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World Journal of Gastrointestinal Endoscopy

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https://www.readbyqxmd.com/read/30147845/comparison-between-endoscopic-sphincterotomy-vs-endoscopic-sphincterotomy-associated-with-balloon-dilation-for-removal-of-bile-duct-stones-a-systematic-review-and-meta-analysis-based-on-randomized-controlled-trials
#1
Cesar Capel de Clemente Junior, Wanderley Marques Bernardo, Tomazo Prince Franzini, Gustavo Oliveira Luz, Marcos Eduardo Lera Dos Santos, Jonah Maxwell Cohen, Diogo Turiani Hourneaux de Moura, Fábio Ramalho Tavares Marinho, Martin Coronel, Paulo Sakai, Eduardo Guimarães Hourneaux de Moura
AIM: To compare gallstones removal rate and incidence of bleeding, pancreatitis, use of mechanical lithotripsy, cholangitis and perforation between isolated sphincterotomy vs sphincterotomy associated with balloon dilation of papilla in choledocholithiasis through the meta-analysis of randomized clinical trials. METHODS: We conducted a systematic review according to the PRISMA guidelines. Literature search was restricted to randomized controlled trials (RCTs) on MedLine, Cochrane Library, LILACS, and EMBASE database platforms in July 2017...
August 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/30079140/diagnosis-of-intraductal-papillary-mucinous-neoplasm-using-endoscopic-ultrasound-guided-microbiopsies-a-case-report
#2
Charlotte Vestrup Rift, Bojan Kovacevic, John Gásdal Karstensen, Julie Plougmann, Pia Klausen, Anders Toxværd, Evangelos Kalaitzakis, Carsten Palnæs Hansen, Jane Preuss Hasselby, Peter Vilmann
Pancreatic cysts are increasingly diagnosed due to expanding use of cross-sectional imaging, but current diagnostic modalities have limited diagnostic accuracy. Recently, a novel through-the-needle microbiopsy forceps has become available, offering the possibility of obtaining cyst-wall biopsies. We present a case of 41-year-old male with chronic pancreatitis and a 2-cm pancreatic cyst, initially considered a pseudocyst. Subsequently, endoscopic ultrasound guided microbiopsies were successfully obtained, which surprisingly revealed an intraductal papillary mucinous neoplasm of mixed subtype with low grade dysplasia...
July 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29988884/off-label-use-of-lumen-apposing-metal-stent-for-persistent-gastro-jejunal-anastomotic-stricture
#3
Muhammad Sohail Mansoor, Juan Tejada, Nour A Parsa, Eric Yoon, Sven Hida
We are reporting a novel "off-label" use of lumen apposing metal stent (LAMS) for management of refractory gastro-jejunal (GJ) anastomotic stricture after Roux-en-y gastric bypass (RYGB). With increasing prevalence of obesity, bariatric surgery is performed more frequently than ever. RYGB is one of the most commonly performed bariatric procedures. GJ anastomotic stricture is a late complication of this procedure. Our patient, seven years after RYGB developed GJ anastomotic ulcer and subsequently a stricture not amendable to repeated pneumatic dilations...
June 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29988852/gastric-endoscopic-submucosal-dissection-via-gastrostoma-before-the-second-operation-for-esophageal-perforation-a-case-report
#4
Takuma Sasaki, Masaya Uesato, Takumi Ohta, Kentarou Murakami, Akira Nakano, Hisahiro Matsubara
A 69-year-old man with advanced esophageal cancer and 2 early gastric cancers received chemoradiotherapy and was scheduled to undergo subtotal esophagectomy after gastric endoscopic submucosal dissection (ESD). However, left lower esophageal perforation induced by vomiting suddenly occurred, and he urgently underwent esophago-proximal gastrectomy and gastrostomy without reconstruction. The resected specimen showed a complete response of pretreatment for the esophageal cancer and radical resection of one gastric cancer...
June 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29988847/is-there-a-difference-in-adenoma-detection-rates-between-gastroenterologists-and-surgeons
#5
Adele Hwee Hong Lee, Nuttaradee Lojanapiwat, Vikram Balakrishnan, Raaj Chandra
AIM: To compare the adenoma detection rate (ADR) between gastroenterologists and colorectal surgeons at Box Hill Hospital, Melbourne, Australia. METHODS: A total of 300 colonoscopies performed by gastroenterologists and colorectal surgeons at Box Hill Hospital were retrospectively reviewed from May 2016 to June 2017. Exclusion criteria were: Patients ≤ 50 years old, colonoscopies with failure of caecal intubation, patients who previously had colon cancer and/or a colonic resection, history of polyposis syndromes or inflammatory bowel disease, or a colonoscopy within the last 10 years...
