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https://www.readbyqxmd.com/read/29449266/fungal-liver-abscess-in-an-immunocompetent-patient-who-underwent-repeated-ercps-and-subtotal-cholecystectomy
#1
Sundas Hasan, Robert Fearn
We report a case of a previously healthy female patient who initially presented with fever, jaundice and right upper quadrant pain three days after dilatation and stenting of a stricture of the common bile duct (CBD). During an earlier admission, the patient had undergone endoscopic retrograde cholangiopancreatography (ERCP) having presented with fevers and biliary dilatation on ultrasound. The ERCP features were more consistent with Mirizzi's Syndrome. The patient subsequently underwent subtotal cholecystectomy and later developed a CBD stricture, requiring repeat ERCP and stent insertion...
February 15, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29435318/endoscopic-management-of-bile-leaks-after-liver-transplantation-an-analysis-of-two-high-volume-transplant-centers
#2
Oriol Sendino, Alejandro Fernández-Simon, Ryan Law, Barham Abu Dayyeh, Michael Leise, Karina Chavez-Rivera, Henry Cordova, Jordi Colmenero, Gonzalo Crespo, Cristina Rodriguez de Miguel, Constantino Fondevila, Josep Llach, Miquel Navasa, Todd Baron, Andrés Cárdenas
Background: Bile leak after liver transplantation (LT) is commonly treated with endoscopic retrograde cholangiopancreatography (ERCP); however, there are limited data regarding the optimal treatment strategy. Objective: We aimed to examine the role of ERCP in LT recipients with bile leaks at two large institutions. Methods: We reviewed all ERCPs performed in LT recipients with bile leak and duct-to-duct biliary anastomosis at two high-volume transplant centers...
February 2018: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/29428105/risk-factor-analysis-of-post-ercp-cholangitis-a-single-center-experience
#3
Min Chen, Lei Wang, Yun Wang, Wei Wei, Yu-Ling Yao, Ting-Sheng Ling, Yong-Hua Shen, Xiao-Ping Zou
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) may have complications. Our study aimed to investigate the risk factors and prevention of post-ERCP cholangitis. METHODS: We retrospectively analyzed 4234 cases undergone ERCP in the Affiliated Drum Tower Hospital of Nanjing University Medical School from January 2008 to December 2013. Patient-related factors and procedure-related factors were analyzed to find the risk factors of post-ERCP cholangitis...
February 2018: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://www.readbyqxmd.com/read/29428104/management-of-occluded-self-expanding-biliary-metal-stents-in-malignant-biliary-disease
#4
Simon Nennstiel, Isolde Tschurtschenthaler, Bruno Neu, Hana Algül, Monther Bajbouj, Roland M Schmid, Stefan von Delius, Andreas Weber
BACKGROUND: Occlusion of self-expanding metal stents (SEMS) in malignant biliary obstruction occurs in up to 40% of patients. This study aimed to compare the different techniques to resolve stent occlusion in our collective of patients. METHODS: Patients with malignant biliary obstruction and occlusion of biliary metal stent at a tertiary referral endoscopic center were retrospectively identified between April 1, 1994 and May 31, 2014. The clinical records were further analyzed regarding the characteristics of patients, malignant strictures, SEMS, management strategies, stent patency, subsequent interventions, survival time and case charges...
February 2018: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://www.readbyqxmd.com/read/29426291/paediatric-pancreaticobiliary-endoscopy-a-21-year-experience-from-a-tertiary-hepatobiliary-centre-and-systematic-literature-review
#5
Margaret G Keane, Mayur Kumar, Natascha Cieplik, Douglas Thorburn, Gavin J Johnson, George J Webster, Michael H Chapman, Keith J Lindley, Stephen P Pereira
BACKGROUND: In adults ERCP and endoscopic ultrasound (EUS) are standard methods of evaluating and treating many hepatopancreaticobiliary (HPB) conditions. HPB disease is being diagnosed with increasing frequency in children but information about role of ERCP and EUS and their outcomes in this population remain limited. Therefore the aims of this study were to describe the paediatric ERCP and EUS experience from a large tertiary referral HPB centre, and to systematically compare outcomes with those of other published series...
