":"A cost analysis of early biliary strictures following orthotopic liver transplantation in the United States","volume":"32","author":"Bhutiani","year":"2018","journal-title":"Clin Transplant"},{"key":"2025110900564005600_ref8","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1055\/s-0041-1731375","article-title":"Complications of percutaneous biliary procedures","volume":"38","author":"Molina","year":"2021","journal-title":"Semin Interv Radiol"},{"key":"2025110900564005600_ref9","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1186\/s12876-024-03388-4","article-title":"Benign hepaticojejunostomy strictures after pancreatoduodenectomy","volume":"24","author":"Kobayashi","year":"2024","journal-title":"BMC Gastroenterol"},{"key":"2025110900564005600_ref10","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1590\/0102-6720201600020012","article-title":"Biodegradable biliary stents: a new approach for the management of hepaticojejunostomy strictures following bile duct injury. Prospective study","volume":"29","author":"Gim\u00e9nez","year":"2016","journal-title":"Arq Bras Cir Dig ABCD Braz Arch Dig Surg"},{"key":"2025110900564005600_ref11","doi-asserted-by":"publisher","first-page":"253","DOI":"10.5946\/ce.2022.216","article-title":"Risk factors for recurrent stenosis after balloon dilation for benign hepaticojejunostomy anastomotic stricture","volume":"57","author":"Mie","year":"2024","journal-title":"Clin Endosc"},{"key":"2025110900564005600_ref12","doi-asserted-by":"publisher","first-page":"1867","DOI":"10.1097\/MS9.0000000000001840","article-title":"Cholangioscopy with spyglass DS using percutaneous transhepatic cholangiography access: a retrospective cohort study","volume":"86","author":"Ulvund Solstad","year":"2024","journal-title":"Ann Med Surg"},{"key":"2025110900564005600_ref13","doi-asserted-by":"publisher","first-page":"111","DOI":"10.5009\/gnl210028","article-title":"Efficacy and safety of percutaneous transhepatic cholangioscopy with the spyglass DS direct visualization system in patients with surgically altered anatomy: a pilot study","volume":"16","author":"Chon","year":"2022","journal-title":"Gut Liver"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/11\/rjaf878\/65235389\/rjaf878.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/11\/rjaf878\/65235389\/rjaf878.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T05:56:48Z","timestamp":1762667808000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf878\/8315912"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,1]]},"references-count":13,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf878","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,11]]},"published":{"date-parts":[[2025,11,1]]},"article-number":"rjaf878"}}