{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T14:18:09Z","timestamp":1761920289094,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,4,19]]},"abstract":"<jats:p>Benign recurrent intrahepatic cholestasis (BRIC) is characterised by recurrent episodes of jaundice, severe pruritus and low or normal serum \u03b3-glutamyltransferase activity lasting from several weeks to months. BRIC is an autosomal recessive disorder caused by the mutation in either of the two hepatic transporter genes\u2014ATP8B1 <jats:italic>or ABCB11<\/jats:italic> gene. The disease is very well known for episodic flare of jaundice with cholestatic symptoms that are spontaneous or perpetuated by acute insults, followed by self-recovery. There is no proven medical therapy and rarely does it progress to progressive familial intrahepatic cholestasis (PFIC) or biliary cirrhosis. BRIC may be associated with nephrolithiasis, diabetes or pancreatitis. Here, we report a case of BRIC with spontaneous flare and further complicated by drug-induced liver injury with disabling cholestastic symptoms, who underwent endoscopic nasobiliary drainage and was completely relieved of the distressing symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2016-218874","type":"journal-article","created":{"date-parts":[[2017,5,5]],"date-time":"2017-05-05T07:40:16Z","timestamp":1493970016000},"page":"bcr-2016-218874","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Endoscopic nasobiliary drainage: an effective treatment option for benign recurrent intrahepatic cholestasis (BRIC)"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6540-2623","authenticated-orcid":false,"given":"Ashok","family":"Choudhury","sequence":"first","affiliation":[{"name":"Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand V","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bishnupriya","family":"Sahoo","sequence":"additional","affiliation":[{"name":"Pediatrics, Shree Guru Gobind Singh Tricentenary University Faculty of Medicine and Health Sciences, Gurgaon, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chhagan","family":"Bihari","sequence":"additional","affiliation":[{"name":"Institute of Liver and Biliary Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,5,5]]},"reference":[{"key":"2025082706494701000_2017.may05_1.bcr-2016-218874.1","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1111\/j.0954-6820.1969.tb07378.x","article-title":"Intermittent intrahepatic 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