Journal of Hepato‐Biliary‐Pancreatic Sciences最新文献

{"title":"A rare case of needle tract seeding following endoscopic ultrasound-guided tissue acquisition for cholangiocarcinoma","authors":"Tatsunori Satoh, Haruna Takahashi, Shinya Kawaguchi","doi":"10.1002/jhbp.12124","DOIUrl":"10.1002/jhbp.12124","url":null,"abstract":"","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"32 4","pages":"e12-e14"},"PeriodicalIF":3.2,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of extra-pancreatic infections on outcomes of acute pancreatitis: A systematic review and meta-analysis","authors":"XueMin Zhang,&nbsp;Ping Zhu,&nbsp;YanFei Zhang,&nbsp;ShanShan Dai","doi":"10.1002/jhbp.12099","DOIUrl":"10.1002/jhbp.12099","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The impact of extrapancreatic infections (EPI) on outcomes of acute pancreatitis has received limited attention in the literature. We compiled data from published studies to present high-quality evidence on the prognostic role of EPI on acute pancreatitis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This PRISMA-compliant and PROSPERO registered review (CRD42024516872) searched Embase, Scopus, Web of Science, and PubMed for comparative studies between EPI and no-EPI. Outcomes assessed were mortality, intensive care unit (ICU) admission, necrosis, organ failure, persistent organ failure, and length of hospital stay (LOS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven studies were included in the review. The meta-analysis found that patients with EPI had a significantly higher risk of mortality as compared to the no-EPI group (OR: 3.85 95% CI: 2.79, 5.31). The risk of ICU admission (OR: 12.24 95% CI: 3.56, 42.10), necrosis (OR: 3.50 95% CI: 1.37, 8.89) organ failure (OR: 6.03 95% CI: 3.75, 9.70) and persistent organ failure (OR: 6.72 95% CI: 3.58, 12.62) was significantly increased in the EPI group compared to the non-EPI group. The meta-analysis also found significantly longer LOS in the EPI group (MD: 11.92 95% CI: 4.75, 19.08).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>EPI is associated with a worse prognosis in acute pancreatitis. EPI was associated with an increased risk of mortality, ICU admission, organ failure, and prolonged LOS. Limited number of studies and baseline confounding are drawbacks of current evidence which need to be rectified by future studies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"32 5","pages":"350-359"},"PeriodicalIF":3.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High preoperative Glasgow prognostic score increases a risk of hospital mortality in elderly patients with perihilar cholangiocarcinoma","authors":"Takashi Kokumai,&nbsp;Shuichi Aoki,&nbsp;Kei Nakagawa,&nbsp;Masahiro Iseki,&nbsp;Hideaki Sato,&nbsp;Takayuki Miura,&nbsp;Shimpei Maeda,&nbsp;Masaharu Ishida,&nbsp;Masamichi Mizuma,&nbsp;Michiaki Unno","doi":"10.1002/jhbp.12111","DOIUrl":"10.1002/jhbp.12111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hemihepatectomy with extrahepatic bile duct resection is considered the only curative treatment for perihilar cholangiocarcinoma. The aim of the study was to clarify the survival benefits in this invasive surgical procedure for elderly patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 290 patients who underwent surgical resection for perihilar cholangiocarcinoma in our department from 2000 to 2020 were categorized into the E group (62 patients aged ≥75 years) and NE group (228 patients aged &lt;74 years).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The E group exhibited decreased pathological lymph node metastasis (<i>p</i> = .001) and had a shorter operative time (<i>p</i> = .021) and fewer cases of combined vascular resection (<i>p</i> = .002). We found no significant differences in postoperative mortality; however, disease-specific survival was significantly better in the E group (3-year survival: 75.6 vs. 60.3%, <i>p</i> = .031). After propensity score matching, overall survival and disease-specific survival did not differ between the two groups; nevertheless, the hospital mortality rate was significantly higher in the E group (11.5 vs. 1.6%, <i>p</i> = .020). In the E group, a high preoperative Glasgow prognostic score was the only factor associated with hospital mortality (odds ratio, 7.35; <i>p</i> = .026) and indicated worse prognosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A high preoperative Glasgow prognostic score was associated with hospital mortality and poor prognosis in elderly patients with perihilar cholangiocarcinoma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"32 4","pages":"298-310"},"PeriodicalIF":3.