- Endoscopic biliary stenting combined with nasobiliary drainage in hilar malignant biliary obstruction. [Journal Article]Ther Adv Gastrointest Endosc. 2026; 19:26317745261457315.TA
- CONCLUSIONS: Endoscopic biliary stenting combined with ENBD followed by catheter snipping is a safe and effective approach for HMBO. The addition of ENBD was associated with reduced rates of cholangitis and overall adverse events. In this combined strategy, lack of initial drainage and low drainage volume were associated with cholangitis.
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- Focal Nodular Hyperplasia Presenting With Biliary Obstruction and Intrahepatic Gallstones: A Case Report and Literature Review. [Case Reports]Cureus. 2026 Jun; 18(6):e110066.C
- Focal nodular hyperplasia (FNH) is a benign liver lesion that is most often asymptomatic and does not require surgical intervention. Rarely, FNH may cause biliary obstruction and stasis, which can lead to intrahepatic gallstone (hepatolithiasis) formation. We describe a case of a 44-year-old female patient who was incidentally found to have biliary ductal dilation with an associated malignant-app…
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- Is ERCP losing its dominance to endoscopic ultrasound-guided biliary drainage for malignant distal biliary obstruction? [Journal Article]Endoscopy. 2026 Jul 01. [Online ahead of print]E
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- Three-port laparoscopic cholecystectomy with common bile duct exploration in situs inverse totalis: a case report and literature review. [Case Reports]Front Surg. 2026; 13:1775353.FS
- CONCLUSIONS: This case highlights the technical challenges of performing laparoscopic biliary surgery in a patient with SIT. The strategic placement of trocar ports was crucial for minimizing surgical trauma and ensuring procedural safety. Furthermore, given the patient's comorbidity of atrial fibrillation, our management demonstrates that meticulous perioperative preparation and a tailored surgical strategy can facilitate enhanced recovery in complex SIT cases.
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- Migration of a Nasopharyngeal Airway Into the Gastrointestinal Tract During Endoscopic Retrograde Cholangiopancreatography: A Rare Complication in Obstructive Jaundice Management. [Journal Article]Case Rep Gastrointest Med. 2026; 2026:2476267.CR
- CONCLUSIONS: This first reported case of NPA migration into the gastrointestinal tract during ERCP highlights the need for improved fixation, monitoring, and awareness of airway devices during prolonged endoscopic procedures.
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- Endoscopic ultrasound-guided gallbladder drainage for distal malignant biliary obstruction: It's not the tool - but knowing which one to use! [Journal Article]Endoscopy. 2026 Jun 30. [Online ahead of print]E
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- Post-Cholecystectomy Mirizzi Syndrome by Calculus in the Remaining Cystic Duct: Case Report and Review of Literature. [Journal Article]Case Rep Surg. 2026; 2026:6658220.CR
- CONCLUSIONS: As subtotal cholecystectomy becomes more frequent to avoid BDI, the incidence of PCMS is expected to rise. Clinicians must maintain a high index of suspicion. Management should be multidisciplinary; however, surgery remains the definitive treatment when conservative approaches fail.
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- Supra-papillary versus trans-papillary stenting for malignant biliary obstruction: an updated meta-analysis of randomized trials. [Journal Article]Scand J Gastroenterol. 2026 Jun 30; :1-4. [Online ahead of print]SJ
- CONCLUSIONS: We found a significant improvement in stent occlusion rates and cumulative duration of stent patency favoring the supra-papilla group, with no difference for stent migration, occurrence of cholangitis, and patient survival for this comparison.
