{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:33:35Z","timestamp":1786649615676,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Surgical clip migration in the biliary tract is uncommon and the diagnosis is still challenging, which may affect the treatment of these scenarios. We report three cases of surgical clip migration in the biliary tract that occurred in our clinical practice. Three female adults were diagnosed with dilation of the common bile duct (CBD), surgical clip migration in the biliary tract and the tumour of CBD, respectively. All of them had a history of hepatobiliary surgery. All of them were diagnosed with surgical clip migration in the biliary tract before surgery and underwent surgery and the migration surgical clips were removed successfully. The cause of surgical clip migration in the bile duct, whether it is non-absorbable Hem-o-lok or absorbable clip, is the foreign body reactions leading to bile duct wrapping the surgical clips and cause their migration. It may also be caused by continuous compression between the surgical clip and the CBD.<\/jats:p>","DOI":"10.4103\/jmas.jmas_298_25","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:00:41Z","timestamp":1777366841000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical clip migration in the biliary tract"],"prefix":"10.4103","author":[{"given":"Haoyu","family":"Song","sequence":"first","affiliation":[{"name":"Xiang\u2019an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian Province, China"},{"name":"Cancer Research Center of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian Province, China"},{"name":"Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Yang","sequence":"additional","affiliation":[{"name":"Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhipeng","family":"Sun","sequence":"additional","affiliation":[{"name":"Xiang\u2019an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian Province, China"},{"name":"Cancer Research Center of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"key":"R1-20260428","doi-asserted-by":"crossref","first-page":"E34","DOI":"10.1055\/a-2206-4635","article-title":"Cholangioscopic removal of post-cholecystectomy surgical clips migrated inside the common hepatic duct","volume":"12","author":"Soriani","year":"2024","journal-title":"Endosc Int Open"},{"key":"R2-20260428","doi-asserted-by":"crossref","first-page":"e27213","DOI":"10.1097\/MD.0000000000027213","article-title":"Laparoscopic treatment of a recurrent biliary stone forming around a Hem-o-lok clip in a patient with previous gastrectomies: Case report","volume":"100","author":"Jiang","year":"2021","journal-title":"Medicine (Baltimore)"},{"key":"R3-20260428","doi-asserted-by":"crossref","first-page":"e230178","DOI":"10.1136\/bcr-2019-230178","article-title":"Common bile duct stone development due to a Hem-o-lok clip migration: A rare complication of laparoscopic cholecystectomy","volume":"12","author":"Roh","year":"2019","journal-title":"BMJ Case Rep"},{"key":"R4-20260428","doi-asserted-by":"crossref","first-page":"6548","DOI":"10.12998\/wjcc.v10.i19.6548","article-title":"Hem-o-lok clip migration to the common bile duct after laparoscopic common bile duct exploration: A case 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Gastroenterol"},{"key":"R8-20260428","doi-asserted-by":"crossref","first-page":"192","DOI":"10.4103\/jmas.JMAS_53_18","article-title":"Clip-stone and T clip-sinus: A clinical analysis of six cases on migration of clips and literature review from 1997 to 2017","volume":"15","author":"Pang","year":"2019","journal-title":"J Minim Access Surg"},{"key":"R9-20260428","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1007\/s11605-009-1131-0","article-title":"Biliary complications secondary to post-cholecystectomy clip migration: A review of 69 cases","volume":"14","author":"Chong","year":"2010","journal-title":"J Gastrointest Surg"},{"key":"R10-20260428","first-page":"8038469","article-title":"CholedochoClip: A case of obstructive jaundice 14 years after cholecystectomy","author":"Kim","year":"2019","journal-title":"Case Rep Gastrointest Med 2019"},{"key":"R11-20260428","first-page":"e58580","article-title":"Post-cholecystectomy clip migration: A case 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