Journal of Hepato‐Biliary‐Pancreatic Sciences最新文献

{"title":"Impact of Preoperative Factors of Dialysis Patients Who Underwent Pancreaticoduodenectomy on Postoperative Complications, 30-Day and Operative Mortality: Analysis Using the Japanese National Clinical Database","authors":"Michinori Matsumoto,&nbsp;Hiroyuki Yamamoto,&nbsp;Toru Ikegami,&nbsp;Kyoko Yamamoto,&nbsp;Ken Shirabe,&nbsp;Yoshihiro Kakeji,&nbsp;Atsushi Nanashima,&nbsp;Itaru Endo,&nbsp;Masafumi Nakamura,&nbsp;Masayuki Ohtsuka","doi":"10.1002/jhbp.70102","DOIUrl":"10.1002/jhbp.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pancreaticoduodenectomy (PD) in dialysis patients is rare but carries a high risk of complications and mortality. This study aimed to identify preoperative factors associated with severe postoperative complications and mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using the Japanese National Clinical Database, 329 dialysis patients undergoing PD between 2016 and 2020 were retrospectively analyzed. Multivariable penalized logistic regression identified preoperative risk factors for Clavien–Dindo classification (CDC) grade ≥ 4 complications, 30-day mortality, operative mortality, postoperative sepsis, and postoperative pancreatic fistula (POPF) (grade B or C).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>CDC grade ≥ 4 complications, 30-day mortality, and operative mortality occurred in 10.3%, 5.5%, and 11.2%, respectively. Diet- or oral medication–treated diabetes (Odds ratio 5.19, 95% confidence interval 1.19–22.66) and insulin-treated diabetes (7.50, 1.61–34.93) independently predicted 30-day mortality. Serum albumin levels &lt; 3.0 g/dL independently predicted operative mortality (2.72, 1.05–7.02), while cardiovascular disease showed a borderline association (2.15, 0.95–4.85). Elevated CRP was significantly associated with postoperative sepsis (2.47, 1.07–5.67), and pancreatic cancer was associated with a lower risk of POPF (grade B or C) (0.59, 0.37–0.94).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Dialysis patients undergoing PD face perioperative risks. Early mortality is driven by acute metabolic and infectious vulnerability, whereas operative mortality reflects diminished physiologic reserve related to malnutrition and cardiovascular comorbidity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"33 8","pages":"624-633"},"PeriodicalIF":2.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723019","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":"Comment on Article “Effect of Urgent ERCP on Clinical Outcomes in Acute Cholangitis With Concurrent Acute Gallstone Pancreatitis: A Propensity Score Matching Analysis”","authors":"Raahin Rahim","doi":"10.1002/jhbp.70103","DOIUrl":"10.1002/jhbp.70103","url":null,"abstract":"","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"33 8","pages":"e65-e66"},"PeriodicalIF":2.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463345","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":"Reply to the Comment on “Multicenter Validation Study of the Clinical Diagnostic Criteria for IgG4-Related Sclerosing Cholangitis 2020 in Japan”","authors":"Itaru Naitoh,&nbsp;Takahiro Nakazawa,&nbsp;Atsushi Masamune","doi":"10.1002/jhbp.70099","DOIUrl":"10.1002/jhbp.70099","url":null,"abstract":"","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"33 8","pages":"e63-e64"},"PeriodicalIF":2.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147377669","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":"Normothermic Machine Perfusion vs. Static Cold Storage for DBD Liver Transplantation in High-MELD Recipients: A Single-Center Retrospective Study","authors":"Yuzuru Sambommatsu,&nbsp;Daisuke Imai,&nbsp;Kush Savsani,&nbsp;Mallika Datta,&nbsp;Junpei Tarashi,&nbsp;Jacob Hallesy,&nbsp;Samuel Wolfe,&nbsp;Isao Yokota,&nbsp;Seung Duk Lee,&nbsp;David A. Bruno","doi":"10.1002/jhbp.70129","DOIUrl":"10.1002/jhbp.70129","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Purpose</h3>\u0000 \u0000 <p>While normothermic machine perfusion (NMP) has benefits over static cold storage (SCS), its efficacy in high-acuity recipients with high Model for End-Stage Liver Disease (MELD) scores, particularly