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https://www.readbyqxmd.com/read/29685633/late-benign-biliary-complications-after-pancreatoduodenectomy
#1
Takaaki Ito, Teiichi Sugiura, Yukiyasu Okamura, Yusuke Yamamoto, Ryo Ashida, Takeshi Aramaki, Masahiro Endo, Hiroyuki Matsubayashi, Hirotoshi Ishiwatari, Katsuhiko Uesaka
BACKGROUND: Pancreatoduodenectomy sometimes causes late benign biliary complications, such as biliary stricture and/or hepaticolithiasis, which require intervention. The risk factors and timing of late biliary complications remain unclear. The purpose of this study was to clarify the incidence, timing of occurrence, and risk factors for late biliary complications after pancreatoduodenectomy. METHODS: A total of 732 patients who underwent pancreatoduodenectomy between 2002 and 2016 were included in this retrospective study...
April 20, 2018: Surgery
https://www.readbyqxmd.com/read/29685628/antegrade-papillotome-navigation-as-a-novel-next-line-approach-for-internalization-of-percutaneous-transhepatic-biliary-drainage
#2
V Zimmer
There is an increasing rivalry between percutaneous transhepatic (PTBD) vs. endoscopic ultrasound-guided biliary drainage (EUS-BD) as rescue techniques after failed endoscopic retrograde cholangiography (ERC) access. While EUS-BD procedures hold a bright future, innovations in PTBD technique are still possible and clinically meaningful, at least so, under the a conceptual framework understanding PTBD as a bridging, anatomy-respecting technology for definitive biliary metal stenting. This, however, calls for successful PTBD internalization as a sine qua non...
April 20, 2018: Clinics and Research in Hepatology and Gastroenterology
https://www.readbyqxmd.com/read/29685042/pancreatic-stent-insertion-after-an-unintentional-guidewire-cannulation-of-the-pancreatic-duct-during-ercp
#3
Jesús García-Cano, Miriam Viñuelas Chicano, María Del Moral Martínez, Marta Muñiz Muñoz, Claudio Murillo Matamoros, Miguel Suárez Matías, Laura Valiente González, Teresa Martínez Pérez, Raquel Martínez Fernández, Carmen Julia Gómez Ruiz, José Ignacio Pérez García, Julia Morillas Ariño
INTRODUCTION: the guidewire (GW) may enter the pancreatic duct during common bile duct (CBD) cannulation attempts in endoscopic retrograde cholangiopancreatography (ERCP). After GW passage into the pancreas, the most effective maneuver for CBD cannulation and pancreatitis prevention has not been determined. AIM: to study CBD cannulation and post-ERCP pancreatitis rates when a pancreatic stent is inserted after an unintentional GW cannulation of the pancreatic duct...
April 24, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29676030/eus-guided-hepaticogastrostomy
#4
Masahiro Itonaga, Keiichi Hatamaru, Masayuki Kitano
Recently, EUS-guided biliary drainage (EUS-BD), including rendezvous technique (EUS-RV), choledochoduodenostomy (EUS-CDS), hepaticogastrostomy (EUS-HGS) and antegrade stenting (EUS-AG), is the modality of choice when ERCP fails (1,2). EUS-RV is limited in patients with an accessible ampulla. EUS-CDS is limited in patients with distal bile duct obstruction and normal gastrointestinal anatomy. This article is protected by copyright. All rights reserved.
April 20, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29672294/endoscopic-ultrasound-guided-choledocho-enterostomy-by-using-lumen-apposing-metal-stent-in-patients-with-failed-endoscopic-retrograde-cholangiopancreatography-a-literature-review
#5
Deepanshu Jain, Manan Shah, Upen Patel, Abhinav Sharma, Shashideep Singhal
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) has been the cornerstone in the management of malignant jaundice to provide symptomatic relief and/or to allow chemotherapy. Difficult biliary cannulation or the presence of concomitant duodenal obstruction may lead to its failure. METHOD: An extensive English literature search was done via PubMed and Google Scholar to identify 13 peer-reviewed original articles. RESULTS: Of 92 patients, 98...
