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https://www.readbyqxmd.com/read/29164508/eus-guided-transrectal-evacuation-of-organized-pelvic-collection-following-roux-en-y-gastric-bypass-after-failure-of-radiological-and-surgical-approach
#1
Gianfranco Donatelli, Jean-Loup Dumont, Fabrizio Cereatti, Bruto Randone, Bruno Meduri, Panagiotis Lainas, Hadrien Tranchart, Ibrahim Dagher
INTRODUCTION: Postoperative collections are an important cause of morbidity following obesity surgery. Surgical revision is most often required if general sepsis is present. Conservative treatment consists of broad spectrum antibiotics and percutaneous drainage of any collection. EUS drainage is a new technique that is gaining momentum allowing an easy access to collections close to the GI tract. MATERIALS AND METHODS: We present the case report of a 39-year-old woman who underwent to robotic Roux-en-Y gastric bypass for morbid obesity...
November 21, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29136671/new-indications-for-fully-covered-lumen-apposing-metal-stents-biliary-stenting-to-treat-post-sphincterotomy-bleeding-or-ampullary-stenosis
#2
Gianfranco Donatelli, Jean-Loup Dumont, Serge Derhy, Bruno Meduri, Stavros Dritsas, Brice Gayet, David Fuks
No abstract text is available yet for this article.
November 14, 2017: Endoscopy
https://www.readbyqxmd.com/read/29103188/management-of-inflammatory-fluid-collections-and-walled-off-pancreatic-necrosis
#3
REVIEW
Apeksha Shah, Richard Denicola, Cynthia Edirisuriya, Ali A Siddiqui
Pancreatic fluid collections are a frequent complication of acute pancreatitis. The revised Atlanta criterion classifies chronic fluid collections into pseudocysts and walled-off pancreatic necrosis (WON). Symptomatic PFCs require drainage options that include surgical, percutaneous, or endoscopic approaches. With the advent of newer and more advanced endoscopic tools and expertise, minimally invasive endoscopic drainage has now become the preferred approach. An endoscopic ultrasonography (EUS)-guided approach for pancreatic fluid collection drainage is now the preferred endoscopic approach...
December 2017: Current Treatment Options in Gastroenterology
https://www.readbyqxmd.com/read/29101565/comparison-of-clinical-efficacies-and-safeties-of-lumen-apposing-metal-stent-and-conventional-type-metal-stent-assisted-eus-guided-pancreatic-wall-off-necrosis-drainage-a-real-life-experience-in-a-tertiary-hospital
#4
Siu Tong Law, Carlos De La SernaHiguera, Paula Gil Simón, Manuel Pérez-MirandaCastillo
BACKGROUND: Endoscopic ultrasound (EUS)-guided drainage of pancreatic wall-off necrosis (WON) with transmural stent is regarded as firstline therapy. We aimed at comparing its efficacy and safety with using fully covered self-expandable metal stent (FCSEMS) and lumen-apposing metal stent (LAMS). METHODS: A retrospective review was performed on all consecutive patients with pancreatic WONs who underwent EUS-guided drainage by either FCSEMS or LAMS. RESULTS: From 2011 to 2016, 68 patients (66...
November 3, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29100246/endoscopic-necrosectomy-through-a-lumen-apposing-metal-stent-resulting-in-perforation-is-it-time-to-develop-dedicated-accessories
#5
Mihai Rimbaș, Gianenrico Rizzati, Antonio Gasbarrini, Guido Costamagna, Alberto Larghi
No abstract text is available yet for this article.
November 3, 2017: Endoscopy
https://www.readbyqxmd.com/read/29095421/modern-management-of-pancreatic-fluid-collections
#6
Iman Andalib, Enad Dawod, Michel Kahaleh
The last decade has seen dramatic shift in paradigm in the management of pancreatic fluid collections with the rise of endoscopic therapy over radiologic or surgical management. Endosonographic drainage is now considered the gold standard therapy for pancreatic pseudocyst. Infected pancreatic necroses are being offered endoscopic necrosectomy that has been facilitated by the arrival on the market of large diameter lumen-apposing metal stent. Severe pancreatitis or failure to thrive should receive enteral nutrition while pancreatic ductal disruption or strictures are best treated by pancreatic stenting...