using a back-to-base application model, is not well established. We aimed to compare short-term outcomes between NMP and SCS in this cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective cohort study analyzed 215 adult recipients with a laboratory MELD score ≥ 25 who underwent isolated liver transplantation from donation after brain death (DBD) donors between July 2022 and June 2024. Patients were divided into SCS (<i>n</i> = 137; median MELD, 35) and NMP (<i>n</i> = 78; median MELD, 36) groups. Outcomes were compared using multivariable regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>NMP was associated with higher daytime surgery rates (88.5% vs. 23.4%) and lower peak alanine aminotransferase levels (median 298 vs. 653 IU/L). However, no significant differences were found in blood loss, early allograft dysfunction, acute kidney injury, comprehensive complication index, hospital stay, or 90-day graft survival.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In high-MELD recipients of DBD grafts, a predominantly back-to-base NMP approach did not improve major short-term clinical outcomes compared to SCS. Benefits of NMP appear to be highly context-dependent across three axes—graft type, application model (upfront vs. back-to-base), and recipient acuity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"33 8","pages":"605-614"},"PeriodicalIF":2.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhbp.70129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856221","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":"Open Versus Laparoscopic and Robotic Approach in Hilar Cholangiocarcinoma: A Network Meta-Analysis With Trial Sequential Analysis","authors":"Fabio Giannone,&nbsp;Gabriela Del Angel Millan,&nbsp;Gianluca Cassese,&nbsp;Fabio Benedetti,&nbsp;Marco Palucci,&nbsp;Fabrizio Panaro","doi":"10.1002/jhbp.70124","DOIUrl":"10.1002/jhbp.70124","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The use of minimally invasive (MI) techniques for Hilar cholangiocarcinoma (HCCA) has increased in the last years, but high-quality evidence remains limited. This study aims to assess the safety of laparoscopic (LPS) and robotic (ROB) approaches compared to open surgery in the treatment of HCCA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>After a systematic search, a frequentist network meta-analysis and a Trial sequential analysis were performed. Primary outcomes set for the study were major complications and R0 rate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fourteen studies including 1169 patients were found eligible, of which 403 were LPS (34.5%) and 137 operated with a ROB approach (11.7%). ROB and LPS techniques showed statistically similar rates of major complications (<i>p</i> = 0.251 and <i>p</i> = 0.143), while ROB was associated with a higher rate of negative resection margins (OR: 2.856, 95% CI: 1.585–5.144; <i>p</i> &lt; 0.001). No differences were observed in the secondary outcomes assessed, except for the operative time, higher in both MI approaches, and length of stay, shorter in the ROB group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Global experience in MI surgery for HCCA remains limited and subject to potential bias. Nevertheless, both LPS and ROB approaches seem to represent safe and viable options for carefully selected patients when performed by experienced surgeons in high-volume centers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"33 8","pages":"585-595"},"PeriodicalIF":2.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816146","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":"Feasibility of Comprehensive Genomic Profiling for Biliary Tract Cancer Using Transpapillary Biopsy Samples: A Prospective Study","authors":"Kazuya Miyamoto,&nbsp;Kazuyuki Matsumoto,&nbsp;Toshiaki Ohara,&nbsp;Masayoshi Fujisawa,&nbsp;Hirohumi Inoue,&nbsp;Ryosuke Sato,&nbsp;Akihiro Matsumi,&nbsp;Yuki Fujii,&nbsp;Daisuke Uchida,&nbsp;Motoyuki Otsuka","doi":"10.1002/jhbp.70123","DOIUrl":"10.1002/jhbp.70123","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patients with biliary tract cancer (BTC) often have actionable mutations, and comprehensive genomic profiling (CGP) plays an