April 19, 2018: Digestion
https://www.readbyqxmd.com/read/29668371/comparison-of-metal-and-plastic-stents-for-preoperative-biliary-drainage-in-resectable-and-borderline-resectable-periampullary-cancer-a-meta-analysis-and-system-review
#6
Pan Liu, Huapeng Lin, Yuanyuan Chen, Yu-Shen Wu, Maocai Tang, Changan Liu
AIM: The aim of this study was to compare the plastic stents with metal stents for preoperative biliary drainage (PBD) in terms of the rate of endoscopic reintervention and PBD-related pre- and postoperative complications in patients with resectable and borderline resectable periampullary cancer. METHODS: We conducted a comprehensive search of the PubMed, EMBASE, and the Cochrane Library database to identify relevant available articles from their inception to September 2017...
April 18, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29667284/to-stent-or-not-to-stent-the-use-of-transanastomotic-biliary-stents-in-liver-transplantation-and-patient-outcomes
#7
Michelle Ong, Kellee Slater, Peter Hodgkinson, Nathan Dunn, Jonathan Fawcett
BACKGROUND: There is no substantial evidence for the use of biliary stents in bile duct reconstruction during liver transplantation. METHOD: A longitudinal, retrospective cohort study was performed to compare biliary complications between stented and non-stented patients between 2011 and 2015 at the Princess Alexandra Hospital, Brisbane, Australia. RESULTS: We found no significant difference in biliary complications between stented and non-stented groups...
April 17, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29667091/clinical-impact-of-the-intra-scope-channel-stent-release-technique-in-preventing-stent-migration-during-eus-guided-hepaticogastrostomy
#8
Akira Miyano, Takeshi Ogura, Kazuhiro Yamamoto, Atsushi Okuda, Nobu Nishioka, Kazuhide Higuchi
BACKGROUNDS: Stent migration following endoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS) may sometimes be fatal because there are no adhesions between the biliary tract and stomach. To prevent stent migration and minimize the stent length in the abdominal cavity, we recently performed EUS-HGS using the technique of releasing the stent within the scope channel. AIMS: To examine the technical feasibility of the intra-scope channel stent release technique...
April 17, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29666721/needle-knife-fistulotomy-for-the-rescue-an-unusual-cause-of-iatrogenic-extrahepatic-biliary-obstruction
#9
Laura L Ulmer, Lokesh K Jha, Neil Bhogal, Saurabh Kapur, Saurabh Chandan, Derrick Eichele, Ishfaq Bhat, Shailender Singh
A 71-year-old male presented to our institution with cholestatic hepatitis after having recently undergone upper endoscopy for treatment of gastrointestinal bleeding. Further investigation with endoscopic retrograde cholangiopancreatography revealed a hemostatic clip on the ampulla of Vater. After initial attempts at cannulation of the common bile duct were unsuccessful, biliary decompression was achieved by use of needle-knife fistulotomy. A common bile duct stent was placed and the liver function tests improved prior to discharge...
2018: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/29661464/cauliflower-like-neoplasm-of-duodenal-papilla-in-a-liver-transplant-recipient-what-should-we-think-and-do-a-case-report
#10
D-L Wan, M-X Li, L Bao, L-L Zhang, L Zhang, Q-Y Chen, S-Z Lin
BACKGROUND: With the continuous improvement of liver transplantation technology, the survival rate of liver transplantation has been improved, but recurrent or de novo malignancy remains one of the major factors affecting the long-term survival of liver transplant recipients. CASE REPORT: A 45-year-old Chinese man had a plastic biliary stent placed on account of biliary anastomotic stenosis after 3 years of piggyback liver transplantation. He came to our hospital because of recurrent fever and jaundice for 2 weeks, and his carcinoembryonic antigen-199 had increased...
April 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29660322/efficacy-and-safety-of-endobiliary-radiofrequency-ablation-for-the-eradication-of-residual-neoplasia-after-endoscopic-papillectomy-a-multicenter-prospective-study
#11
Marine Camus, Bertrand Napoléon, Ariane Vienne, Marc Le Rhun, Sarah Leblanc, Maximilien Barret, Stanislas Chaussade, Françoise Robin, Nadira Kaddour, Frederic Prat
BACKGROUND: and study aims: Endobiliary dysplasia may persist after endoscopic papillectomy. Intraductal radiofrequency ablation (ID-RFA) is a potential alternative to complementary surgery. The aim of the study was to evaluate the efficacy and safety of ID-RFA for the treatment of adenomatous intraductal residue after endoscopic papillectomy. PATIENTS AND METHODS: A prospective open-label multicenter study included patients with histologically proven endobiliary adenoma remnant (ductal extent <20 mm), after endoscopic papillectomy for ampullary tumor...
