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https://www.readbyqxmd.com/read/29236270/endoscopic-endonasal-management-of-recurrent-maxillary-mucoceles-using-biliary-t-tube-stenting
#1
Noritsugu Ono, Shin Ito, Hirotomo Homma, Hiroko Okada, Junko Murata, Katsuhisa Ikeda
Mucoceles of the paranasal sinus can be managed endoscopically with an extremely low recurrence rate. Frontal sinus mucoceles can sometimes be prevented from closing and reforming by stenting, which to the best of our knowledge has not yet been reported in the maxillary sinus. We describe the cases of 5 patients-3 men and 2 women, aged 47 to 75 years (mean: 59.6)-with a recurrent and intractable maxillary sinus mucocele that was managed with biliary T-tube stenting. The indications for stenting included recurrent episodes of mucocele with or without a lateral location with a relatively thick bony wall...
December 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/29222602/endoscopic-ultrasound-guided-biliary-drainage-using-a-newly-designed-metal-stent-with-a-thin-delivery-system-a-preclinical-study-in-phantom-and-porcine-models
#2
Kosuke Minaga, Masayuki Kitano, Masahiro Itonaga, Hajime Imai, Takeshi Miyata, Kentaro Yamao, Takashi Tamura, Junya Nuta, Kenji Warigaya, Masatoshi Kudo
PURPOSE: This study was designed to evaluate the feasibility and safety of a newly designed self-expandable metal stent for endoscopic ultrasound-guided biliary drainage (EUS-BD) when it was delivered via three different stent delivery systems: a 7.5Fr delivery catheter with a bullet-shaped tip (7.5Fr-bullet), a 7Fr catheter with a bullet-shaped tip (7Fr-bullet), or a 7Fr catheter with a tee-shaped tip (7Fr-tee). METHODS: This experimental study utilized a porcine model of biliary dilatation involving ten pigs...
December 8, 2017: Journal of Medical Ultrasonics
https://www.readbyqxmd.com/read/29218484/a-prospective-multicenter-study-of-a-fully-covered-metal-stent-in-patients-with-distal-malignant-biliary-obstruction-watch-2-study
#3
Hirofumi Kogure, Shomei Ryozawa, Iruru Maetani, Yousuke Nakai, Hiroshi Kawakami, Ichiro Yasuda, Hitoshi Mochizuki, Hirotoshi Iwano, Hiroyuki Maguchi, Mitsuhiro Kida, Kensuke Kubota, Tsuyoshi Mukai, Osamu Hasebe, Yoshinori Igarashi, Keiji Hanada, Atsushi Irisawa, Kei Ito, Takao Itoi, Hiroyuki Isayama
BACKGROUND: Both fully covered (FC) and partially covered (PC) self-expandable metal stents (SEMSs) are now commercially available for distal malignant biliary obstruction (MBO). While FCSEMS can be easily removed at the time of re-interventions, it is theoretically prone to migration. However, few comparative data between FC and PC SEMSs have been reported. AIMS: The aim of this study was to compare clinical outcomes of FCSEMS with those of PCSEMS. METHODS: This was a multicenter, prospective study of FCSEMS for unresectable distal MBO with a historical control of PCSEMS, which was previously reported as the WATCH study...
December 7, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29215539/biliary-stenting-in-patients-with-pancreatic-cancer-results-from-a-population-based-cohort-study
#4
Madeleine Payne, Elizabeth A Burmeister, Mary Waterhouse, Susan J Jordan, Dianne L OʼConnell, Neil D Merrett, David Goldstein, David Wyld, Vanessa L Beesley, Helen Gooden, Monika Janda, Rachel E Neale
OBJECTIVE: We aimed to describe management of biliary obstruction (BO) in the context of pancreatic cancer within a population-based cohort. METHODS: We examined management of BO in 1863 patients diagnosed as having pancreatic cancer in 2010/2011. We used descriptive statistics and logistic regression to describe patterns of biliary stent usage, complications and duration of patency, associations between preoperative stenting and surgical outcomes, and between patient factors and management of jaundice...