October 31, 2017: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/29090245/do-lumen-apposing-metal-stents-lams-improve-treatment-outcomes-of-walled-off-pancreatic-necrosis-over-plastic-stents-using-dual-modality-drainage
#7
Nadav Sahar, Richard Kozarek, Zaheer S Kanji, Andrew S Ross, Michael Gluck, S Ian Gan, Michael Larsen, Shayan Irani
BACKGROUND AND STUDY AIMS : Endoscopic ultrasound-guided drainage of symptomatic walled-off pancreatic necrosis (WON) usually has been performed with double pigtail plastic stents (DPS) and more recently, with lumen-apposing metal stents (LAMS). However, LAMS are significantly more expensive and there are no comparative studies with DPS. Accordingly, we compared our experience with combined endoscopic and percutaneous drainage (dual-modality drainage [DMD]) for symptomatic WON using LAMS versus DPS...
November 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29063871/a-multi-institutional-consensus-on-how-to-perform-endoscopic-ultrasound-guided-peri-pancreatic-fluid-collection-drainage-and-endoscopic-necrosectomy
#8
Jintao Guo, Adrian Saftoiu, Peter Vilmann, Pietro Fusaroli, Marc Giovannini, Girish Mishra, Surinder S Rana, Sammy Ho, Jan-Werner Poley, Tiing Leong Ang, Evangelos Kalaitzakis, Ali A Siddiqui, Jose G De La Mora-Levy, Sundeep Lakhtakia, Manoop S Bhutani, Malay Sharma, Shuntaro Mukai, Pramod Kumar Garg, Linda S Lee, Juan J Vila, Everson Artifon, Douglas G Adler, Siyu Sun
There is a lack of consensus on how endoscopic ultrasound (EUS)-guided pseudocyst drainage and endoscopic necrosectomy should be performed. This survey was carried out amongst members of the EUS Journal Editorial Board to describe their practices in performing this procedure. This was a worldwide multi-institutional survey amongst members of the EUS Journal Editorial Board in May 2017. The responses to a 22-question survey with respect to the practice of EUS-guided pseudocyst drainage and endoscopic necrosectomy were obtained...
September 2017: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/29016384/lumen-apposing-metal-stents-lamss-for-drainage-of-pancreatic-and-gallbladder-collections-a-meta-analysis
#9
Dennis Han, Sumant Inamdar, Calvin W Lee, Larry S Miller, Arvind J Trindade, Divyesh V Sejpal
BACKGROUND AND AIMS: Endoscopic ultrasound-guided transmural drainage using lumen apposing metal stents (LAMSs) is becoming a popular and promising therapeutic approach for drainage of intra-abdominal fluid collections. There has been an increasing number of studies evaluating LAMS for drainage of pancreatic pseudocysts (PP), walled-off pancreatic necrosis (WOPN), and gallbladder (GB) drainage. The aim of this meta-analysis is to analyze the literature to date regarding the clinical success, technical success, and adverse events of LAMS in treatment of pancreatic fluid collections and GB drainage...
October 9, 2017: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/28992642/endoscopic-drainage-of-an-infected-post-surgical-abdominal-fluid-collection-using-a-lumen-apposing-metal-stent
#10
Arvind J Trindade, Yonatan J Hillman, John H Wang, Petros C Benias, Larry S Miller
No abstract text is available yet for this article.
October 9, 2017: Endoscopy
https://www.readbyqxmd.com/read/28989007/endoscopic-reconstruction-of-roux-en-y-gastric-bypass-using-placement-of-gastrojejunal-and-remnant-jejunal-lumen-apposing-metal-stents
#11
Allison R Schulman, Christopher C Thompson
No abstract text is available yet for this article.
October 5, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28984645/advances-in-the-endoscopic-management-of-gastric-outflow-disorders
#12
Andrew C Storm, Marvin Ryou
PURPOSE OF REVIEW: Disorders of gastric outflow and outlet obstruction include a variety of benign and malignant disorders such as peptic strictures, foreign bodies, gastroparesis, and cancers of the stomach, duodenum, and pancreas. Historically, a majority of patients presenting with gastric outlet obstruction (GOO) were to the result of peptic ulcers and surgical management of peptic ulcer complications was a mainstay of general surgical training. Invasive surgery is being performed less frequently today due to realization of the role of Helicobacter pylori in peptic ulcer disease and the introduction of novel endoscopic techniques for management of GOO...