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- Etiologies, outcomes, and predictors of postoperative complications in the surgical management of extrahepatic biliary obstruction: a study at Tikur Anbesa specialized hospital, Ethiopia. [Journal Article]BMC Surg. 2026 Jun 30. [Online ahead of print]BS
- CONCLUSIONS: Our findings demonstrate that favorable surgical outcomes for EHBO are achievable even in resource-constrained environments. However, further mitigating postoperative morbidity requires targeted perioperative optimization of high-risk patients, specifically those presenting with prolonged jaundice (> 8 weeks), preoperative cholangitis, poor ECOG performance status, hypoalbuminemia, and malignant biliary obstruction (MBO). Consequently, implementing systematic risk stratification and addressing these key clinical predictors are imperative to minimize complications and optimize patient outcomes.
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- Cholangiocarcinoma with metachronous urothelial malignancy as a rare manifestation of Lynch syndrome with no gastrointestinal tumour. [Case Reports]BMJ Case Rep. 2026 Jun 29; 19(6).BC
- Lynch syndrome, an autosomal dominant disorder caused by defective DNA mismatch repair genes, is linked to early-onset colorectal, ovarian, gastric, urinary tract and, less commonly, small bowel, biliary and pancreatic cancers. We present a case of a man in his late 50s who presented with obstructive jaundice due to a biliary hilar mass with a history of urothelial malignancy requiring surgical i…
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- Combined Neurosurgical and Gastrointestinal Surgical Approach Using Omental Flap for Adult Currarino Syndrome: A Case Report. [Case Reports]NMC Case Rep J. 2026; 13:295-299.NC
- Currarino syndrome is a rare congenital disorder characterized by a triad of sacral agenesis, presacral mass, and anorectal malformation. Although it is typically diagnosed in infancy or childhood, adult presentation is rare and poses unique diagnostic and surgical challenges. We present the case of a 45-year-old woman diagnosed with Currarino syndrome during pregnancy after incidental discovery …
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- Bridging the Gap between Literature and Practice: Nationwide Outcomes of Endoscopic Ultrasound-guided Hepatico-gastrostomy. [Journal Article]Endosc Int Open. 2026; 14:a28849422.EI
- Background Endoscopic ultrasound-guided hepatico-gastrostomy (EUS-HGS) enables internal biliary drainage via the stomach in patients with altered anatomy, inadequate left hepatic duct drainage, or duodenal obstruction. The technically demanding procedure is only performed at expert centers in the Netherlands. Most available evidence originates from selected cohorts, overestimating real-world outc…
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- A Stomach-Positioned Splinting Tube Technique for Maintaining a Straightened Gastric Axis During Endoscopic Retrograde Cholangiopancreatography in Severe Esophageal Hiatal Hernia. [Case Reports]ACG Case Rep J. 2026 Jul; 13(7):e02200.AC
- Severe esophageal hiatal hernia can hinder endoscopic retrograde cholangiopancreatography (ERCP) by causing gastric looping and unstable duodenoscope advancement. We report a 76-year-old woman with gallbladder cancer, hilar biliary obstruction, and severe mixed-type hiatal hernia. Initial ERCP failed because recurrent looping prevented passage beyond the pylorus. During repeat ERCP, a hydrophilic…
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- Post-ERCP pancreatitis after self-expanding metal stent placement in patients with pancreatic versus non-pancreatic malignant biliary obstruction. [Journal Article]Ther Adv Gastrointest Endosc. 2026 Jan-Dec; 19:26317745261458987.TA
- CONCLUSIONS: No statistically significant difference in PEP rates was seen after biliary sphincterotomy and SEMS placement for palliation of DMBO in patients with pancreatic versus non-pancreatic malignancies.
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- Gallstone Ileus Secondary to Cholecysto-Duodenal Fistula in a Middle-Aged Female: A Rare Surgical Emergency and Review of the Literature. [Journal Article]Clin Case Rep. 2026 Jul; 14(7):e73027.CC
- Gallstone ileus secondary to cholecysto-duodenal fistula is a serious and uncommon complication due to cholelithiasis, characterized by mechanical bowel obstruction due to gallstone impaction following a spontaneous biliary-enteric fistula. The case highlights the diagnostic challenge and the importance of clinical evaluation and thorough investigation of the patients.
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