December 5, 2017: Pancreas
https://www.readbyqxmd.com/read/29205183/feasibility-of-conversion-of-percutaneous-cholecystostomy-to-internal-transmural-endoscopic-ultrasound-guided-gallbladder-drainage
#5
Tanyaporn Chantarojanasiri, Saburo Matsubara, Hiroyuki Isayama, Yousuke Nakai, Naminatsu Takahara, Suguru Mizuno, Hirofumi Kogure, Ryunosuke Hakuta, Yukiko Ito, Minoru Tada, Kazuhiko Koike
BACKGROUND/AIM: Percutaneous cholecystostomy [percutaneous transhepatic gallbladder drainage (PTGBD)] is the treatment of choice in surgically unfit patients with acute cholecystitis. However, PTGBD tube removal after symptoms resolution results in 41-46% recurrence. This study aims to demonstrate the feasibility of the conversion of PTGBD to transmural endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) using plastic stents in patients unfit for cholecystectomy. PATIENTS AND METHODS: Patients who underwent internal transmural EUS-GBD as a conversion from PTGBD were reviewed...
November 2017: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
https://www.readbyqxmd.com/read/29203094/percutaneous-stent-placement-for-malignant-hilar-biliary-obstruction-a-comparison-between-criss-cross-and-t-configuration-techniques
#6
C H Jeon, C J Yoon, N J Seong, H Lee, J H Hwang, J Kim
AIM: To compare the clinical effectiveness of percutaneous stent placement between T and criss-cross configuration techniques in patients with advanced malignant hilar biliary obstruction. MATERIALS AND METHODS: Between January 2009 and December 2014, 59 patients who underwent percutaneous stent placement for malignant hilar obstruction were included in this retrospective study. T-configured stent placement (T group) was performed in 33 patients and criss-cross configured stent placement (criss-cross group) in 26 patients...
December 1, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/29202006/can-we-insert-a-covered-stent-partially-or-not-in-case-of-hilar-biliary-stenosis
#7
EDITORIAL
Guido Costamagna, Andrea Tringali
No abstract text is available yet for this article.
December 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29202005/side-by-side-partially-covered-self-expandable-metal-stent-placement-for-malignant-hilar-biliary-obstruction
#8
Katsuya Kitamura, Akira Yamamiya, Yu Ishii, Yuta Mitsui, Tomohiro Nomoto, Hitoshi Yoshida
Background and study aims:  This study investigated the feasibility of side-by-side (SBS) partially covered self-expandable metal stent (PCSEMS) placement for unresectable malignant hilar biliary obstruction (MHBO). Patients and methods:  We retrospectively analyzed 33 patients from a single center who underwent endoscopic biliary drainage for unresectable MHBO from July 2013 to June 2015. In all patients with bilateral obstruction during complete bilateral intrahepatic cholangiograms, we performed endoscopic SBS placement of a 6-mm diameter PCSEMS using an 8-French delivery system...
December 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29198691/successful-liver-transplantation-from-a-donor-with-a-continuous-flow-left-ventricular-assist-device-for-9-months
#9
K Munawar, N Rajagopalan, A Grigorian, D Dennis, M Guglin
Organ donor criteria continue to be extended in an attempt to meet growing demands. Patients with continuous-flow left ventricular assist devices are one group of potential donors being considered. One concern with this group is the effect of continuous flow for a prolonged duration, as opposed to normal pulsatile flow, on end-organ function. We report the 1st case of a liver transplantation from a donor who had a continuous-flow left ventricular assist device for 9 months. The recipient was a 69-year-old woman with a history of cryptogenic cirrhosis and hepatocellular carcinoma...
December 2017: Transplantation Proceedings
https://www.readbyqxmd.com/read/29192137/application-of-fully-covered-self-expandable-metallic-stents-with-and-without-antimigration-waist-versus-repeated-plastic-biliary-stent-placement-in-management-of-anastomotic-biliary-strictures-after-orthotopic-liver-transplantation
#10
Samir Zeair, Filip Butkiewicz, Jacek Butkiewicz, Robert Stasiuk
BACKGROUND Standard methods for endoscopic retrograde cholangiopancreatography (ERCP) management of anastomotic strictures (AS) after OLT includes repeated balloon dilation of the stricture with subsequent insertion of a plastic biliary stent (PBS). In post-OLT patients not responding to standard endoscopic treatment, the placement of fully covered self-expanding metal stents (FCSEMS) is a valid alternative to surgical treatment. The aim of this study was to compare the results of new FCSEMS implantation with the standard ERCP stricture management protocol and with conventional FCSEMS insertion...
