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https://www.readbyqxmd.com/read/29047328/the-modified-pancreatic-stent-system-for-prevention-of-post-ercp-pancreatitis-a-case-control-study
#1
Cheng Zhang, Yu-Long Yang, Yue-Feng Ma, Hong-Wei Zhang, Jing-Yi Li, Mei-Ju Lin, Li-Jun Shi, Chun-Chun Qi
BACKGROUND: Prophylactic pancreatic stents after endoscopic retrograde cholangiopancreatography (ERCP) can help prevent post-ERCP pancreatitis. However most of the pancreatic stents need to be removed by another ERCP. The aim of this observational study was to investigate the feasibility and effectiveness of the modified pancreatic stent system for prevention of post-ERCP pancreatitis. METHODS: From November 2013 to November 2015, a total of 230 patients who had prophylactic pancreatic stent placed for prevention of post-ERCP pancreatitis at a single institution were identified and stratified...
October 18, 2017: BMC Gastroenterology
https://www.readbyqxmd.com/read/29040894/demystifying-endoscopic-retrograde-cholangiopancreatography-ercp-during-pregnancy
#2
REVIEW
Vítor Magno-Pereira, Pedro Moutinho-Ribeiro, Guilherme Macedo
BACKGROUND: For many years, ERCP was avoided in pregnancy given the concerns regarding the adverse effects that, with special focus on radiation, could occur in the developing fetus. However, the postponement or rejection of ERCP in pregnant women, may lead to a higher risk for mother and fetus, especially when the indication is unequivocal, namely cholangitis, biliary pancreatitis and symptomatic choledocholithiasis. SUMMARY AND KEY MESSAGES: This review aims to summarize the scarce literature on the subject in order to plan ERCP in pregnancy with the highest safety...
October 8, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29033423/recurrent-bleeding-from-a-hepatic-artery-pseudoaneurysm-after-biliary-stent-placement
#3
Kenji Yamauchi, Daisuke Uchida, Hironari Kato, Hiroyuki Okada
A 78-year-old woman was admitted with benign biliary stenosis. A plastic stent was placed at the left branch to prevent obstructive cholangitis. Two weeks after the procedure, the patient was readmitted with cholangitis caused by hemobilia. However, computed tomography (CT), endoscopic retrograde cholangiopancreatography (ERCP), peroral cholangioscopy, and abdominal angiography failed to establish the bleeding source. At the seventh bleeding, CT revealed a hepatic artery pseudoaneurysm for which coil embolization was successfully performed...
October 16, 2017: Internal Medicine
https://www.readbyqxmd.com/read/29031964/-the-thoracic-surgeon-and-the-management-of-the-bronchial-biliary-fistula-of-hydatid-origin
#4
S Rabiou, L Belliraj, F Z Ammor, I Issoufou, B Sylla, M Lakranbi, Y Ouadnouni, D Benajah, M Smahi
INTRODUCTION: The bronchial biliary fistula surgery is a major one, always going with a higher rate of complication especially in case of bile duct obstruction. The aim of this study is to find out the contribution of endoscopic sphincterotomy while reporting the results of surgical treatment of bronchial biliary fistulae by exclusive thoracotomy. METHODS: This was a retrospective study, which took place in the Department of Thoracic Surgery, University Hospital Hassan II, from January 2009 to March 2016...
October 12, 2017: Revue de Pneumologie Clinique
https://www.readbyqxmd.com/read/29030789/foreign-bodies-in-sigmoid-colon-diverticulosis
#5
REVIEW
Ellen Ross, Patricia McKenna, John H Anderson
This review addresses the management of sigmoid colon diverticular disease associated with foreign bodies. In addition, two novel cases are presented. One case describes the management of diverticular bleeding secondary to a chicken bone and the other case reports retrieval of a retained EndoRings™ Device. The review identified 40 relevant publications including 50 subjects. Foreign bodies within sigmoid diverticular disease may be associated with inflammation, perforation, abscess and fistula. In current practice, diagnosis is often achieved with CT scan...
