{"id":"https://openalex.org/W4403721632","doi":"https://doi.org/10.14309/01.ajg.0001045780.70020.3b","title":"S4103 An Unexpected Detour: Navigating Enteric Biliary Fistula in Endotherapeutics","display_name":"S4103 An Unexpected Detour: Navigating Enteric Biliary Fistula in Endotherapeutics","publication_year":2024,"publication_date":"2024-10-01","ids":{"openalex":"https://openalex.org/W4403721632","doi":"https://doi.org/10.14309/01.ajg.0001045780.70020.3b"},"language":"en","primary_location":{"id":"doi:10.14309/01.ajg.0001045780.70020.3b","doi":"https://doi.org/10.14309/01.ajg.0001045780.70020.3b","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001045780.70020.3b","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5064149115","display_name":"Raahi Patel","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Raahi Patel","raw_affiliation_strings":["Presenter"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Presenter","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078462977","display_name":"Varshita Goduguchinta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799894082","display_name":"Franciscan Health","ror":"https://ror.org/01hbes477","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799894082"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Varshita Goduguchinta","raw_affiliation_strings":["Franciscan Health Olympia Fields, Olympia Fields, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Franciscan Health Olympia Fields, Olympia Fields, IL","institution_ids":["https://openalex.org/I2799894082"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010623109","display_name":"Shil Punatar","orcid":"https://orcid.org/0000-0001-9189-9784","observed_orcids":["https://orcid.org/0000-0001-9189-9784"]},"institutions":[{"id":"https://openalex.org/I2799894082","display_name":"Franciscan Health","ror":"https://ror.org/01hbes477","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799894082"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shil Punatar","raw_affiliation_strings":["Franciscan Health Olympia Fields, Olympia Fields, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Franciscan Health Olympia Fields, Olympia Fields, IL","institution_ids":["https://openalex.org/I2799894082"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5088332352","display_name":"Zohair Ahmed","orcid":"https://orcid.org/0000-0003-1579-3915","observed_orcids":["https://orcid.org/0000-0003-1579-3915"]},"institutions":[{"id":"https://openalex.org/I2799894082","display_name":"Franciscan Health","ror":"https://ror.org/01hbes477","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799894082"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zohair Ahmed","raw_affiliation_strings":["Franciscan Health Olympia Fields, Olympia Fields, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Franciscan Health Olympia Fields, Olympia Fields, IL","institution_ids":["https://openalex.org/I2799894082"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5064149115"],"corresponding_institution_ids":[],"apc_list":{"value":4390,"currency":"USD","value_usd":4390},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"119","issue":"10S","first_page":"S2652","last_page":"S2652"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.9258000254631042,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.9258000254631042,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13697","display_name":"Biliary and Gastrointestinal Fistulas","score":0.07280000299215317,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12460","display_name":"Pediatric Hepatobiliary Diseases and Treatments","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/choledochoduodenal-fistula","display_name":"choledochoduodenal fistula","score":0.9319999814033508},{"id":"https://openalex.org/keywords/biliary-enteric-fistula","display_name":"biliary-enteric fistula","score":0.8989999890327454},{"id":"https://openalex.org/keywords/ascending-cholangitis","display_name":"ascending cholangitis","score":0.9760000109672546},{"id":"https://openalex.org/keywords/endoscopic-retrograde-cholangiopancreatography","display_name":"endoscopic retrograde cholangiopancreatography","score":0.8169999718666077},{"id":"https://openalex.org/keywords/duodenal-diverticulum","display_name":"duodenal diverticulum","score":0.8180000185966492},{"id":"https://openalex.org/keywords/iatrogenic-fistula","display_name":"iatrogenic fistula","score":0.7039999961853027},{"id":"https://openalex.org/keywords/cholecystectomy-complications","display_name":"cholecystectomy complications","score":0.8429999947547913},{"id":"https://openalex.org/keywords/biliary-stent","display_name":"biliary stent","score":0.6230000257492065},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.4690000116825104},{"id":"https://openalex.org/keywords/gallstones","display_name":"gallstones","score":0.6489999890327454}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9416486024856567},{"id":"https://openalex.org/C3020771617","wikidata":"https://www.wikidata.org/wiki/Q83319","display_name":"Enteric fever","level":3,"score":0.5851858854293823},{"id":"https://openalex.org/C2779340996","wikidata":"https://www.wikidata.org/wiki/Q4907743","display_name":"Biliary