{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T10:49:51Z","timestamp":1792320591469,"version":"4.4.0"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,12,27]],"date-time":"2017-12-27T00:00:00Z","timestamp":1514332800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81703859"],"award-info":[{"award-number":["81703859"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007162","name":"Guangdong Science and Technology Department","doi-asserted-by":"publisher","award":["2014A020212704"],"award-info":[{"award-number":["2014A020212704"]}],"id":[{"id":"10.13039\/501100007162","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Large impacted or residual invisible common bile duct (<jats:styled-content style=\"fixed-case\">CBD<\/jats:styled-content>) stones after mechanical lithotripsy are challenging. We aimed to evaluate the feasibility and success rate of a new hybrid anchoring balloon\u2010guided direct peroral cholangioscopy (<jats:styled-content style=\"fixed-case\">POC<\/jats:styled-content>) for these conditions using an ultraslim endoscope.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010five patients with large or residual invisible <jats:styled-content style=\"fixed-case\">CBD<\/jats:styled-content> stones for direct <jats:styled-content style=\"fixed-case\">POC<\/jats:styled-content> from July 2012 to July 2016 were identified, including six cases in whom an additional interventional procedure was required. There were altogether 55 cases undergoing a procedure with our new device, with a 0.021\u2010inch guidewire tied to a balloon catheter at its distal end in this single\u2010center retrospective study. Technical success, procedure time, diagnostic and therapeutic efficacy of direct <jats:styled-content style=\"fixed-case\">POC<\/jats:styled-content>, and procedure\u2010related complications were studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The hybrid anchoring balloon\u2010guided direct <jats:styled-content style=\"fixed-case\">POC<\/jats:styled-content> was successful in 51\/55 (92.7%) procedures, including 18 cases in whom the conventional wire\u2010guided method failed within 25\u00a0min. Mean time for technical success by our method was 12.4\u00a0\u00b1\u00a03.4\u00a0min. In total, of the 43 cases with previous removal of <jats:styled-content style=\"fixed-case\">CBD<\/jats:styled-content> stones, seven (16.3%) were found to have residual stones \u22654\u00a0mm, excluding three cases in whom direct <jats:styled-content style=\"fixed-case\">POC<\/jats:styled-content> failed. In another 25 cases for difficult stones, 24 lithotripsies were carried out, resulting in 23 complete fragmentations. No significant procedure\u2010related complications were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The new hybrid anchoring balloon device performs well in facilitating direct <jats:styled-content style=\"fixed-case\">POC<\/jats:styled-content> using an ultraslim endoscope for evaluation and extraction of residual or large impacted <jats:styled-content style=\"fixed-case\">CBD<\/jats:styled-content> stones.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.12989","type":"journal-article","created":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T07:32:59Z","timestamp":1511422379000},"page":"364-371","source":"Crossref","is-referenced-by-count":12,"title":["A new hybrid anchoring balloon for direct peroral cholangioscopy using an ultraslim upper endoscope"],"prefix":"10.1111","volume":"30","author":[{"given":"Jian","family":"Li","sequence":"first","affiliation":[{"name":"Endoscopy Unit Department of Gastroenterology Shenzhen Affiliated Hospital Guangzhou University of Traditional Chinese Medicine Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shao\u2010Ju","family":"Guo","sequence":"additional","affiliation":[{"name":"Endoscopy Unit Department of Gastroenterology Shenzhen Affiliated Hospital Guangzhou University of Traditional Chinese Medicine Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing\u2010Chao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Endoscopy Unit Department of Gastroenterology Shenzhen Affiliated Hospital Guangzhou University of Traditional Chinese Medicine Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong\u2010Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"Endoscopy Unit Department of Gastroenterology Shenzhen Affiliated Hospital Guangzhou University of Traditional Chinese Medicine Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Li","sequence":"additional","affiliation":[{"name":"Endoscopy Unit Department of Gastroenterology Shenzhen Affiliated Hospital Guangzhou University of Traditional Chinese Medicine Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"She\u2010Hui","family":"Niu","sequence":"additional","affiliation":[{"name":"Endoscopy Unit Department of Gastroenterology Shenzhen Affiliated Hospital Guangzhou University of Traditional Chinese Medicine Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1010293"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2010.00979.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200605000-00001"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2005.07.050"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.12118"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1309880"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.4161\/jig.1.2.15352"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2012.10.045"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.08.043"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.11.019"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2012.88"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.12082"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.02.022"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2015.08.021"},{"key":"e_1_2_7_16_1","first-page":"24","article-title":"Curative effect of peroral cholangioscopy therapy for refractory common bile duct stone after retrograde cholangiopancreatography (with video)","volume":"32","author":"Li J","year":"2015","journal-title":"Chin. 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