December 1, 2017: Annals of Transplantation: Quarterly of the Polish Transplantation Society
https://www.readbyqxmd.com/read/29191276/preoperative-stenting-for-benign-and-malignant-periampullary-diseases-unnecessary-if-not-harmful
#11
REVIEW
Sepideh Gholami, Murray F Brennan
Preoperative biliary drainage (PBD) is often performed in patients with jaundice with the presumption that it will decrease the risk of postoperative complications. PBD carries its own risk of complications and, therefore, has been controversial. Multiple randomized controlled trials and metaanalyses have shown that PBD has significantly increased overall complications compared with surgery alone. As such, the routine application of PBD should be avoided except in a subset of clinical situations. This is discussed in detail in this article...
February 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29188552/intrahepatic-subcapsular-biloma-after-endoscopic-retrograde-cholangiopancreatography-treated-by-endoscopic-biliary-drainage
#12
Hiroaki Igarashi, Hiroko Yamashita, Kiyoshi Tsuchiya, Dai Sugimoto, Itsuro Ogata
Several major complications from endoscopic retrograde cholangiopancreatography (ERCP), including pancreatitis, cholangitis, and hemorrhage have been discussed in detail; however, a few uncommon but severe complications have been reported. We encountered an unusual case of post-ERCP intrahepatic subcapsular biloma. An 89-year-old woman with a 25-mm mass located at the hepatic hilum, suggestive of cholangiocarcinoma, underwent ERCP which demonstrated complete stricture of the common hepatic duct. Subsequently, two plastic stents were placed from the common bile duct to the right and left intrahepatic branches...
November 29, 2017: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/29181859/tumor-invasion-to-the-arteries-feeding-the-gallbladder-as-a-novel-risk-factor-for-cholecystitis-after-metallic-stent-placement-in-distal-malignant-biliary-obstruction
#13
Yuko Sogabe, Yuzo Kodama, Hajime Honjo, Ikuo Aoyama, Yuya Muramoto, Eri Koga, Takafumi Yanaidani, Munenori Kawai, Teppei Yoshikawa, Shimpei Matsumoto, Astushi Matsumoto, Yoshiharu Mori, Chikage Ono, Miyu Nishida, Yoshihiro Nishida, Takao Mikami, Yasuhiro Matsunaga, Yukiko Miyamoto, Motoya Kitami, Koji Nishikawa, Masahiko Kondo, Naoki Miyake, Chiharu Kawanami, Hiroshi Seno
OBJECTIVES: Cholecystitis is a major complication after self-expandable metallic stent (SEMS) placement for malignant biliary obstruction. Ischemia is one of the risks for cholecystitis, but little is known about the influence of tumor invasion to the feeding artery of the gallbladder on the onset of cholecystitis after SEMS placement. The aim of this study was to identify risk factors for cholecystitis after SEMS placement. METHODS: The incidence and nine predictive factors of cholecystitis were retrospectively evaluated in 107 patients who underwent SEMS placement for unresectable distal malignant biliary obstruction at Kyoto University Hospital and Otsu Red Cross hospital between January 2012 and June 2016...
November 27, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29180841/the-role-of-eus-bd-in-the-management-of-malignant-biliary-obstruction-the-indonesian-perspective
#14
Dadang Makmun, Achmad Fauzi, Murdani Abdullah, Ari Fahrial Syam
Aims: To evaluate the success rate and related factors of endoscopic ultrasound guided-biliary drainage (EUS-BD). Material and Methods: We conducted a retrospective study among 24 patients with malignant biliary obstruction who underwent EUS-BD after failed ERCP from January 2015 to December 2016 in a tertiary health center. The bilirubin levels before and after the procedure were used to define the clinical success rate, while the stent deployment was used to define the technical success rate...
2017: Diagnostic and Therapeutic Endoscopy
https://www.readbyqxmd.com/read/29172644/combined-thoracic-and-hepatobiliary-surgery-for-iatrogenic-bronchobiliary-fistula
#15
Marion Mauduit, Simon Rouze, Kathleen Turner, Bertrand de Latour, Jean-Philippe Verhoye
Bronchobiliary fistula is a rare pathology mainly caused by hepatic tumors, bile duct obstruction, or hepatic hydatid disease. A 70-year-old man developed a bronchobiliary fistula after biliary stenting. After failure of conservative treatment including endoscopic retrograde biliary drainage, he underwent a combined operation with a two-level approach. Both a thoracotomy and laparotomy were performed, allowing pulmonary resection, diaphragmatic repair, and bile duct reconstruction during the same operation...