April 13, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29656352/eus-guided-biliary-drainage-for-unresectable-malignant-biliary-obstruction-10-year-experience-of-99-cases-at-a-single-center
#12
Yoshihide Kanno, Shinsuke Koshita, Takahisa Ogawa, Kaori Masu, Hiroaki Kusunose, Toshitaka Sakai, Toji Murabayashi, Sho Hasegawa, Fumisato Kozakai, Keisuke Yonamine, Yujiro Kawakami, Yuki Fujii, Jun Horaguchi, Yutaka Noda, Kei Ito
PURPOSE: To evaluate clinical outcomes of endoscopic ultrasound (EUS)-guided biliary drainage (EUS-BD) for unresectable malignant biliary obstruction for cases in which endoscopic retrograde cholangiopancreatography (ERCP) failed at a high-volume center. METHODS: All 99 EUS-BD cases of unresectable malignant biliary obstruction at Sendai City Medical Center between February 2007 and September 2017 were retrospectively evaluated. ERCP is strictly prioritized over EUS-BD during the study period, and EUS-BD was performed in cases wherein ERCP was impossible or ineffective...
April 14, 2018: Journal of Gastrointestinal Cancer
https://www.readbyqxmd.com/read/29653120/covered-versus-uncovered-self-conformable-metal-stent-for-palliation-of-primary-malignant-extrahepatic-biliary-strictures-a-randomized-multicenter-study
#13
Massimo Conio, Benedetto Mangiavillano, Angelo Caruso, Rosa Angela Filiberti, Todd H Baron, Luca De Luca, Sergio Signorelli, Mattia Crespi, Mario Marini, Paolo Ravelli, Rita Conigliaro, Antonella De Ceglie
BACKGROUND AND AIMS: Self-expandable metal stents (SEMSs) are used to relieve malignant biliary obstruction. We aimed to compare stent patency, adverse events rate and overall survival of covered (Niti-S Biliary ComVi) versus uncovered (Niti-s D type) self-conformable metal stents in patients with primary malignant extrahepatic biliary stricture, not eligible for surgery. METHODS: This is a multicenter randomized trial analyzing 158 patients with inoperable distal malignant biliary obstruction conducted in 5 Italian referral centers between December 2014 and October 2016...
April 10, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29652026/preoperative-biliary-drainage-using-a-fully-covered-self-expandable-metallic-stent-for-pancreatic-head-cancer-a-prospective-feasibility-study
#14
Osamu Togawa, Hiroyuki Isayama, Hiroshi Kawakami, Yousuke Nakai, Dai Mohri, Tsuyoshi Hamada, Hirofumi Kogure, Kazumichi Kawakubo, Naoya Sakamoto, Kazuhiko Koike, Hiroto Kita
Background/Aims: The role of endoscopic preoperative biliary drainage (PBD) for pancreatic head cancer is controversial because of the high incidence of stent occlusion before surgery. This study was performed to evaluate the feasibility and safety of PBD using a fully covered self-expandable metallic stent (FCSEMS). Patients and Methods: This multicenter prospective study involved 26 patients treated for pancreatic head cancer with distal bile duct obstruction from April 2011 to March 2013...
April 13, 2018: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
https://www.readbyqxmd.com/read/29643916/antireflux-metal-stent-for-initial-treatment-of-malignant-distal-biliary-obstruction
#15
Shinichi Morita, Yasuaki Arai, Shunsuke Sugawara, Miyuki Sone, Yasunari Sakamoto, Takuji Okusaka, Shigetaka Yoshinaga, Yutaka Saito, Shuji Terai
Objectives: To compare the use of an antireflux metal stent (ARMS) with that of a conventional covered self-expandable metal stent (c-CSEMS) for initial stenting of malignant distal biliary obstruction (MDBO). Materials and Methods: We retrospectively investigated 59 consecutive patients with unresectable MDBO undergoing initial endoscopic biliary drainage. ARMS was used in 32 patients and c-CSEMS in 27. Technical success, functional success, complications, causes of recurrent biliary obstruction (RBO), time to RBO (TRBO), and reintervention were compared between the groups...