June 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29774089/different-options-of-endosonography-guided-biliary-drainage-after-endoscopic-retrograde-cholangio-pancreatography-failure
#6
José Celso Ardengh, César Vivian Lopes, Rafael Kemp, José Sebastião Dos Santos
AIM: To investigate the success rates of endosonography (EUS)-guided biliary drainage (EUS-BD) techniques after endoscopic retrograde cholangiopancreatography (ERCP) failure for management of biliary obstruction. METHODS: From Feb/2010 to Dec/2016, ERCP was performed in 3538 patients, 24 of whom (0.68%) suffered failure to cannulate the biliary tree. All of these patients were initially submitted to EUS-guided rendez-vous (EUS-RV) by means of a transhepatic approach...
May 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29774088/endoscopic-ultrasound-guided-drainage-of-pancreatic-walled-off-necrosis-using-self-expanding-metal-stents-without-fluoroscopy
#7
Barbara Braden, Andreas Koutsoumpas, Michael A Silva, Zahir Soonawalla, Christoph F Dietrich
AIM: To investigate whether endoscopic ultrasound (EUS)-guided insertion of fully covered self-expandable metal stents in walled-off pancreatic necrosis (WOPN) is feasible without fluoroscopy. METHODS: Patients with symptomatic pancreatic WOPN undergoing EUS-guided transmural drainage using self-expandable and fully covered self expanding metal stents (FCSEMS) were included. The EUS visibility of each step involved in the transmural stent insertion was assessed by the operators as "visible" or "not visible": (1) Access to the cyst by needle or cystotome; (2) insertion of a guide wire; (3) introducing of the diathermy and delivery system; (4) opening of the distal flange; and (5) slow withdrawal of the delivery system until contact of distal flange to cavity wall...
May 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29774087/severity-of-gastric-mucosal-atrophy-affects-the-healing-speed-of-post-endoscopic-submucosal-dissection-ulcers
#8
Taketo Otsuka, Mitsushige Sugimoto, Hiromitsu Ban, Toshiro Nakata, Masaki Murata, Atsushi Nishida, Osamu Inatomi, Shigeki Bamba, Akira Andoh
AIM: To investigate factors associated with the healing of endoscopic submucosal dissection (ESD)-induced ulcers. METHODS: We enrolled 132 patients with gastric tumors scheduled for ESD. Following ESD, patients were treated with daily lansoprazole 30 mg or vonoprazan 20 mg. Ulcer size was endoscopically measured on the day after ESD and at 4 and 8 wk. The gastric mucosa was endoscopically graded according to the Kyoto gastritis scoring system. We assessed the number of patients with and without a 90% reduction in ulcer area at 4 wk post-ESD and scar formation at 8 wk, and looked for risk factors for slower healing...
May 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29666667/impact-of-the-timing-of-capsule-endoscopy-in-overt-obscure-gastrointestinal-bleeding-on-yield-and-rebleeding-rate-is-sooner-than-14-d-advisable
#9
Catarina Gomes, Rolando Pinho, Adélia Rodrigues, Ana Ponte, Joana Silva, Jaime Pereira Rodrigues, Mafalda Sousa, João Carlos Silva, João Carvalho
AIM: To evaluate the impact of the timing of capsule endoscopy (CE) in overt-obscure gastrointestinal bleeding (OGIB). METHODS: Retrospective, single-center study, including patients submitted to CE in the setting of overt-OGIB between January 2005 and August 2017. Patients were divided into 3 groups according to the timing of CE (≤ 48 h; 48 h-14 d; ≥ 14 d). The diagnostic and therapeutic yield (DY and TY), the rebleeding rate and the time to rebleed were calculated and compared between groups...