February 9, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29425886/ercp-performed-through-previously-placed-duodenal-stents-a-multicenter-retrospective-study-of-outcomes-and-adverse-events
#6
Judith Staub, Ali Siddiqui, Linda Jo Taylor, David Loren, Tom Kowalski, Douglas G Adler
BACKGROUND AND AIMS: ERCP (endoscopic retrograde cholangiopancreatography) performed through previously placed enteral stents is an uncommon procedure without a significant amount of supporting literature, and with a wide reported range of technical success. The purpose of this study was to evaluate and better define the technical feasibility and safety of performing ERCP through enteral stents in patients with combined malignant biliary and gastric outlet obstruction (GOO). METHODS: We conducted a multicenter, retrospective study on 71 patients with combined gastric outlet and biliary obstruction who underwent ERCP through a previously placed enteral stent at 2 tertiary care centers...
February 6, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29424011/efficacy-of-the-6-mm-fcsems-during-eus-guided-hepaticogastrostomy-as-a-primary-biliary-drainage-for-the-cases-estimated-difficult-ercp-a-prospective-clinical-study
#7
Nozomi Okuno, Kazuo Hara, Nobumasa Mizuno, Takamichi Kuwahara, Hiromichi Iwaya, Ayako Ito, Naosuke Kuraoka, Shinpei Matsumoto, Petcharee Polmanee, Yasumasa Niwa
BACKGROUND AND AIM: EUS-guided hepaticogastrostomy (EUS-HGS) is performed as an alternative to the percutaneous or surgical approach. Despite high success rates, the adverse events rate is high. Recently, we used 6-mm fully-covered self-expandable metal stents (FCSEMS) to prevent adverse events and allow easy re-intervention. The purposes were to evaluate the safety, feasibility and clinical efficacy. METHODS: A prospective study to confirm the safety of EUS-HGS was carried out in six patients, followed by a trial to evaluate the feasibility and efficacy of EUS-HGS in approximately 12 additional patients...
February 9, 2018: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29415285/correction-covered-vs-uncovered-self-expandable-metal-stents-for-malignant-distal-biliary-strictures-a-systematic-review-and-meta-analysis
#8
Alberto Tringali, Cesare Hassan, Matteo Rota, Marta Rossi, Massimiliano Mutignani, Lars Aabakken
No abstract text is available yet for this article.
February 7, 2018: Endoscopy
https://www.readbyqxmd.com/read/29399608/endoscopic-ultrasound-guided-hepaticogastrostomy-and-antegrade-clearance-of-biliary-lithiasis-in-patients-with-surgically-altered-anatomy
#9
Amy Hosmer, Mohamed M Abdelfatah, Ryan Law, Todd H Baron
Background and study aims:  Endoscopic retrograde cholangiography (ERC) in patients with complex surgically-altered anatomy (SAA) is technically demanding and has limitations. Developments in EUS-guided procedures allow alternative approaches for patients with altered gastrointestinal anatomy and biliary lithiasis. Patients and methods:  Single-center, retrospective review of prospectively entered patients with SAA who underwent EUS-guided hepaticogastrostomy (HGS) followed by an interval antegrade endoscopic clearance of biliary lithiasis...
February 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29399356/endoscopic-removal-of-laser-cut-covered-self-expandable-metallic-biliary-stents-a-report-of-six-cases
#10
Yuki Tanisaka, Shomei Ryozawa, Masanori Kobayashi, Maiko Harada, Tsutomu Kobatake, Kumiko Omiya, Hirotoshi Iwano, Shin Arai, Kouichi Nonaka, Yumi Mashimo
Covered self-expandable metallic stents (CSEMS) may provide palliative drainage for unresectable distal malignant biliary strictures. Laser-cut CSEMS allows easy positioning due to its characteristic of minimal stent shortening. Endoscopic stent removal is sometimes recommended for recurrent biliary obstruction (RBO). However, there are no previous reports of endoscopic removal of laser-cut CSEMS. The current study presents data from 6 patients who were placed a laser-cut CSEMS for unresectable distal malignant biliary strictures, and later endoscopic stent removal was attempted for RBO at the present institute...