important role. However, the feasibility of CGP using transpapillary biopsy (TPB) samples remains unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirty patients with suspected BTC based on radiographic imaging were enrolled. Pre-analytical criteria for CGP suitability were based on the OncoGuide NCC Oncopanel System (NCCOP) and FoundationOne CDx (F1CDx). Each patient underwent six biopsies using an endoscopic introducer: five biopsy samples were preserved as formalin-fixed paraffin-embedded (FFPE) samples and one as a fresh frozen (FF) sample. DNA quality indicators were compared between the two groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Malignancy was confirmed in 29 patients, and one had a benign biliary stricture. Suitability rate was 31% (9/29) for NCCOP and 3.4% (1/29) for F1CDx. Compared to FFPE samples, FF samples demonstrated significantly higher DNA concentration [ng/μL, interquartile range (IQR)], [0.34 (0.16–0.95) vs. 37.8 (11.6–67.6), <i>p</i> &lt; 0.001] and DNA integrity number (IQR) [7.1 (6.8–7.3) vs. 8.9 (8.3–9), <i>p</i> = 0.021].</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Introducer-assisted multipass TPB may increase the rate of obtaining adequate CGP specimens, but its suitability remains limited and strongly panel dependent. Since FF samples have better DNA quality, establishing a system detailing their use is desirable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov identifier: UMIN 000049826</p>\u0000 </section>\u0000 </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"33 8","pages":"615-623"},"PeriodicalIF":2.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhbp.70123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838855","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":"Above- Versus Across-The-Papilla Plastic Stent Placement for Malignant Hilar Biliary Obstruction in Unresectable Biliary Tract Cancer: A Multicentre IPTW Analysis","authors":"Shinya Kawaguchi,&nbsp;Yoshihide Kanno,&nbsp;Junichi Kaneko,&nbsp;Yosuke Kobayashi,&nbsp;Kazuma Ishikawa,&nbsp;Azumi Suzuki,&nbsp;Takao Iemoto,&nbsp;Toji Murabayashi,&nbsp;Tatsunori Satoh,&nbsp;Eiji Nakatani","doi":"10.1002/jhbp.70104","DOIUrl":"10.1002/jhbp.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Maintaining effective biliary drainage is crucial in the era of prolonged chemotherapy for biliary tract cancer (BTC). Plastic stents (PS) are widely used in malignant hilar biliary obstruction (MHBO); nonetheless, the optimal placement (above- vs. across-the-papilla) remains controversial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this multicentre retrospective study, 246 patients with unresectable BTC-related MHBO who underwent clinically successful PS placement between April 2016 and August 2024 were analyzed. Patients were classified into the above-the-papilla (<i>n</i> = 197) and across-the-papilla (<i>n</i> = 49) groups. Baseline imbalances were adjusted using inverse probability of treatment weighting (IPTW) with “average treatment effect on the treated”. Covariates included age, sex, primary disease, Bismuth classification, cholangitis, prior drainage, and number of stents. The primary outcome was time to recurrent biliary obstruction (TRBO); secondary outcomes included overall survival (OS) and adverse events (AEs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After IPTW adjustment, effective sample sizes were 47.6 (above-the-papilla group) and 49.0 (across-the-papilla group). The median TRBO was significantly longer in the above-the-papilla group (114 vs. 66 days; <i>p</i> = 0.02), with a hazard ratio of 1.62 (95% confidence interval: 0.97–2.70). OS (457 vs. 366 days; <i>p</i> = 0.99) and AE rates were comparable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Above-the-papilla PS placement may prolong stent patency without compromising safety in patients with unresectable BTC-related MHBO.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"33 8","pages":"649-659"},"PeriodicalIF":2.