{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:20:58Z","timestamp":1784542858806,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T00:00:00Z","timestamp":1612828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec><jats:title>Background and Study Aim<\/jats:title><jats:p>Management of bile duct stones (BDSs) in patients with surgically altered anatomies (SAAs) remains challenging. An endoscopic ultrasound\u2010guided antegrade (EUS\u2010AG) procedure and double\u2010balloon enteroscopy\u2010assisted endoscopic retrograde cholangiography (DB\u2010ERC) have been used to remove BDSs from patients with SAAs. However, few comparative data have been reported. Therefore, we compared the efficacy and safety of the techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a single\u2010center retrospective study. Patients with SAA who underwent the EUS\u2010AG procedure or DB\u2010ERC to remove intra\u2010 or extra\u2010BDSs between November 2010 and March 2020 were included. The primary outcome was the technical success rate, defined as stent insertion or stone removal during the initial session. The secondary outcomes were the procedure time, incidence of adverse events (AEs), and complete stone removal rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 54 patients enrolled, 23 underwent the EUS\u2010AG procedure and 31 DB\u2010ERC. The technical success rates of EUS\u2010AG and DB\u2010ERC were 87.0% and 64.5%, respectively (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.11). The procedure time was significantly shorter in the EUS\u2010AG group than in the DB\u2010ERC group (51.9\u00a0\u00b1\u00a015.4 vs 72.6\u00a0\u00b1\u00a032.2\u00a0min; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.01), and the early AE rates were 26.1% and 12.9%, respectively (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.71). The complete stone removal rates in patients who underwent previous stone removal were 94.1% in the EUS\u2010AG group and 85.7% in the DB\u2010ERC group (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.61).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The EUS\u2010AG afforded technical success and complete stone removal rates comparable with those of DB\u2010ERC, but the former procedure was shorter. The AE rate was acceptable.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.13927","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:36:06Z","timestamp":1610670966000},"page":"1179-1187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Endoscopic ultrasound\u2010guided antegrade procedures for managing bile duct stones in patients with surgically altered anatomy: Comparison with double\u2010balloon enteroscopy\u2010assisted endoscopic retrograde cholangiography (with video)"],"prefix":"10.1111","volume":"33","author":[{"given":"Yusuke","family":"Takasaki","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Graduate School of Medicine University of Juntendo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeto","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Graduate School of 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