October 13, 2017: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/29026597/endoscopic-approach-for-management-of-biliary-strictures-in-liver-transplant-recipients-a-systematic-review-and-meta-analysis
#6
Dayse Pereira da Silva Aparício, José Pinhata Otoch, Edna Frasson de Souza Montero, Muhammad Ali Khan, Everson Luiz de Almeida Artifon
The most common biliary complication after liver transplantation is anastomotic stricture (AS) and it can occur isolated or in combination with other complications. Liver graft from a cadaveric donor or a living donor has an influence on the incidence of biliary strictures as well as on the response to endoscopic treatment. Endoscopic treatment using balloon dilation and insertion of biliary stents by endoscopic retrograde cholangiopancreatography (ERCP) is the initial approach to these complications. AIM: The aim of this article is to compare different endoscopic techniques to treat post-liver transplantation biliary strictures...
October 2017: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/29025383/repair-of-bile-duct-injury-with-autologous-vein-graft-and-stent
#7
Bin Xie, Haiping Luo, Xinglong Yang, Yanping Zhao, Chongwu He, Xiaobin Wan, Zhitao Xu, Xingwei Yu, Wubo Liu, Qiang Liu
OBJECTIVES: We investigated the effects of autologous vein transplant on bile duct injury repair, through observation of the hepatic and biliary system tissue morphology changes and animal survival after bile duct injury repair. MATERIALS AND METHODS: Rabbits were equally divided into groups. Group A had cholecystectomy and common bile duct resection (length of 0.5 cm), transplant of an autologous vein (length of 0.5 cm), and stent implant. Group B had cholecystectomy and common bile duct resection (length of 1...
October 12, 2017: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/29020933/partially-covered-metal-stents-have-longer-patency-than-uncovered-and-fully-covered-metal-stents-in-the-management-of-distal-malignant-biliary-obstruction-a-retrospective-study
#8
Yudai Yokota, Mitsuharu Fukasawa, Shinichi Takano, Makoto Kadokura, Hiroko Shindo, Ei Takahashi, Sumio Hirose, Satoshi Kawakami, Yoshimitsu Fukasawa, Tadashi Sato, Nobuyuki Enomoto
BACKGROUND: Self-expandable metal stents (SEMSs) are widely used for malignant biliary obstructions. Nitinol-covered SEMSs have been developed to improve stent patency. Currently, SEMSs may be uncovered, partially covered, or fully covered; however, there is no consensus on the best stent type for the management of malignant distal biliary obstruction (MDBO). METHODS: Patients with unresectable MDBO receiving SEMS (Wallflex™) were retrospectively analyzed. Time to recurrent biliary obstruction (TRBO) and survival time were compared among the three types of SEMSs...
October 11, 2017: BMC Gastroenterology
https://www.readbyqxmd.com/read/29020701/-metal-or-plastic-stents-for-preoperative-biliary-drainage-in-resectable-pancreatic%C3%A2-cancer
#9
Jonas Rosendahl
No abstract text is available yet for this article.
October 2017: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/29020689/transpancreatic-precut-papillotomy-versus-double-guidewire-technique-in-difficult-biliary-cannulation-prospective-randomized-study
#10
Harutoshi Sugiyama, Toshio Tsuyuguchi, Yuji Sakai, Rintaro Mikata, Shin Yasui, Yuto Watanabe, Dai Sakamoto, Masato Nakamura, Takao Nishikawa
Background and study aims Difficult biliary cannulation and unintentional pancreatic duct cannulation are thought to be important contributors to pancreatitis occurring after endoscopic retrograde cholangiopancreatography. Our aim was to compare and evaluate the rates of success and complications of transpancreatic precut papillotomy (TPPP) and the double-guidewire technique (DGT), both with prophylactic pancreatic stenting. Patients and methods From April 2011 to March 2014, patients with difficult biliary cannulation, in whom we planned to first position a guidewire in the pancreatic duct, were enrolled, and 68 patients were prospectively randomly allocated to two groups (TPPP 34, DGT 34)...
