{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:34:29Z","timestamp":1762868069900,"version":"3.40.5"},"reference-count":10,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Dis"],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:p>Acute cholecystitis (AC) affects over 20 million Americans annually, leading to annual costs exceeding USD 6 billion. Optimal treatment is early cholecystectomy. However, patients deemed high surgical risk undergo percutaneous cholecystostomy tube (PCT) placement as a bridge to surgery or more commonly as a definitive therapy. We hereby describe our experience with a new procedure named \u201cHybrid Percutaneous Endoscopic Removal (HPER) of cholelithiasis\u201d that is meant for patients with chronic indwelling PCT. This procedure is an effective alternative to EUS-guided gallbladder drainage in high-risk patients. It does not require special expertise or technology and is simply performed by placing a fully covered metal stent conduit through the existing mature percutaneous tract allowing the endoscopic removal of gallstones through this conduit. This procedure can prevent the recurrence of gallstone-related complications as well as chronic PCT-related costs and adverse events. In our video, we present a case series and long-term follow-up of patients who underwent HPER as an alternative definitive therapy for calculous AC. <\/jats:p>","DOI":"10.1159\/000506626","type":"journal-article","created":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T22:00:33Z","timestamp":1582236033000},"page":"547-549","source":"Crossref","is-referenced-by-count":1,"title":["Hybrid Percutaneous-Endoscopic Removal (HPER) of Cholelithiasis"],"prefix":"10.1159","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5586-3722","authenticated-orcid":false,"given":"C.\u00a0Roberto","family":"Simons-Linares","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ram","family":"Gurajala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gareth","family":"Morris-Stiff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prabhleen","family":"Chahal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2020,2,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl.2012.6.2.172"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-017-3375-4"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0148017"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-018-1884-5"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-2035-0"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2014.10.034"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/hpb.12360"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.5334\/jbr-btr.101"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.giec.2018.12.002"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.18.19669"}],"container-title":["Digestive Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/506626","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/506626","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:52:07Z","timestamp":1745423527000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000506626"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":10,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,11,6]]},"published-print":{"date-parts":[[2020,11,10]]}},"URL":"https:\/\/doi.org\/10.1159\/000506626","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.12736766","asserted-by":"subject"}]},"ISSN":["0257-2753","1421-9875"],"issn-type":[{"type":"print","value":"0257-2753"},{"type":"electronic","value":"1421-9875"}],"subject":[],"published":{"date-parts":[[2020]]}}}