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhbp.12111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cholangiogram of durvalumab-related sclerosing cholangitis as immune-mediated adverse event","authors":"Naosuke Kuraoka,&nbsp;Tetsuro Ujihara,&nbsp;Shun Sakai","doi":"10.1002/jhbp.12119","DOIUrl":"10.1002/jhbp.12119","url":null,"abstract":"<p>Immune checkpoint inhibitor-related sclerosing cholangitis is most commonly associated with PD-1 or PD-L1 inhibitors. Kuraoka and colleagues report a novel case of cholangitis as an immune-mediated adverse event caused by durvalumab, with findings suggestive of the diagnosis observed on a cholangiogram obtained by endoscopic retrograde cholangiography.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"32 6","pages":"e26-e27"},"PeriodicalIF":3.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraprocedural mixed-reality hologram support in endoscopic retrograde cholangiography (ERC) for bile leaks","authors":"Hirohito Minami,&nbsp;Kazumasa Nagai,&nbsp;Maki Sugimoto,&nbsp;Takayoshi Tsuchiya,&nbsp;Reina Tanaka,&nbsp;Ryosuke Tonozuka,&nbsp;Shuntaro Mukai,&nbsp;Kenjiro Yamamoto,&nbsp;Hiroyuki Kojima,&nbsp;Takao Itoi","doi":"10.1002/jhbp.12098","DOIUrl":"10.1002/jhbp.12098","url":null,"abstract":"<p>Endoscopic retrograde cholangiography (ERC) has been reported to be useful in the treatment of bile leaks.<span>¹</span> However, when the bile duct branches from the site of a bile leak are narrow, it is often difficult to identify a location of bile leak. Holograms, which are computer-generated graphics models, have recently been used with mixed reality (MR) techniques as a surgical navigation tool.<span>²</span></p><p>We have previously reported a case using MR technology to project a three-dimensional (3D) hologram image of the bile ducts in space during interventional endoscopic ultrasound (EUS).<span>³</span> We herein report a case in which navigation using MR technology was useful for identifying the location of a bile leak during ERC.</p><p>The patient was a 53-year-old male. Seven days after undergoing emergency laparotomy for acute cholecystitis and perforation of the gallbladder, he developed a bile leak (Figure 1a). However, it was difficult to identify the location of a bile leak using magnetic resonance cholangiopancreatography (MRCP) (Figure 1b) of a two-dimensional (2D) image. A 3D hologram of the bile duct was created from MRCP images, and the 3D cholangiogram was projected onto the lenses of the operator and assistants wearing head-mounted displays. The location of the bile leak could thus be identified using a 3D cholangiogram (Figure 2a). Thereafter, we performed ERC (Figure 2b) wearing goggles (Video S1). It was challenging to identify the bile duct branch with a bile leak using 2D images of ERC. However, by referring to the 3D cholangiogram from various angles in real time, and comparing it with the ERC images, the location of the bile leak was successfully identified, thus allowing for the successful placement of the drainage tube in the targeted bile duct branch. The combined use of MR techniques can therefore be useful for identifying the location of a bile leak in small bile duct branches.</p><p>There are no companies or organizations with which I have a conflict of interest related to the publication of this paper.</p>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"32 4","pages":"e7-e8"},"PeriodicalIF":3.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhbp.12098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antegrade stone removal using a novel non-slip balloon for dilation in a patient with hepaticojejunostomy anastomosis","authors":"Haruo Miwa,&nbsp;Ritsuko Oishi,&nbsp;Shin Maeda","doi":"10.1002/jhbp.12116","DOIUrl":"10.1002/jhbp.12116","url":null,"abstract":"<p>In this case video, Miwa and colleagues report the first case of antegrade stone removal using the RIGEL balloon catheter in a patient with hepaticojejunostomy anastomotic stricture. This novel non-slip balloon prevents slippage during dilation by delaying inflation of its central portion, enabling successful stone removal without complications.