{"id":"https://openalex.org/W7143714643","doi":"https://doi.org/10.14744/less.2026.39197","title":"Endoscopic treatment outcomes in difficult bile duct stones: A single-center experience with pre-cut sphincterotomy and mechanical lithotripsy","display_name":"Endoscopic treatment outcomes in difficult bile duct stones: A single-center experience with pre-cut sphincterotomy and mechanical lithotripsy","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7143714643","doi":"https://doi.org/10.14744/less.2026.39197"},"language":"en","primary_location":{"id":"doi:10.14744/less.2026.39197","doi":"https://doi.org/10.14744/less.2026.39197","is_oa":true,"landing_page_url":"https://doi.org/10.14744/less.2026.39197","pdf_url":"https://jag.journalagent.com/z5/download_fulltext.asp?pdir=less&plng=eng&un=LESS-39197","source":{"id":"https://openalex.org/S4210224563","display_name":"Laparoscopic Endoscopic Surgical Science","issn_l":"2587-0610","issn":["2587-0610"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["tr-dizin"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Laparoscopic Endoscopic Surgical Science","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://jag.journalagent.com/z5/download_fulltext.asp?pdir=less&plng=eng&un=LESS-39197","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030453140","display_name":"Serkan Ademo\u011flu","orcid":"https://orcid.org/0000-0003-2595-0064","observed_orcids":["https://orcid.org/0000-0003-2595-0064"]},"institutions":[{"id":"https://openalex.org/I4405263245","display_name":"Gaziantep \u015eehir Hastanesi","ror":"https://ror.org/04ak60v12","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4405263245"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Serkan Ademo\u011flu","raw_affiliation_strings":["Department of Gastroenterologic Surgery , Gaziantep City Hospital , Gaziantep , T\u00fcrkiye"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gastroenterologic Surgery , Gaziantep City Hospital , Gaziantep , T\u00fcrkiye","institution_ids":["https://openalex.org/I4405263245"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5151689303","display_name":"Ferudun Kaya","orcid":"https://orcid.org/0009-0000-6037-7801","observed_orcids":["https://orcid.org/0009-0000-6037-7801"]},"institutions":[{"id":"https://openalex.org/I4405263245","display_name":"Gaziantep \u015eehir Hastanesi","ror":"https://ror.org/04ak60v12","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4405263245"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Ferudun Kaya","raw_affiliation_strings":["Department of Gastroenterologic Surgery , Gaziantep City Hospital , Gaziantep , T\u00fcrkiye"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gastroenterologic Surgery , Gaziantep City Hospital , Gaziantep , T\u00fcrkiye","institution_ids":["https://openalex.org/I4405263245"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5050567552","display_name":"\u0130sa Caner Ayd\u0131n","orcid":"https://orcid.org/0000-0003-2434-0045","observed_orcids":["https://orcid.org/0000-0003-2434-0045"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"\u0130sa Caner Aydin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.1751865,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"25","last_page":"33"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.9994999766349792,"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":0.9994999766349792,"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/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"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":9.999999747378752e-05,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/difficult-bile-duct-stones","display_name":"difficult bile duct stones","score":0.9800000190734863},{"id":"https://openalex.org/keywords/mechanical-lithotripsy","display_name":"mechanical lithotripsy","score":0.9990000128746033},{"id":"https://openalex.org/keywords/ercp-adverse-events","display_name":"ERCP complications","score":0.878000020980835},{"id":"https://openalex.org/keywords/post-ercp-pancreatitis","display_name":"post-ERCP pancreatitis","score":0.9950000047683716},{"id":"https://openalex.org/keywords/stone-clearance-rate","display_name":"stone clearance rate","score":0.8330000042915344},{"id":"https://openalex.org/keywords/predictors-of-complications","display_name":"predictors of complications","score":0.6449999809265137},{"id":"https://openalex.org/keywords/difficult-cannulation","display_name":"difficult cannulation","score":0.7039999961853027},{"id":"https://openalex.org/keywords/stone-size","display_name":"stone size","score":0.5}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.857699990272522},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6233000159263611},{"id":"https://openalex.org/C3020475014","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopic treatment","level":3,"score":0.6140000224113464},{"id":"https://openalex.org/C2779777945","wikidata":"https://www.wikidata.org/wiki/Q851111","display_name":"Bile duct","level":2,"score":0.5525000095367432},{"id":"https://openalex.org/C2778444009","wikidata":"https://www.wikidata.org/wiki/Q637883","display_name":"Endoscopic