October 11, 2017: Endoscopy
https://www.readbyqxmd.com/read/29018481/comparative-study-between-plastic-and-metallic-stents-for-biliary-decompression-in-patients-with-distal-biliary-obstruction
#11
João Guilherme G Cabral, Eloy Taglieri, Adriane Pelosof, Daniel Rosendo, José Celso Ardengh
This paper presents a retrospective comparison of plastic versus metallic stents in the drainage of malignant distal biliary obstructions. We compared single plastic stents (SPS), multiple plastic stents (MPS), and metallic stents (SEMS) regarding clinical decrease of TB < 2.0 mg/dL, long-term patency, and adverse event. 58 patients (38 women) with MDBO were included. Diagnoses were 44 pancreatic adenocarcinoma (74.6%), 9 metastasis (15.5%), 3 pancreatic neuroendocrine tumors (5.1%), and 2 adenocarcinoma in the major papilla (3...
2017: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/29017316/piggyback-rendezvous-cannulation-for-endoscopic-metal-stent-conversion-of-percutaneous-transhepatic-biliary-drainage
#12
Vincent Zimmer
No abstract text is available yet for this article.
October 11, 2017: Clinical Endoscopy
https://www.readbyqxmd.com/read/28992636/endoscopic-removal-of-a-proximally-migrated-biliary-stent-using-a-novel-gooseneck-snare-the-endocowboy
#13
Tadahisa Inoue, Rena Kitano, Yuji Kobayashi, Norimitsu Ishii, Kiyoaki Ito, Masashi Yoneda
No abstract text is available yet for this article.
October 9, 2017: Endoscopy
https://www.readbyqxmd.com/read/28982258/international-study-of-endoscopic-management-of-distal-malignant-biliary-obstruction-combined-with-duodenal-obstruction
#14
Tsuyoshi Hamada, Yousuke Nakai, James Y Lau, Jong Ho Moon, Tsuyoshi Hayashi, Ichiro Yasuda, Bing Hu, Dong-Wan Seo, Hiroshi Kawakami, Masaki Kuwatani, Akio Katanuma, Masayuki Kitano, Shomei Ryozawa, Keiji Hanada, Takuji Iwashita, Yukiko Ito, Hiroshi Yagioka, Osamu Togawa, Iruru Maetani, Hiroyuki Isayama
OBJECTIVE: Endoscopic transpapillary or endoscopic ultrasound (EUS)-guided stent placement is used for nonresectable distal malignant biliary obstruction. We conducted a retrospective study to evaluate endoscopic biliary drainage in patients with duodenal obstruction. METHODS: We included consecutive patients who underwent endoscopic biliary drainage combined with a duodenal stent at 16 referral centers in four Asian countries. The primary outcome was time to recurrent biliary obstruction (TRBO)...
October 6, 2017: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/28980499/the-occurrence-of-enterococcus-faecium-and-faecalis-is-significantly-associated-with-anastomotic-leakage-after-pancreaticoduodenectomy
#15
M Belmouhand, P S Krohn, L B Svendsen, A Henriksen, C P Hansen, M P Achiam
BACKGROUND AND AIMS: Enterococcus has emerged as a virulent species; Enterococcus faecium especially has arisen as a source of nosocomial infections. Furthermore, specific Enterococcus faecalis species are significantly associated with anastomotic leakage in rodent studies. The objective of this study was to investigate whether the occurrence of Enterococci ( E. faecium and E. faecalis) obtained from drain samples was associated with leakage in humans undergoing pancreaticoduodenectomy...
