{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:42:45Z","timestamp":1777448565016,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T00:00:00Z","timestamp":1686355200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cholecystoenteric stenting is an alternative treatment for cholecystitis. However, complications with this approach can render a need for surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A case series of three patients undergoing surgery for a cholecystoenteric stent-related complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patient 1 was a 42-year-old male with history of lung transplant who had a cholecystoenteric stent placed for acalculous cholecystitis. One year later the stent became occluded with return of symptoms. Endoscopic replacement failed. A laparoscopic cholecystectomy with modified Graham patch was performed. Patient 2 is a 73-year-old female with acalculous cholecystitis in the setting of metastatic colon cancer on FOLFOX. Antibiotic treatment failed. A cholecystoenteric stent was attempted, but the stent dislodged during deployment. The fistula tract was clipped, and a percutaneous cholecystostomy drain was placed, which noted a leak at the gallbladder infundibulum. The patient deteriorated clinically and was taken emergently for an open cholecystectomy. Patient 3 was a 71-year-old male with history of ischemic cardiomyopathy who had a cholecystogastric stent placed for necrotizing gallstone pancreatitis. The stent migrated into the gastrointestinal tract and he developed post-prandial pain. A cholecystectomy and modified Graham patch repair of the gastrotomy was performed. This failed as the gastrotomy was too close to the pylorus. He underwent re-operation with Heineke\u2013Mikulicz pyloroplasty. All patients recovered without any cardiopulmonary complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>With the increasing utility of cholecystoenteric stents, surgeons should be aware of the complications and have a plan for managing the duodenotomy or gastrotomy. Shared-medical decision-making involving surgeons should be applied when placing these stents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348231183133","type":"journal-article","created":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T03:45:09Z","timestamp":1686368709000},"page":"5978-5981","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cholecystoenteric Stent-Related Complications: Rendering the Inoperable Patient Operable"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7070-1345","authenticated-orcid":false,"given":"Jenny H.","family":"Chang","sequence":"first","affiliation":[{"name":"Department of General Surgery, Cleveland Clinic, Digestive Disease and Surgery Institute, Cleveland, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Naples","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Cleveland Clinic, Digestive Disease and Surgery Institute, Cleveland, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Cleveland Clinic, Digestive Disease and Surgery Institute, Cleveland, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,10]]},"reference":[{"key":"bibr1-00031348231183133","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-017-3375-4"},{"key":"bibr2-00031348231183133","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2015.03.1912"},{"key":"bibr3-00031348231183133","unstructured":"Todd H, Baron MD, Ian S, Grimm MD, Lee L, Swanstrom MD. Interventional Approaches to Gallbladder Disease | NEJM. 2015. https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMra1411372. (Accessed December 7, 2022)"},{"key":"bibr4-00031348231183133","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005784"},{"key":"bibr5-00031348231183133","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2011.12.051"},{"key":"bibr6-00031348231183133","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/7070961"},{"key":"bibr7-00031348231183133","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1365720"},{"key":"bibr8-00031348231183133","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2019.09.042"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231183133","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231183133","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231183133","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:38:15Z","timestamp":1777379895000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231183133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,10]]},"references-count":8,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1177\/00031348231183133"],"URL":"https:\/\/doi.org\/10.1177\/00031348231183133","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,10]]}}}