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"32 5","pages":"e17-e19"},"PeriodicalIF":3.2,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early differential diagnosis of cystic biliary atresia and choledochal cyst in the fetus: A multicenter retrospective study","authors":"Xisi Guan,&nbsp;Wei Zhong,&nbsp;Yu Ouyang,&nbsp;Zhe Wang,&nbsp;Bin Yan,&nbsp;Longlong Hou,&nbsp;Junjie Wang,&nbsp;Yue Wu,&nbsp;Lin Huang,&nbsp;Xiaoxiong Liang,&nbsp;Qiuming He,&nbsp;Shangjie Xiao,&nbsp;Jiakang Yu","doi":"10.1002/jhbp.12115","DOIUrl":"10.1002/jhbp.12115","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Purpose</h3>\u0000 \u0000 <p>Fetal hilar cyst is primarily diagnosed as two diseases after birth, cystic biliary atresia (CBA) and choledochal cyst (CC). The aim of our study was to explore more reliable indicators in early differential diagnosis of these cysts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We recruited a total of 50 cases with a prenatal diagnosis of hepatic cyst at three centers, and patients were divided into a CBA group (<i>n</i> = 16) and CC group (<i>n</i> = 34) according to postnatal intraoperative diagnosis. Patient features, maximal cyst diameter as measured by prenatal and early postnatal ultrasonography were analyzed and compared between the two groups, as was the effect of cyst size in predicting CBA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The maximal cyst diameters in the last prenatal ultrasound (LPU) measurement and initial postnatal ultrasound (IPU) in the CBA group were significantly smaller than in the CC group, as was the difference between the IPU and the first prenatal ultrasound (FPU) (i.e., IPU−FPU) in the CBA group relative to the CC group. The IPU–FPU difference showed the best diagnostic performance as a single parameter (AUC, 0.9806), with a sensitivity and specificity of 100% and 90.3%, respectively, and a cutoff value of 7.5 mm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Ultrasonographic measurement of the maximal cyst diameter can assist in early (within 1 week after birth) identification of CBA. An IPU-FPU &lt;7.5 mm suggested a higher possibility of a postnatal diagnosis of CBA.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"32 4","pages":"311-316"},"PeriodicalIF":3.2,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concerns about needle tract seeding after endoscopic ultrasound-guided tissue acquisition: A possibility not limited to pancreatic body and tail cancer","authors":"Tatsunori Satoh,&nbsp;Haruna Takahashi,&nbsp;Shinya Kawaguchi","doi":"10.1002/jhbp.12104","DOIUrl":"10.1002/jhbp.12104","url":null,"abstract":"","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"32 4","pages":"e9-e11"},"PeriodicalIF":3.2,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Duodenal transmural perforation caused by a dislodged pigtail plastic stent in a patient with benign biliary stricture","authors":"Noriyuki Hirakawa,&nbsp;Kenjiro Yamamoto,&nbsp;Takao Itoi","doi":"10.1002/jhbp.12102","DOIUrl":"10.1002/jhbp.12102","url":null,"abstract":"<p>Stent migration occurs in endoscopic retrograde cholangiopancreatography (ERCP)-related procedures with a frequency of 5%–10%,<span>¹</span> but gastrointestinal or transmural perforation is rare.<span>²</span> Here, we report a case of duodenal transmural perforation caused by a dislodged pigtail plastic stent with benign biliary stricture.</p><p>A 73-year-old man was referred for examination of biliary stricture. Cholangiography showed a short-segment stricture in the lower bile duct (Figure 1a). Biopsy specimens were collected and a 7 Fr × 7 cm pigtail plastic stent was placed through the stricture (Figure 1b). The biopsy showed no malignancy. One month later, the patient presented with transient tarry stools and abdominal pain. X-ray showed stent dislodgement and computed tomography showed the stent apparently caught in the duodenal mucosa (Figure 1c–f). With a single-balloon endoscope, the proximal and distal tips were visible in the ascending duodenum, but the middle portion had penetrated the duodenal mucosa (Figure 2a). The stent was retrieved using grasping forceps, and there was no contrast medium leakage into the retroperitoneal space (Figure 2b–f). </p><p>Compared with straight stents, pigtail stents have a lower risk of perforation due to their tip shape.