April 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29564036/gastric-and-enteric-anisakiasis-successfully-treated-with-gastrografin-therapy-a-case-report
#10
Hiroki Fujikawa, Toshio Kuwai, Toshiki Yamaguchi, Ryoichi Miura, Yuki Sumida, Takeshi Takasago, Yuki Miyasako, Tomoyuki Nishimura, Sumio Iio, Hiroki Imagawa, Atsushi Yamaguchi, Hirotaka Kouno, Hiroshi Kohno
We report a case of a 59-year-old woman who was diagnosed with gastric and small intestinal anisakiasis, which was successfully treated with endoscopic extraction and Gastrografin therapy. She was admitted to our hospital with epigastric pain and vomiting one day after eating raw fish. She exhibited tenderness in the epigastrium without obvious rebound tenderness or guarding. Computed tomography (CT) demonstrated segmental edema of the intestinal wall with proximal dilatation and a small number of ascites. Because enteric anisakiasis was suspected based on the patient's history of recent raw fish consumption and abdominal CT, we performed gastroscopy and confirmed that nine Anisakis larvae were attached to the gastric mucosa...
March 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29467916/utility-of-endoscopic-ultrasound-and-endoscopy-in-diagnosis-and-management-of-hepatocellular-carcinoma-and-its-complications-what-does-endoscopic-ultrasonography-offer-above-and-beyond-conventional-cross-sectional-imaging
#11
REVIEW
Mohit Girotra, Kaartik Soota, Amaninder S Dhaliwal, Rtika R Abraham, Mauricio Garcia-Saenz-de-Sicilia, Benjamin Tharian
Hepatocellular carcinoma constitutes over 90% of the primary liver tumors, the rest being cholangiocarcinoma. It has an insidious presentation, which is responsible for the delayed presentation. Hence, the management strategy relies on screening to diagnose it an early stage for curative resection and/or treatment with local ablative techniques or chemotherapy. However, even with different screening programs, more than 60% of tumors are still detected at an advanced stage, leading to an unchanged mortality rate, thereby implying a room for improvement in the screening and diagnostic process...
February 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29375742/bacterial-presence-on-flexible-endoscopes-vs-time-since-disinfection
#12
Katlin I Mallette, Peter Pieroni, Sonny S Dhalla
AIM: To correlate the length of endoscope hang time and number of bacteria cultured prior to use. METHODS: Prospectively, we cultured specimens from 19 gastroscopes, 24 colonoscopes and 5 side viewing duodenoscopes during the period of 2011 to 2015. A total of 164 results had complete data denoting date of cleansing, number of days stored and culture results. All scopes underwent initial cleaning in the endoscopy suite utilizing tap water, and then manually cleaned and flushed...
January 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29375741/management-of-endoscopic-biliary-stenting-for-choledocholithiasis-evaluation-of-stent-exchange-intervals
#13
Gen Tohda, Masaki Dochin
AIM: To evaluate the best management of plastic stents in patients with choledocholithiasis who were unfit for endoscopic stone removal or surgery. METHODS: Between April 2007 and September 2017, 87 patients (median age 83.7 years) with symptomatic choledocholithiasis were treated with insertion of 7-Fr plastic stents because complete endoscopic stone retrieval was difficult, and their general condition was not suitable for surgery. Seventy of these patients agreed to regular stent management and stent exchange was carried out at every 6 mo (Group A, n = 35) or every 12 mo (Group B, n = 35)...
January 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29375740/mediastinal-node-staging-by-positron-emission-tomography-computed-tomography-and-selective-endoscopic-ultrasound-with-fine-needle-aspiration-for-patients-with-upper-gastrointestinal-cancer-results-from-a-regional-centre
#14
Chris Harrington, Lyn Smith, Jennifer Bisland, Elisabet López González, Neil Jamieson, Stuart Paterson, Adrian John Stanley
AIM: To investigate the impact of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and positron emission tomography-computed tomography (PET-CT) in the nodal staging of upper gastrointestinal (GI) cancer in a tertiary referral centre. METHODS: We performed a retrospective review of prospectively recorded data held on all patients with a diagnosis of upper GI cancer made between January 2009 and December 2015. Only those patients who had both a PET-CT and EUS with FNA sampling of a mediastinal node distant from the primary tumour were included...
