{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T01:04:40Z","timestamp":1762391080225,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T00:00:00Z","timestamp":1666051200000},"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":[[2023,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Balloon enteroscopy (BE)\u2010assisted endoscopic retrograde cholangiopancreatography (ERCP)\u2010related procedures to resolve acute cholangitis (AC) in patients with surgically altered anatomy (SAA) are limited. There is a lack of evidence on whether the timing of BE\u2010assisted ERCP affects clinical outcomes in patients with AC. This study aimed to evaluate the clinical outcomes of short\u2010type single\u2010balloon enteroscopy (short SBE)\u2010assisted ERCP in patients with SAA and AC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with AC who underwent short SBE\u2010assisted ERCP procedures between September 2011 and April 2022 were retrospectively reviewed. The outcomes of procedures undergone at \u226424\u2009h and &gt;24\u2009h were compared. The primary outcome was the length of stay (LOS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 56 patients underwent procedures at \u226424\u2009h, and 58 patients at &gt;24\u2009h. The procedural success and adverse event rates of short SBE\u2010assisted ERCP were 87.7% (95% confidence interval [CI] 80.3\u201393.1%) and 4.4% (95% CI 1.4\u20139.9%), respectively. Patients with severe (Grade III) AC and systemic inflammatory response syndrome were more in early (at \u226424\u2009h) ERCP groups. LOS and median time from ERCP procedures to discharge were shorter in the early group. Procedural success and adverse event rates between both groups had no significant differences. Multivariable linear regression analysis showed that ERCP performed at \u226424\u2009h was associated with shorter LOS, while severe cholangitis and malignant biliary obstruction were associated with longer LOS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Short SBE\u2010assisted ERCP is effective and safe in patients with SAA and AC. Early procedures seemed to attribute early improvement of general condition, thus shortening the LOS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.14443","type":"journal-article","created":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T18:18:17Z","timestamp":1663784297000},"page":"361-368","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Can endoscopic retrograde cholangiopancreatography\u2010related procedures for resolving acute cholangitis be effectively and safely performed in patients with surgically altered anatomy? Comparison study to evaluate the timing of short\u2010type single\u2010balloon enteroscopy\u2010assisted endoscopic retrograde cholangiopancreatography"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2765-3306","authenticated-orcid":false,"given":"Yuki","family":"Tanisaka","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Mizuide","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9475-0512","authenticated-orcid":false,"given":"Akashi","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0422-6723","authenticated-orcid":false,"given":"Ryuhei","family":"Jinushi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rie","family":"Shiomi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dai","family":"Hirata","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saitama 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