February 2018: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/29394764/-the-treatment-outcomes-of-folfirinox-for-unresectable-and-recurrent-pancreatic-cancer
#11
Takuya Sakamoto, Yutaka Takeda, Yoshiaki Ohmura, Yoshiteru Katsura, Ryota Mori, Yohei Nose, Kenji Kawai, Kohei Murakami, Atsushi Naito, Junichi Inatome, Yoshinori Kagawa, Toru Masuzawa, Atsushi Takeno, Chiyomi Egawa, Kohei Murata
FOLFIRINOX is now considered to be a highly effective regimen for patients with metastatic pancreatic cancer. We administered FOLFIRINOX therapy in 18 patients between October 2014 and April 2017 as follows: 2-hour infusion of L-OHP at a dose of 85mg/m2, 2-hour infusion of LV at a dose of 200 mg/m2, infusion of CPT-11 for over 90 minutes at a dose of 150 mg/m2, followed by continuous infusion of 5-FU over 46 hours at a dose of 2,400mg/m2. The median age of the patients was 66.5 years. There were 15 patients with performance status(PS)0, and 3 with PS 1...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29388123/staging-laparoscopy-not-only-saves-patients-an-incision-but-may-also-help-them-live-longer
#12
Naomi M Sell, Zhi Ven Fong, Carlos Fernandez Del Castillo, Motaz Qadan, Andrew L Warshaw, David Chang, Keith D Lillemoe, Cristina R Ferrone
BACKGROUND: Approximately 20-40% of patients with "resectable" pancreatic adenocarcinoma (PDAC) by imaging criteria have metastatic disease on exploration. Our aim was to assess the potential impact of staging laparoscopy versus upfront laparotomy in "resectable" patients found to have metastatic PDAC. METHODS: Clinicopathologic data was retrospectively collected for all patients with PDAC undergoing an operation with curative intent between 2001-2015 at a single institution...
January 31, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29382465/outcomes-of-endoscopic-biliary-drainage-in-pancreatic-cancer-patients-with-an-indwelling-gastroduodenal-stent-a-multicenter-cohort-study-in-west-japan
#13
Kentaro Yamao, Masayuki Kitano, Mamoru Takenaka, Kosuke Minaga, Toshiharu Sakurai, Tomohiro Watanabe, Takahisa Kayahara, Tomoe Yoshikawa, Yukitaka Yamashita, Masanori Asada, Yoshihiro Okabe, Keiji Hanada, Yasutaka Chiba, Masatoshi Kudo
BACKGROUND AND AIMS: Gastroduodenal and biliary obstruction may occur synchronously or asynchronously in advanced pancreatic cancer, and endoscopic double stent placement may be required. EUS-guided biliary drainage (EUS-BD) is often performed after unsuccessful endoscopic transpapillary stent placement (ETS), and EUS-BD may be beneficial in double stent placement. This retrospective multicenter cohort study compared the outcomes of ETS and EUS-BD in patients with an indwelling gastroduodenal stent (GDS)...
January 27, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29375741/management-of-endoscopic-biliary-stenting-for-choledocholithiasis-evaluation-of-stent-exchange-intervals
#14
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/29375737/new-14-mm-diameter-niti-s-biliary-uncovered-metal-stent-for-unresectable-distal-biliary-malignant-obstruction
#15
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/29362661/laparoscopy-assisted-micropercutaneous-choledocholithotripsy-with-holmium-laser-in-a-cholecystectomized-patient-an-initial-report
#16
Kaan Gökçen, Mustafa Atabey, Pınar Gökçen, Gökhan Gökçe
We present a novel minimally invasive technique, laparoscopy-assisted micropercutaneous choledocholithotripsy, for choledocholithiasis that cannot be treated with other endoscopic techniques. This technique includes standard laparoscopic exploration of the common bile duct, combined with an all-seeing needle and holmium laser lithotripsy. As is known, an all-seeing needle is used in micropercutaneous nephrolithotomy for middle-sized renal stones. In this technique, an all-seeing needle was inserted into the dilatated common bile duct under laparoscopic vision and then a lithotripsy procedure was performed with a holmium laser behind the biliary stent...