November 2017: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/28979710/lumen-apposing-metal-stents-for-pancreatic-fluid-collections-recognition-and-management-of-complications
#13
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/28970734/how-to-treat-intestinal-obstruction-due-to-malignant-recurrence-after-whipple-s-resection-for-pancreatic-head-cancer-description-of-2-new-endoscopic-techniques
#14
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/28924591/safety-and-efficacy-of-coaxial-lumen-apposing-metal-stents-in-the-management-of-refractory-gastrointestinal-luminal-strictures-a-multicenter-study
#15
Fateh Bazerbachi, Jason D Heffley, Barham K Abu Dayyeh, Jose Nieto, Eric J Vargas, Tarek Sawas, Raja Zaghlol, Navtej S Buttar, Mark D Topazian, Louis M Wong Kee Song, Michael Levy, Steve Keilin, Qiang Cai, Field F Willingham
BACKGROUND AND AIMS:  Benign gastrointestinal (GI) strictures are often refractory to standard endoscopic interventions. Fully covered coaxial lumen-apposing metal stents (LAMS) have emerged as a novel therapy for these strictures. The aim of this study was to evaluate the safety and efficacy of LAMS for refractory GI strictures. PATIENTS AND METHODS:  A retrospective analysis was performed for patients who underwent LAMS placement for benign luminal strictures in three US centers between January 2014 and December 2016...
September 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28918806/endoscopic-ultrasound-guided-gastrojejunostomy
#16
REVIEW
Sunil Amin, Amrita Sethi
Gastric outlet obstruction is a common complication of advanced upper gastrointestinal and pancreatic malignancies. Endoscopic ultrasound (EUS)-guided gastrojejunostomy is a new option that may provide a more durable solution than enteral stenting with shorter recovery time and less cost than surgical gastrojejunostomy. Techniques to perform this procedure include direct EUS-guided puncture and balloon-assisted and free-hand methods. Use of cautery-tipped lumen-apposing metal stent results in higher rates of technical success and shorter procedure times...
October 2017: Gastrointestinal Endoscopy Clinics of North America
https://www.readbyqxmd.com/read/28882615/fluoroscopy-assisted-vs-fluoroless-endoscopic-ultrasound-guided-transmural-drainage-of-pancreatic-fluid-collections-a-comparative-study
#17
Claudia F Consiglieri, Joan B Gornals, Juli Busquets, Nuria Peláez, Lluis Secanella, Meritxell De-La-Hera, Resurrección Sanzol, Joan Fabregat, José Castellote
INTRODUCTION: The need for fluoroscopy guidance in patients undergoing endoscopic ultrasound-guided transmural drainage (EUS-TMD) of peripancreatic fluid collections (PFCs) remains unclear. AIMS: The aim of this study was to compare general outcomes of EUS-TMD of PFCs under fluoroscopy (F) vs fluoroless (FL). METHODS: This is a comparative study with a retrospective analysis of a prospective and consecutive inclusion database at a tertiary centre, from 2009 to 2015...
September 4, 2017: Gastroenterología y Hepatología
https://www.readbyqxmd.com/read/28843583/long-term-outcome-of-eus-guided-choledochoduodenostomy-using-a-lumen-apposing-metal-stent-for-malignant-distal-biliary-obstruction-a-prospective-multicenter-study
#18
Takayoshi Tsuchiya, Anthony Yuen Bun Teoh, Takao Itoi, Kenji Yamao, Kazuo Hara, Yousuke Nakai, Hiroyuki Isayama, Masayuki Kitano
BACKGROUND AND AIMS: EUS-guided choledochoduodenostomy (EUS-CDS) using conventional tubular stents has been successfully performed. However, EUS-CDS carries a high risk of bile leakage with attendant adverse events. This study aimed to prospectively evaluate the long-term outcome of EUS-CDS using a dedicated lumen-apposing metal stent (LAMS). METHODS: Nineteen patients (mean age, 70.6 years; 12 men) with unresectable malignant diseases were treated in 5 tertiary referral centers...
August 23, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28843581/eus-guided-drainage-of-postsurgical-fluid-collections-using-lumen-apposing-metal-stents-a-multicenter-study
#19
Prashant R Mudireddy, Amrita Sethi, Ali A Siddiqui, Douglas G Adler, Jose Nieto, Harshit Khara, Arvind Trindade, Sammy Ho, Petros C Benias, Peter V Draganov, Dennis Yang, Shaffer Mok, Bradley Confer, David L Diehl
BACKGROUND AND AIMS: Postsurgical fluid collections (PSFCs) are traditionally drained either percutaneously or surgically. Endoscopic drainage offers several advantages compared with either percutaneous or surgical approaches, including avoiding repeat surgery or the need to have a percutaneous drain in place for weeks. There are very little data regarding the use of lumen-apposing metal stents (LAMSs) in the drainage of PSFCs. We aim to study the technical and clinical success and adverse events (AEs) of using LAMSs in the drainage of PSFCs...
August 24, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28820143/endoscopic-ultrasound-guided-drainage-of-pelvic-abscesses-with-lumen-apposing-metal-stents
#20
EDITORIAL
Amar Manvar, Kunal Karia, Sammy Ho
No abstract text is available yet for this article.
July 2017: Endoscopic Ultrasound
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