2018: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/29630106/to-evaluate-the-correlation-between-the-change-of-immune-system-function-before-and-after-the-treatment-of-malignant-obstructive-type-jaundice-treated-with-biliary-stent
#16
Z-K Chang, Z-P Kou, S-X Li, X-L Lou
OBJECTIVE: To evaluate the correlation between the change of immune system function before and after the treatment of malignant obstructive type jaundice (MOJ) treated with a biliary stent. PATIENTS AND METHODS: 148 patients who were admitted to the Department of Digestive System for malignant obstructive jaundice were selected according to the standardized criterion. Amongst the total sample size, 78 were male patients and 70 were female patients, with an average age of (43...
March 2018: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29607401/additional-flap-on-plastic-stents-for-improved-antimigration-effect-in-the-treatment-of-post-cholecystectomy-bile-leak
#17
Chang-Il Kwon, Mark A Gromski, Hyoung-Chul Oh, Jeffrey J Easler, Ihab I El Hajj, James Watkins, Evan L Fogel, Lee McHenry, Stuart Sherman, Glen A Lehman
Background and study aims:  In plastic stent insertion for treatment of post-cholecystectomy bile leak, stent migration may be more common due to the absence of a shelf to anchor the stent. We evaluated how adding a flap to straight plastic stents for this indication might influence the rate of stent migration when compared to use of conventional plastic stents. Patients and methods:  This is a retrospective study including patients referred for ERCP for treatment of post-cholecystectomy bile leak...
April 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29605722/efficacy-of-eus-and-ercp-guided-biliary-drainage-for-malignant-biliary-obstruction-prospective-randomized-controlled-study
#18
Joo Kyung Park, Young Sik Woo, Donghyo Noh, Ju-Il Yang, So Young Bae, Hwan Sic Yun, Jong Kyun Lee, Kyu Taek Lee, Kwang Hyuck Lee
BACKGROUND AND AIMS: ERCP-guided biliary drainage (ERCP-BD is a criterion standard treatment for malignant biliary obstruction when curative surgery is not an option. Alternative methods such as PTBD would significantly lower the quality of life. EUS-guided biliary drainage (EUS-BD) has been developed and performed by experienced endoscopists. Therefore, the aims of this study were to evaluate the efficacy and safety of EUS-BD compared with ERCP in malignant biliary obstruction. METHODS: The prospective randomized controlled study was conducted and 30 patients were enrolled; 15 for each EUS-BD and ERCP-BD arm...
March 29, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29582020/the-effect-of-preoperative-biliary-and-pancreatic-drainage-on-postoperative-pancreatic-fistula-a-retrospective-cohort-study
#19
John Mathew Manipadam, Mahesh S, Jacob Mathew Kadamapuzha, Ramesh H
Background  Surgeons and endoscopists welcome routine preoperative biliary drainage prior to pancreaticoduodenectomy despite evidence that it increases complications. Its effect on postoperative pancreatic fistula is variably reported in literature. Simultaneous biliary and pancreatic drainage is rarely performed for very selected indications and its effects on postoperative pancreatic fistula are largely unknown. Our aim was to analyze the same while eliminating confounding factors. Methods  Retrospective single center cohort study of patients who underwent pancreaticoduodenectomy over the past 10 years for carcinoma obstructing the lower common bile duct...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29581692/rupture-of-cystic-artery-pseudoaneurysm-a-rare-complication-of-acute-cholecystitis
#20
P R V Praveen Kumar Sunkara, Parth Ketankumar Shah, Kamalesh Rakshit, Shuvro Roy Choudhary, N P Bohidar, Sanjay Kumar Dubey
Pseudoaneurysm (PA) of the cystic artery is rare. Most of the reported cases are iatrogenic and develop secondary to liver biopsy, laparoscopic cholecystectomy, ERCP, and liver transplant. Other reported causes include trauma, malignancy, arteriovenous malformations, and inflammation in the hepatobiliary and pancreatic system. Cystic artery psuedoaneurysm is usually asymptomatic but may also present as vague abdominal pain, intra-abdominal mass, and hemobilia. In the event of rupture, it may present as a catastrophic intra-peritoneal bleeding with hemorrhagic shock...
February 2018: Indian Journal of Surgery
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