January 1, 2017: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/29170081/symptomatic-benign-distal-biliary-stricture-in-setting-of-anomalous-pancreaticobiliary-junction-treated-with-metal-biliary-and-temporary-plastic-pancreatic-stents
#16
Michael X Ma, Michael J Bourke
No abstract text is available yet for this article.
November 20, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29163969/ercp-in-infants-children-and-adolescents-is-feasible-and-safe-results-from-a-tertiary-care-center
#17
Jasmin Felux, Ekkehard Sturm, Andreas Busch, Emanuel Zerabruck, Florian Graepler, Dietmar Stüker, Andreas Manger, Hans-Joachim Kirschner, Gunnar Blumenstock, Nisar P Malek, Martin Goetz
Background: Indications for endoscopic retrograde cholangiopancreatography (ERCP) in children differ from adults. Paucity of data and concerns about potential lower effectiveness and more side effects limit its use even in high volume centers. We retrospectively analyzed indications, success rates, limitations, and side effects of ERCPs in children <18 years. Methods: From January 2012 to March 2015, 54 ERCPs were performed in 31 children (median age 11 (0-17) years; median weight 22 (3...
November 2017: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/29161794/feasibility-of-temporary-pancreatic-stenting-after-early-endoscopic-retrograde-cholangiopancreatography-in-patients-with-acute-biliary-pancreatitis
#18
Jun Kyu Lee, Dong Kee Jang, Hyun Woo Kang, Sang Hyub Lee
Background/Aims: To assess the safety and effectiveness of temporary pancreatic stenting after early endoscopic retrograde cholangiopancreatography (ERCP) in patients with acute biliary pancreatitis regardless of the severity or concomitant cholangitis. Methods: Temporary pancreatic stenting was performed in 79 patients with visualized pancreatic duct during ERCP. The outcomes of 64 patients with adequate pancreatic stenting (PS) and 15 patients with inadequate pancreatic stenting (no PS) were compared in this prospective, observational trial...
November 25, 2017: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
https://www.readbyqxmd.com/read/29156495/multicenter-study-of-endoscopic-preoperative-biliary-drainage-for-malignant-hilar-biliary-obstruction-e-pod-hilar-study
#19
Yousuke Nakai, Ryuichi Yamamoto, Masato Matsuyama, Yuji Sakai, Yukiko Takayama, Jun Ushio, Yukiko Ito, Katsuya Kitamura, Shomei Ryozawa, Tsunao Imamura, Kouhei Tsuchida, Jo Hayama, Takao Itoi, Yoshiaki Kawaguchi, Yu Yoshida, Kazuya Sugimori, Kenji Shimura, Masafumi Mizuide, Tomohisa Iwai, Ko Nishikawa, Hiroshi Yagioka, Masatsugu Nagahama, Nobuo Toda, Tomotaka Saito, Ichiro Yasuda, Kenji Hirano, Osamu Togawa, Kenji Nakamura, Iruru Maetani, Naoki Sasahira, Hiroyuki Isayama
BACKGROUND AND AIM: Endoscopic nasobiliary drainage (ENBD) is often recommended in preoperative biliary drainage (PBD) for hilar malignant biliary obstruction (MBO) but endoscopic biliary stent (EBS) is also used in the clinical practice. We conducted this large scale multicenter study to compare ENBD and EBS in this setting. METHODS: A total of 374 cases undergoing PBD including 281 ENBD and 76 EBS for hilar MBO in 29 centers were retrospectively studied. RESULTS: Extrahepatic cholangiocarcinoma (ECC) accounted for 69...
November 20, 2017: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29137005/bare-metal-stents-across-the-vater-s-ampulla-is-a-safe-method-for-patients-with-lower-bile-duct-obstruction
#20
Xiao-Nan Mao, Zai-Ming Lu, Feng Wen, Hong-Yuan Liang, Qi-Yong Guo
This study explored the effect of the implant position of stents across the Vater's ampulla on treatment outcomes in patients with lower bile duct obstruction.In the retrospective study, 41 patients with malignant obstruction of the lower bile duct and obstructive jaundice received percutaneous transhepatic biliary placement of bare-metal stents. Basic demographic data on patients, such as sex, age, and primary diseases, and follow-up data, including postoperative complications and jaundice-free survival, were recorded...
November 2017: Medicine (Baltimore)
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