{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T19:10:57Z","timestamp":1763752257719,"version":"3.45.0"},"reference-count":23,"publisher":"BMJ","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"accepted":{"date-parts":[[1997,10,9]]},"published-print":{"date-parts":[[1998,5,1]]},"abstract":"<jats:p>\n                    <jats:italic>Background and aims<\/jats:italic>\n                    \u2014Hepatolithiasis is prevalent in south-east Asia and presents a difficult management problem. Intrahepatic strictures with or without awkward ductal angulation of the biliary tree are the main reasons for the reported high incidence of postoperative residual stones. Without proper treatment, biliary strictures and residual stones can lead to repeated episodes of cholangitis, liver abscess, secondary biliary cirrhosis, portal hypertension, and death from sepsis or hepatic failure. The purposes of our treatment strategy were to achieve complete clearance of the stones and relief of bile stasis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Methods<\/jats:italic>\n                    \u2014From January 1991 to July 1992, 90 patients with residual postoperative hepatolithiasis and intrahepatic strictures were treated. Postoperative ductal dilatation with percutaneous transhepatic cholangioscopy tube stenting through a mature T tube tract was performed. Choledochoscopic electrohydraulic lithotripsy was applied when impacted or large stones were encountered.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Results<\/jats:italic>\n                    \u2014Complete clearance of stones was achieved in 78 patients (87%). Mild haemobilia occurred in five patients (5.5%) and fever developed in seven patients (7.7%), and these patients recovered after conservative treatment. The rate of stone recurrence after a mean follow up of 43 months was 8%. Intrahepatic cholangiocarcinoma developed in one patient (1.1%).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusion<\/jats:italic>\n                    \u2014Postoperative ductal dilatation and stenting, combined with endoscopic electrohydraulic lithotripsy when indicated, is an effective and safe treatment with a low recurrence rate for complicated residual hepatolithiasis with biliary stricture.\n                  <\/jats:p>","DOI":"10.1136\/gut.42.5.708","type":"journal-article","created":{"date-parts":[[2010,6,30]],"date-time":"2010-06-30T12:46:12Z","timestamp":1277901972000},"page":"708-710","source":"Crossref","is-referenced-by-count":29,"title":["Ductal dilatation and stenting for residual hepatolithiasis: a promising treatment strategy"],"prefix":"10.1136","volume":"42","author":[{"given":"S-M","family":"Sheen-Chen","sequence":"first","affiliation":[{"name":"Division of General Surgery, Department of Surgery and Diagnostic Radiology, Chang Gung Memorial Hospital, Kaohsiung, Chang Gung Medical College, Kaohsiung Hsien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y-F","family":"Cheng","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery and Diagnostic Radiology, Chang Gung Memorial Hospital, Kaohsiung, Chang Gung Medical College, Kaohsiung Hsien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F-C","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery and Diagnostic Radiology, Chang Gung Memorial Hospital, Kaohsiung, Chang Gung Medical College, Kaohsiung Hsien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F-F","family":"Chou","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery and Diagnostic Radiology, Chang Gung Memorial Hospital, Kaohsiung, Chang Gung Medical College, Kaohsiung Hsien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T-Y","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery and Diagnostic Radiology, Chang Gung Memorial Hospital, Kaohsiung, Chang Gung Medical College, Kaohsiung Hsien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1998,5,1]]},"reference":[{"key":"2025112111082161000_42.5.708.1","first-page":"170","article-title":"Postoperative choledochoscopy: is routine antibiotic prophylaxis necessary? A prospective randomized study.","volume":"115","author":"Sheen-Chen","year":"1994","journal-title":"Surgery"},{"key":"2025112111082161000_42.5.708.2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01296436"},{"key":"2025112111082161000_42.5.708.3","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1995.01430010022004"},{"key":"2025112111082161000_42.5.708.4","first-page":"159","article-title":"Extracorporeal shockwave lithotripsy for treatment of intrahepatic stones: in vitro and in vivo studies.","volume":"40","author":"Ker","year":"1993","journal-title":"Hepatogastroenterology"},{"key":"2025112111082161000_42.5.708.5","first-page":"387","article-title":"Choledochotomy for biliary