<span>³</span> There have been two reported cases of pigtail stent perforation. In one,<span>⁴</span> the stent was placed for common bile duct stones and became lodged in multiple small bowel diverticula, leading to perforation. In the other,<span>⁵</span> following stent placement for post-liver transplantation anastomosis stricture, the proximal tip migrated deep into the intrahepatic bile duct and the distal tip perforated the duodenal mucosa. In our case, no malignancy was detected and the stricture was loose, suggesting distal migration. The distal tip likely lodged into the duodenal mucosa, and peristaltic movements exerted pressure on the stent tip, causing submucosal perforation. After migrating into the submucosa, the stent perforated into the intestinal lumen. To prevent the stent from dislodging, placing the proximal end in the intrahepatic bile duct is recommended.</p><p>Conception and design: Noriyuki Hirakawa, Kenjiro Yamamoto and Takao Itoi. Manuscript preparation: Noriyuki Hirakawa and Kenjiro Yamamoto. Endoscopic procedures: Noriyuki Hirakawa and Kenjiro Yamamoto.</p><p>Author T.I. has received consulting fees from Gadelius Medical Co and Boston Scientific.</p>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"32 3","pages":"e5-e6"},"PeriodicalIF":3.2,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capnographic monitoring using a novel mainstream system during endoscopic ultrasound and endoscopic retrograde cholangiopancreatography: A prospective randomized controlled trial","authors":"Yoichi Takimoto,&nbsp;Eisuke Iwasaki,&nbsp;Masayasu Horibe,&nbsp;Seiichiro Fukuhara,&nbsp;Kazuhiro Minami,&nbsp;Shintaro Kawasaki,&nbsp;Tatsuhiro Masaoka,&nbsp;Haruhiko Ogata,&nbsp;Fateh Bazerbachi,&nbsp;Takanori Kanai","doi":"10.1002/jhbp.12110","DOIUrl":"10.1002/jhbp.12110","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Purpose</h3>\u0000 \u0000 <p>Insufficient studies exist on capnography efficacy during endoscopic ultrasound or endoscopic retrograde cholangiopancreatography, and no definitive conclusions have been drawn. To evaluate the feasibility and efficacy of a novel mainstream capnography using an over-the-biteblock end-tidal CO₂ (EtCO₂) detector in decreasing the risk of hypoxemia during endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients undergoing EUS or ERCP with conscious sedation at a single Japanese center were randomized to a control or a novel capnography monitored (intervention) group in a 1:1 ratio. Hypoxemia correction maneuvers were pursued if the oxygen saturation decreased to &lt;92% in the control or intervention group and if a 15-s suspension of EtCO₂ wave occurred in the intervention group. The primary outcome was the incidence of hypoxemic events, defined as oxygen saturation &lt;90%, during the procedures. Secondary outcomes included technical feasibility of EUS and ERCP with the use of this novel over-the-biteblock monitor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 250 patients were enrolled without dropouts or missing data (control group: 125; capnography group: 125). There was no significant difference in the incidence of hypoxemia between the control and capnography groups (29.6% [37/125] vs. 26.4% [33/125]; <i>p</i> = .573). The estimated odds ratio was 0.925 (95% confidence interval: 0.708–1.208). The EtCO₂ concentration was successfully captured without impeding endoscopic maneuvers from the beginning to the end of the procedure in all patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although the novel mainstream capnography with an over-the-biteblock EtCO₂ detector captures the EtCO₂ concentration in EUS or ERCP under conscious sedation, it does not lead to the prevention of hypoxemia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"32 3","pages":"254-263"},"PeriodicalIF":3.2,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}