{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:33:11Z","timestamp":1745469191851,"version":"3.40.4"},"reference-count":16,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2013,9,5]],"date-time":"2013-09-05T00:00:00Z","timestamp":1378339200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"},{"start":{"date-parts":[[2013,9,5]],"date-time":"2013-09-05T00:00:00Z","timestamp":1378339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Gastroenterol"],"abstract":"<jats:p>Biliary cast syndrome (BCS) is an uncommon complication which is mostly described in orthotopic liver transplantation. However, BCS has also been reported rarely in non-liver transplant patients. We describe a male long-term opium inhaler with BCS who underwent successful endoscopic cast removal by balloon enteroscopy-guided endoscopic retrograde cholangiopancreatography. A 52-year-old man, who was a known case of opium addiction, presented with the chief complaint of epigastric pain for 1 week prior to admission. Routine laboratory evaluation revealed cholestatic liver enzyme elevation. A cholestatic pattern was seen in radiographic modalities. Endoscopic retrograde cholangiopancreatography showed a linear filling defect in the intra- and extrahepatic duct. A long biliary cast was successfully removed using an extractor balloon. After removal of the biliary cast the patient is receiving ursodeoxycholic acid and does not report any problem 4 months after treatment. It seems that biliary dyskinesia due to long-term opium use can be a predisposing factor for biliary cast formation.<\/jats:p>","DOI":"10.1159\/000355165","type":"journal-article","created":{"date-parts":[[2013,9,5]],"date-time":"2013-09-05T08:05:20Z","timestamp":1378368320000},"page":"376-380","source":"Crossref","is-referenced-by-count":1,"title":["Biliary Cast Syndrome in an Opium Inhaler"],"prefix":"10.1159","volume":"7","author":[{"given":"Reza","family":"Dabiri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamid","family":"Asadzadeh Aghdae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan","family":"Rajabalinia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir Houshang","family":"Mohammad Alizadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2013,9,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.6002\/ect.2012.0035"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.22007"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06267.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1159\/000016918"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-197505000-00004"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200304000-00001"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(93)70180-7"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200304000-00013"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/01.mcg.0000225626.76544.67"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.14.5223"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.4166\/kjg.2012.60.6.382"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2013.46.1.98"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2003.07617.x"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2001.03536.x"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2007.8.3.212"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(00)00318-1"}],"container-title":["Case Reports in Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/355165","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/355165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:05:48Z","timestamp":1745431548000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000355165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,5]]},"references-count":16,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2013,12,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000355165","archive":["Portico"],"relation":{},"ISSN":["1662-0631"],"issn-type":[{"type":"electronic","value":"1662-0631"}],"subject":[],"published":{"date-parts":[[2013,9,5]]}}}