December 2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29358888/characterization-of-biofilms-in-biliary-stents-and-potential-factors-involved-in-occlusion
#17
Chetana Vaishnavi, Jayanta Samanta, Rakesh Kochhar
AIM: To quantify the components in biofilms and analyze the predisposing factors involved in occlusion of biliary stents. METHODS: In a prospective study conducted from April 2011 to March 2014 at a tertiary care hospital, all consecutive patients who required endoscopic biliary stent exchange/removal were included. Etiology of the biliary disease was diagnosed by imaging, cytology and on follow-up. Clinical details of patients with biliary stent retrieval were noted...
January 7, 2018: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29358883/safety-and-efficacy-of-metallic-stent-for-unresectable-distal-malignant-biliary-obstruction-in-elderly-patients
#18
Yuji Sakai, Tomohisa Iwai, Kenji Shimura, Katsushige Gon, Kazuya Koizumi, Masashi Ijima, Kazuro Chiba, Seigo Nakatani, Harutoshi Sugiyama, Toshio Tsuyuguchi, Terumi Kamisawa, Iruru Maetani, Mitsuhiro Kida
AIM: To study the safety of insertion of metallic stents in elderly patients with unresectable distal malignant biliary obstruction. METHODS: Of 272 patients with unresectable distal malignant biliary obstruction, 184 patients under the age of 80 were classified into Group A, and 88 subjects aged 80 years or more were classified into Group B. The safety of metallic stent insertion, metal stent patency period, and the obstruction rate were examined in each group...
January 7, 2018: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29349694/endoscopic-ultrasound-guided-rendezvous-technique-for-failed-biliary-cannulation-in-benign-and-resectable-malignant-biliary-disorders
#19
Hideyuki Shiomi, Kentaro Yamao, Noriyuki Hoki, Takeshi Hisa, Takeshi Ogura, Kosuke Minaga, Atsuhiro Masuda, Kazuya Matsumoto, Hironari Kato, Hideki Kamada, Daisuke Goto, Hajime Imai, Mamoru Takenaka, Chishio Noguchi, Hidefumi Nishikiori, Yasutaka Chiba, Hiromu Kutsumi, Masayuki Kitano
BACKGROUND: Endoscopic ultrasound-guided rendezvous technique (EUS-RV) has emerged as an effective salvage method for unsuccessful biliary cannulation. However, its application for benign and resectable malignant biliary disorders has not been fully evaluated. AIMS: To assess the efficacy and safety of EUS-RV for benign and resectable malignant biliary disorders. METHODS: This was a multicenter prospective study from 12 Japanese referral centers...
January 18, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29344573/development-of-an-external-to-internal-convertible-endoscopic-biliary-drainage-device-a-preliminary-prospective-feasibility-study
#20
Akihiro Mori, Shun Ito, Takayuki Yumura, Hiroki Hachiya, Masashi Sawada, Shintaro Hayashi, Noritsugu Ohashi
Background and study aims:  Endoscopic nasobiliary drainage (ENBD) for a malignant stricture in the bile duct has some advantages over endoscopic biliary stenting (EBS). However, ENBD may cause nasopharyngeal discomfort. We developed an external-to-internal convertible endoscopic biliary drainage (ETI-EBD) device that enables both internal and external drainage to occur during a single endoscopy. Patients and methods : This device consists of three parts, comprising a 5-Fr ENBD tube (250 cm) (ENBD-t), an 8...
January 2018: Endoscopy International Open
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