lithiasis: is routine T-tube drainage necessary? A prospective controlled trial.","volume":"156","author":"Sheen-Chen","year":"1990","journal-title":"Acta Chir Scand"},{"key":"2025112111082161000_42.5.708.6","first-page":"347","article-title":"Surgery in cholangitis: bacteriology and choice of antibiotic.","volume":"39","author":"Lee","year":"1992","journal-title":"Hepatogastroenterology"},{"key":"2025112111082161000_42.5.708.7","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1155\/1990\/71059","article-title":"Acute biliary septic shock.","volume":"2","author":"Liu","year":"1990","journal-title":"HPB Surg"},{"key":"2025112111082161000_42.5.708.8","first-page":"801","article-title":"Is sterile water irrigation safe for postoperative choledochoscopy? A prospective trial.","volume":"162","author":"Sheen-Chen","year":"1996","journal-title":"Eur J Surg"},{"key":"2025112111082161000_42.5.708.9","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1989.01410110059012"},{"key":"2025112111082161000_42.5.708.10","doi-asserted-by":"publisher","DOI":"10.1007\/BF02087925"},{"key":"2025112111082161000_42.5.708.11","unstructured":"Sheen-Chen SM, Eng HL, Chou WJ. Serum-souble interleukin-2 receptor in patients with hepatolithiasis: a preliminary report.Hepatogastroenterology (in press). ."},{"key":"2025112111082161000_42.5.708.12","first-page":"284","article-title":"Percutaneous transhepatic cholangioscopy and lithotripsy for complicated hepatolithiasis.","volume":"19","author":"Sheen-Chen","year":"1996","journal-title":"Asian J Surg"},{"key":"2025112111082161000_42.5.708.13","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1002\/bjs.1800690210","article-title":"The surgical management of primary intra-hepatic stones.","volume":"69","author":"Choi","year":"1982","journal-title":"Br J Surg"},{"key":"2025112111082161000_42.5.708.14","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(83)90382-3"},{"key":"2025112111082161000_42.5.708.15","doi-asserted-by":"publisher","DOI":"10.1016\/S0046-8177(88)80150-3"},{"key":"2025112111082161000_42.5.708.16","doi-asserted-by":"publisher","DOI":"10.1148\/117.3.721"},{"key":"2025112111082161000_42.5.708.17","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/S0016-5107(80)73252-2","article-title":"Endoscopic lithotripsy in the common bile duct.","volume":"26","author":"Koch","year":"1980","journal-title":"Gastrointest Endosc"},{"key":"2025112111082161000_42.5.708.18","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/S0016-5107(88)71276-6","article-title":"Percutaneous transhepatic choledochoscopic electrohydraulic lithotripsy (PTCS-EHL) of common bile duct stones.","volume":"34","author":"Mo","year":"1988","journal-title":"Gastrointest Endosc"},{"key":"2025112111082161000_42.5.708.19","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1002\/bjs.1800770519","article-title":"Percutaneous transhepatic cholangioscopic lithotripsy.","volume":"77","author":"Chen","year":"1990","journal-title":"Br J Surg"},{"key":"2025112111082161000_42.5.708.20","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1002\/jso.2930470213","article-title":"Intrahepatic cholangiocarcinoma in hepatolithiasis: a frequently overlooked disease.","volume":"47","author":"Sheen-Chen","year":"1991","journal-title":"J Surg Oncol"},{"key":"2025112111082161000_42.5.708.21","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19850615)55:12<2826::AID-CNCR2820551219>3.0.CO;2-1"},{"key":"2025112111082161000_42.5.708.22","first-page":"57","article-title":"Cholangiocarcinoma as related to chronic intrahepatic cholangitis and hepatolithiasis.","volume":"66","author":"Falchuk","year":"1976","journal-title":"Am J Gastroenterol"},{"key":"2025112111082161000_42.5.708.23","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1002\/bjs.1800790722","article-title":"Bile duct stent in the management of hepatolithiasis with long-segment intrahepatic biliary strictures.","volume":"79","author":"Jeng","year":"1992","journal-title":"Br J Surg"}],"container-title":["Gut"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/gut.42.5.708","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T19:08:37Z","timestamp":1763752117000},"score":1,"resource":{"primary":{"URL":"https:\/\/gut.bmj.com\/lookup\/doi\/10.1136\/gut.42.5.708"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,5,1]]},"references-count":23,"journal-issue":{"issue":"5","published-online":{"date-parts":[[1998,5,1]]},"published-print":{"date-parts":[[1998,5,1]]}},"alternative-id":["10.1136\/gut.42.5.708"],"URL":"https:\/\/doi.org\/10.1136\/gut.42.5.708","relation":{},"ISSN":["0017-5749","1468-3288"],"issn-type":[{"type":"print","value":"0017-5749"},{"type":"electronic","value":"1468-3288"}],"subject":[],"published":{"date-parts":[[1998,5,1]]}}}