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147474121","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":"Perioperative Blood Transfusion and Mortality After Pancreatic Surgery: A Nationwide Cohort Study With Propensity Score Matching","authors":"Seonghae Kwon,&nbsp;Sunghee Hong,&nbsp;Seonju Kim,&nbsp;Junghyun Yoon,&nbsp;Yun Kyung Jung,&nbsp;Kyeong Geun Lee,&nbsp;Dongho Choi,&nbsp;Boyoung Park","doi":"10.1002/jhbp.70116","DOIUrl":"10.1002/jhbp.70116","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aimed to evaluate the association between perioperative blood transfusion and postoperative mortality in patients undergoing pancreatic surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used the Korean National Health Insurance Service database to identify patients who underwent pancreatic surgery (2012–2020). Transfusion was defined as the administration of ≥ 1 pack of whole blood or red blood cells within 7 days before to 30 days after surgery. Baseline characteristics were balanced using propensity score matching, and mortality risk was assessed using Cox proportional hazards models. Subgroup analyses were performed by surgical type.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 26 175 patients were included, and 36.1% received transfusion. After matching, mortality remained higher in the transfusion group (63.3% vs. 52.4%, <i>p</i> &lt; 0.0001). Adjusted hazard ratios (aHRs) remained elevated across follow-ups: 45 days, 9.9 (95% CI, 1.0–96.1); 6 months, 3.0 (1.9–4.8); and 5 years, 1.4 (1.3–1.6). Subgroup analyses showed increased short- and long-term mortality risk in pancreaticoduodenectomy, with an overall aHR of 1.4 (1.2–1.6). In contrast, no long-term mortality risk was observed in distal pancreatectomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Perioperative transfusion was associated with increased mortality after pancreatic surgery. These findings indicate the need for prudent transfusion practices and patient blood management strategies tailored to the surgical type to minimize transfusion-related risks.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"33 8","pages":"634-648"},"PeriodicalIF":2.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773598","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":"Correction to “Global Trends in Perioperative Imaging Workups and Records for Hepatobiliary and Pancreatic Surgery: Reports From 103 Facilities Worldwide”","authors":"","doi":"10.1002/jhbp.70156","DOIUrl":"10.1002/jhbp.70156","url":null,"abstract":"<p>\u0000 <span>Y. Sakamoto</span>, <span>G. Honda</span>, <span>T. Hibi</span>, et al., “ <span>Global Trends in Perioperative Imaging Workups and Records for Hepatobiliary and Pancreatic Surgery: Reports From 103 Facilities Worldwide</span>,” <i>Journal of Hepato-Biliary-Pancreatic Sciences</i> <span>33</span> (<span>2026</span>): <span>76</span>–<span>83</span>. https://doi.org/10.1002/jhbp.70017.\u0000 </p><p>In the Acknowledgments section, the name of one of the respondents to the questionnaire is misspelled in the article. The name of Braian KP Goh should read as Brian KP Goh.</p><p>We apologize for the error.</p>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":"33 8","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhbp.70156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345422","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":"Simultaneous Side-By-Side Multi-Hole Metal Stent Placement via EUS-Guided Hepaticogastrostomy for Malignant Hilar Biliary Obstruction","authors":"Kenichi Haneda,&nbsp;Akihisa Kato,&nbsp;Yusaku Tomita,&nbsp;Yusuke Kito,&nbsp;Tadashi Toyohara,&nbsp;Akihisa Adachi,&nbsp;Yasuki Hori,&nbsp;Michihiro Yoshida","doi":"10.1002/jhbp.70128","DOIUrl":"10.1002/jhbp.70128","url":null,"abstract":"<p>Haneda and colleagues, with accompanying video, described simultaneous side-by-side placement of multi-hole covered self-expandable metal stents via EUS-guided hepaticogastrostomy for malignant hilar biliary obstruction when transpapillary drainage was not feasible. The slim delivery system facilitated simultaneous deployment, while small side holes helped maintain branch patency, achieving bilateral drainage 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":"33 8","pages":"e59-e60"},"PeriodicalIF":2.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147873965","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}