January 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29375739/case-series-on-multimodal-endoscopic-therapy-for-gastric-antral-vascular-ectasia-a-tertiary-center-experience
#15
Tasnia Matin, Mohammed Naseemuddin, Mohamed Shoreibah, Peng Li, Kondal Kyanam Kabir Baig, Charles Mel Wilcox, Shajan Peter
AIM: To study and describe patients who underwent treatment for gastric antral vascular ectasia (GAVE) with different endoscopic treatment modalities. METHODS: We reviewed patients with GAVE who underwent treatment at University of Alabama at Birmingham between March 1, 2012 and December 31, 2016. Included patients had an endoscopic diagnosis of GAVE with associated upper gastrointestinal bleeding or iron deficiency anemia. RESULTS: Seven out of 15 patients had classic watermelon description for GAVE, 1/15 with diffuse/honeycomb pattern and 6/15 with nodular GAVE per EGD description...
January 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29375738/post-endoscopic-procedure-satisfaction-scores-can-we-improve
#16
Ankita Munjal, Joshua M Steinberg, Afnan Mossaad, Samuel J Kallus, Mark C Mattar, Nadim G Haddad
AIM: To organize post-procedure satisfaction data into a useful reference and analyze patient-centered parameters to find trends that influence patient satisfaction. METHODS: A robust database of two cohorts of outpatients that underwent an endoscopic procedure at Georgetown University Hospital at two separate three-month intervals ranging from November 2012 to January 2013 and November 2015 to January 2016 was compiled. Time of year was identical to control for weather/seasonal issues that may have contributed to the patient experience...
January 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29375737/new-14-mm-diameter-niti-s-biliary-uncovered-metal-stent-for-unresectable-distal-biliary-malignant-obstruction
#17
Masataka Kikuyama, Naofumi Shirane, Shinya Kawaguchi, Shuzou Terada, Tsuyoshi Mukai, Ken Sugimoto
AIM: To investigate whether an uncovered self-expandable metal stent (UCSEMS) with a large diameter could prevent recurrent biliary obstruction (RBO). METHODS: Thirty-eight patients with malignant biliary obstruction underwent treatment with an UCSEMS with a 14-mm diameter (Niti-S 14). Retrospectively, we evaluated technical and functional success rate, RBO rate, time to RBO, survival time, and adverse events in these patients. RESULTS: Stent placement success and functional success were achieved in all patients...
January 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29375736/imaging-of-gall-bladder-by-endoscopic-ultrasound
#18
REVIEW
Malay Sharma, Piyush Somani, Tagore Sunkara
Endoscopic ultrasonography (EUS) is considered a superior investigation when compared to conventional ultrasonography for imaging gall bladder (GB) lesions as it can provide high-resolution images of small lesions with higher ultrasound frequencies. Examination of GB is frequently the primary indication of EUS imaging. Imaging during EUS may not remain restricted to one station and multi-station imaging may provide useful information. This review describes the techniques of imaging of GB by linear EUS from three different stations...
January 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29375735/confocal-endomicroscopy-and-cyst-fluid-molecular-analysis-comprehensive-evaluation-of-pancreatic-cysts
#19
REVIEW
Feng Li, Ahmad Malli, Zobeida Cruz-Monserrate, Darwin L Conwell, Somashekar G Krishna
Increases in the quality as well as utilization of cross-sectional imaging have led to rising diagnoses of pancreatic cystic lesions (PCL). Accurate presurgical diagnosis enables appropriate triage of PCLs. Unfortunately, current diagnostic approaches have suboptimal accuracy and may lead to unnecessary surgical resections or missed diagnoses of advanced neoplasia. Additionally, early detection represents an opportunity for intervention to prevent the progression to pancreatic adenocarcinoma. Our aim for this review is to systematically review the current literature on confocal endomicroscopy and molecular biomarkers in the evaluation of PCLs...
January 16, 2018: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29290915/deanxit-relieves-symptoms-in-a-patient-with-jackhammer-esophagus-a-case-report
#20
Jin-Ying Li, Wen-Huan Zhang, Chun-Ling Huang, Dang Huang, Guo-Wen Zuo, Lie-Xin Liang
Jackhammer (hypercontractile) esophagus presents with dysphagia and chest pain. Current treatments are limited. We describe a 60-year-old man who presented with dysphagia, chest pain and heartburn for a period of 1 year. His workup showed Barrett's esophagus on endoscopy and high-resolution manometry demonstrated jackhammer esophagus with esophagogastric junction outflow obstruction. The patient was treated with proton pump inhibitor and nifedipine but without resolution of his symptoms. He was followed up to assess the efficacy of treatment with deanxit (flupentixol + melitracen)...
December 16, 2017: World Journal of Gastrointestinal Endoscopy
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