October 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28979710/lumen-apposing-metal-stents-for-pancreatic-fluid-collections-recognition-and-management-of-complications
#16
REVIEW
Michael L DeSimone, Akwi W Asombang, Tyler M Berzin
For patients recovering from acute pancreatitis, the development of a pancreatic fluid collection (PFC) predicts a more complex course of recovery, and introduces difficult management decisions with regard to when, whether, and how the collection should be drained. Most PFCs resolve spontaneously and drainage is indicated only in pseudocysts and walled-off pancreatic necrosis when the collections are causing symptoms and/or local complications such as biliary obstruction. Historical approaches to PFC drainage have included surgical (open or laparoscopic cystgastrostomy or pancreatic debridement), and the placement of percutaneous drains...
September 16, 2017: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28976804/comparative-study-of-three-bile-duct-closure-methods-following-laparoscopic-common-bile-duct-exploration-for-choledocholithiasis
#17
Pablo Parra-Membrives, Darío Martínez-Baena, José Lorente-Herce, Granada Jiménez-Riera
BACKGROUND: There are three choledochotomy closure methods available following laparoscopic common bile duct exploration: T-tube insertion, antegrade stenting, and primary choledochorrhaphy. We reviewed the experience of 12 years at our center searching for the optimal closure technique. METHODS: We analyzed retrospectively 146 patients that underwent one of the three closure methods from February 2004 to March 2016. Hospital stay, need for readmission, incidence of early and long-term complications, and biliary leakage development and their clinical impact were determined for each technique...
October 4, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28974893/predictive-factors-for-the-failure-of-endoscopic-stent-in-stent-self-expandable-metallic-stent-placement-to-treat-malignant-hilar-biliary-obstruction
#18
Mitsuru Sugimoto, Tadayuki Takagi, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Ko Watanabe, Jun Nakamura, Hitomi Kikuchi, Yuichi Waragai, Mika Takasumi, Yuki Sato, Takuto Hikichi, Hiromasa Ohira
AIM: To investigate the factors predictive of failure when placing a second biliary self-expandable metallic stents (SEMSs). METHODS: This study evaluated 65 patients with an unresectable malignant hilar biliary obstruction who were examined in our hospital. Sixty-two of these patients were recruited to the study and divided into two groups: the success group, which consisted of patients in whom a stent-in-stent SEMS had been placed successfully, and the failure group, which consisted of patients in whom the stent-in-stent SEMS had not been placed successfully...
September 14, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28970734/how-to-treat-intestinal-obstruction-due-to-malignant-recurrence-after-whipple-s-resection-for-pancreatic-head-cancer-description-of-2-new-endoscopic-techniques
#19
Christina Mouradides, Alaa Taha, Ivan Borbath, Pierre H Deprez, Tom G Moreels
The prognosis of pancreatic cancer remains poor, even after initial surgical therapy. Local recurrence after Whipple's pancreatico-duodenectomy may lead to intestinal obstruction at the level of the afferent limb or the alimentary limb. Endoscopic insertion of a self-expandable metal stent (SEMS) into the intestinal malignant stricture is the preferred method of choice for palliation. We describe two new endoscopic techniques to treat a malignant intestinal obstruction with the insertion of a SEMS into the afferent limb and the alimentary limb...
September 7, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28967728/evolution-of-surgical-techniques-for-a-progressive-risk-reduction
#20
Bruno Amato, Mario Santoro, Raffaele Izzo, Giuseppe Servillo, Rita Compagna, Lorenza Di Domenico, Veronica Di Nardo, Giuseppe Giugliano
Advanced age is a strong predictor of high perioperative mortality in surgical patients and patients aged 75 years and older have an elevated surgical risk, much higher than that of younger patients. Progressive advances in surgical techniques now make it possible to treat high-risk surgical patients with minimally invasive procedures. Endovascular techniques have revolutionized the treatment of several vascular diseases, in particular carotid stenosis, aortic pathologies, and severely incapacitating intermittent claudication or critical limb ischemia...
July 18, 2017: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
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