fistula","level":3,"score":0.5104995965957642},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.4728843569755554},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.33171141147613525},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.33051130175590515},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2609509527683258},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.16074395179748535},{"id":"https://openalex.org/C520601542","wikidata":"https://www.wikidata.org/wiki/Q83319","display_name":"Typhoid fever","level":2,"score":0.1380665898323059}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14309/01.ajg.0001045780.70020.3b","doi":"https://doi.org/10.14309/01.ajg.0001045780.70020.3b","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001045780.70020.3b","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4411135527","https://openalex.org/W2911234630","https://openalex.org/W2460636763","https://openalex.org/W4408899617","https://openalex.org/W3211797176","https://openalex.org/W4307581251","https://openalex.org/W4316078469","https://openalex.org/W7163682582","https://openalex.org/W3024300081","https://openalex.org/W2977397381"],"abstract_inverted_index":{"Introduction:":[0],"Early":[1],"recognition":[2],"and":[3,43,52,83,95,121,130,149,230,236,284,323,352],"intervention":[4,299,356],"with":[5,69,89,288,327],"advancements":[6],"in":[7,16,34,188,350],"endoscopic":[8,56],"retrograde":[9],"cholangiopancreatography":[10],"(ERCP)":[11],"allows":[12],"for":[13,77,99,146,155,159,298],"mortality":[14],"benefit":[15],"ascending":[17,59],"cholangitis.":[18,60,160],"Most":[19],"routine":[20],"ERCP":[21,156,358],"are":[22],"done":[23],"by":[24],"accessing":[25],"the":[26,30,35,162,172,178,181,192,198,205,219,242,261,282,285,296,305,335,345],"biliary":[27,247,267],"tree":[28],"through":[29,171,197,316],"major":[31],"papilla":[32,199],"found":[33,168,214],"duodenum.":[36],"With":[37],"this":[38,209],"case,":[39],"we":[40],"highlight":[41,334],"unique":[42,278],"lesser":[44],"documented":[45],"anatomical":[46,348],"variations,":[47],"specifically":[48],"a":[49,164,211,225,277,289],"choledochoduodenal":[50,290],"fistula":[51,269,291,306,338],"subsequent":[53],"approach":[54],"to":[55,190,204,218,310,333,342,359],"treatment":[57],"of":[58,73,91,93,107,115,119,123,233,266,304,321,337,347,355],"Case":[61],"Description/Methods:":[62],"The":[63,221,254,264,302],"patient":[64],"is":[65,270],"an":[66],"81-year-old":[67],"man":[68],"past":[70],"medical":[71,360],"history":[72],"fluctuating":[74],"bilirubin":[75,114],"elevations":[76],"nearly":[78],"2":[79,237],"years,":[80],"recent":[81],"cholecystectomy,":[82,343],"persistent":[84],"atrial":[85],"fibrillation":[86],"who":[87],"presented":[88],"complaints":[90],"shortness":[92],"breath":[94],"epigastric":[96],"abdominal":[97],"pain":[98],"several":[100],"days.":[101],"Remarkable":[102],"labs":[103],"included":[104],"total":[105,113],"ALP":[106],"221,":[108],"AST":[109],"252,":[110],"ALT":[111],"120,":[112],"3.0,":[116],"lactic":[117],"acid":[118],"3.2":[120],"WBC":[122],"11.58.":[124],"CT":[125],"Chest/Abdomen/Pelvis":[126],"revealed":[127],"pulmonary":[128],"emphysema":[129],"CBD":[131,222,283],"dilation.":[132],"Gastroenterology":[133],"was":[134,142,152,167,175,213,223,228,249,293],"consulted":[135],"at":[136,251],"that":[137,215,252],"time.":[138,253],"A":[139,245],"rapid":[140],"response":[141],"called":[143],"shortly":[144],"thereafter":[145],"hypotension":[147],"(80/45)":[148],"bradycardia.":[150],"Patient":[151],"emergently":[153],"taken":[154],"given":[157],"concern":[158],"During":[161],"ERCP,":[163],"fistulous":[165,206,243],"tract":[166],"while":[169],"entering":[170],"papilla,":[173],"which":[174,292],"used":[176,294],"as":[177,295,340],"site":[179,297],"during":[180,272,300],"intervention.":[182,262],"There":[183],"were":[184,239],"numerous":[185],"attempts":[186],"made":[187],"trying":[189],"access":[191,217],"common":[193],"bile":[194],"duct":[195],"(CBD)":[196],"however":[200],"each":[201],"attempt":[202],"led":[203],"tract.":[207,244],"Through":[208],"tract,":[210],"diverticulum":[212],"allowed":[216],"CBD.":[220],"cannulated,":[224],"balloon":[226],"sweep":[227],"performed":[229],"copious":[231],"amounts":[232],"pus,":[234],"sludge,":[235],"stones":[238],"extracted":[240],"via":[241],"plastic":[246],"stent":[248],"placed":[250],"patient's":[255],"overall":[256],"condition":[257],"steadily":[258],"improved":[259],"following":[260],"Discussion:":[263],"incidence":[265],"enteric":[268],"0.9%":[271],"surgery.":[273],"Our":[274],"case":[275],"discusses":[276],"communication":[279],"identified":[280],"between":[281],"duodenum,":[286],"consistent":[287],"ERCP.":[301],"formation":[303,320,339],"may":[307],"be":[308],"secondary":[309],"multifactorial":[311],"causes":[312],"including":[313],"previous":[314],"cholecystectomy":[315],"iatrogenic":[317],"injuries,":[318],"spontaneous":[319],"fistulas":[322,325],"non-iatrogenic":[324],"seen":[326],"cholelithiasis":[328],"or":[329],"choledocholithiasis.":[330],"We":[331],"hope":[332],"considerations":[336],"sequelae":[341],"adding":[344],"notions":[346],"variants":[349],"cholangitis,":[351],"alternative":[353],"methods":[354],"using":[357],"literature.":[361]},"counts_by_year":[],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2024-10-25T00:00:00"}