retrograde cholangiopancreatography","level":3,"score":0.45649999380111694},{"id":"https://openalex.org/C2777950166","wikidata":"https://www.wikidata.org/wiki/Q2463395","display_name":"Lithotripsy","level":2,"score":0.4413999915122986},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.4092999994754791},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.3499999940395355},{"id":"https://openalex.org/C2775982439","wikidata":"https://www.wikidata.org/wiki/Q3562150","display_name":"Biliary tract","level":2,"score":0.31940001249313354},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.2614000141620636}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14744/less.2026.39197","doi":"https://doi.org/10.14744/less.2026.39197","is_oa":true,"landing_page_url":"https://doi.org/10.14744/less.2026.39197","pdf_url":"https://jag.journalagent.com/z5/download_fulltext.asp?pdir=less&plng=eng&un=LESS-39197","source":{"id":"https://openalex.org/S4210224563","display_name":"Laparoscopic Endoscopic Surgical Science","issn_l":"2587-0610","issn":["2587-0610"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["tr-dizin"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Laparoscopic Endoscopic Surgical Science","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.14744/less.2026.39197","doi":"https://doi.org/10.14744/less.2026.39197","is_oa":true,"landing_page_url":"https://doi.org/10.14744/less.2026.39197","pdf_url":"https://jag.journalagent.com/z5/download_fulltext.asp?pdir=less&plng=eng&un=LESS-39197","source":{"id":"https://openalex.org/S4210224563","display_name":"Laparoscopic Endoscopic Surgical Science","issn_l":"2587-0610","issn":["2587-0610"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["tr-dizin"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Laparoscopic Endoscopic Surgical Science","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7143714643.pdf","grobid_xml":"https://content.openalex.org/works/W7143714643.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3024351245","https://openalex.org/W4388542453","https://openalex.org/W2364275988","https://openalex.org/W1581671304","https://openalex.org/W2392402976","https://openalex.org/W4395052870","https://openalex.org/W2464996402","https://openalex.org/W2081790505","https://openalex.org/W2027372298","https://openalex.org/W1999742399"],"abstract_inverted_index":{"Introduction:":[0],"Endoscopic":[1],"treatment":[2],"success":[3],"rates":[4],"and":[5,26,32,45,63,98,113,143,183,201,212],"complication":[6,121,131],"profiles":[7],"in":[8,37,76,123,139,146,164,176,213,225],"difficult":[9,40,56,181,195,226],"bile":[10,41,57,84,196],"duct":[11,42,58,85,197],"stones":[12,59,69,73,88],"may":[13],"differ":[14],"compared":[15],"to":[16,21,159,188],"standard":[17,92],"cases.This":[18],"study":[19],"aimed":[20],"evaluate":[22],"the":[23,27,78,105,218],"clinical":[24,99],"outcomes":[25,100],"impact":[28],"of":[29,48,80,107,125,192,221],"pre-cut":[30,157,199],"sphincterotomy":[31,136,200],"mechanical":[33,144,202],"lithotripsy":[34,145,203],"on":[35],"complications":[36,108,163],"patients":[38,51,127,141,148],"with":[39,91,104,162,208,229],"stones.":[43],"Materials":[44],"Methods:A":[46],"total":[47],"343":[49,126],"adult":[50],"who":[52],"underwent":[53],"ERCP":[54],"for":[55],"between":[60],"March":[61],"2024":[62],"December":[64],"2025":[65],"were":[66,70,101,109,186],"retrospectively":[67],"analyzed.Difficult":[68],"defined":[71],"as":[72,171],"\u226515":[74],"mm":[75],"diameter,":[77,180],"presence":[79],"multiple":[81],"stones,":[82,198],"distal":[83],"stricture,":[86],"or":[87],"not":[89,169],"removable":[90],"techniques.Demographic":[93],"data,":[94],"procedural":[95],"characteristics,":[96],"complications,":[97],"evaluated.Factors":[102],"associated":[103,161],"development":[106],"analyzed":[110],"using":[111],"univariate":[112,165],"multivariate":[114,177],"logistic":[115],"regression":[116],"analyses.Results:":[117],"At":[118],"least":[119],"one":[120],"developed":[122],"43":[124],"(12.5%).The":[128],"most":[129],"common":[130],"was":[132,137,155,168],"post-ERCP":[133],"pancreatitis":[134],"(7.9%).Pre-cut":[135],"performed":[138,207],"54":[140],"(15.7%),":[142],"41":[147],"(12.0%).The":[149],"overall":[150],"complete":[151],"stone":[152,179,227],"clearance":[153],"rate":[154],"83.4%.Although":[156],"appeared":[158],"be":[160,189,205],"analysis,":[166],"it":[167],"identified":[170],"an":[172,230],"independent":[173,190],"risk":[174],"factor":[175],"analysis.ASA\u22653,":[178],"cannulation,":[182],"procedure":[184],"duration":[185],"found":[187],"predictors":[191],"complications.":[193],"Conclusions:In":[194],"can":[204],"safely":[206],"appropriate":[209],"patient":[210],"selection":[211],"experienced":[214],"centers.These":[215],"findings":[216],"support":[217],"effective":[219],"use":[220],"advanced":[222],"endoscopic":[223],"techniques":[224],"cases":[228],"acceptable":[231],"safety":[232],"profile.":[233]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-04-01T00:00:00"}