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liver, endoscopy, pancreas, Gi

Richard A Kozarek
This is the Fourth Annual Meeting of the Society for Gastrointestinal Intervention, a multi-disciplinary group of practitioners committed to a minimally invasive approach to both the diagnosis and treatment of digestive disorders. The key concepts are minimally invasive and multi-disciplinary which can be construed as practicing in parallel with occasional lines of procedural and clinical interaction or inter-disciplinary in which patients are acutely cared for by a team, with treatments tailored to the patient and not the discipline that touches the patient first...
September 2010: Gut and Liver
Dimitris P Korkolis, Chrysanthi Aggeli, George D Plataniotis, Emmanuel Gontikakis, Helen Zerbinis, Nikitas Papantoniou, Dimitris Xinopoulos, Nikiforos Apostolikas, Perikles P Vassilopoulos
Multivisceral surgical resection for cure was successfully performed in a 70-year-old man suffering from a primary hepatocellular carcinoma (HCC) associated with direct invasion to the stomach and pancreas. The patient presented with gastric outlet obstruction, upper abdominal pain and a history of chronic liver disease due to hepatitis B virus (HBV) infection. Upper gastrointestinal (GI) endoscopy revealed an infiltrating tumor protruding through the gastric wall and obliterating the lumen. Computer tomograghy (CT) and magnetic resonance imaging (MRI) scan demonstrated a 15-cm tumor in the left lateral segment of the liver with invasion to the stomach and pancreas...
March 7, 2009: World Journal of Gastroenterology: WJG
A M Buchner, M B Wallace
The term therapeutic endoscopic ultrasound (EUS) refers to direct ultrasound guided placement of pharmaceuticals, devices and biological agents for the purpose of treating a disease or symptoms. The vast majority of EUS procedures in the world are performed for diagnostic purposes, although these lead directly to therapeutic decisions such as whether to treat diseases by local (including endoscopic) resection, surgery or chemotherapy. EUS imaging is providing directions for therapies in different conditions, such as 1) gastrointestinal (GI) diseases including luminal GI malignancies, 2) management of pancreatic pain by performing the celiac plexus block, 3) drainage of obstructed biliary and pancreatic ducts when standard ERCP methods have failed, and 4) lesions surrounding the gut wall, including adjacent organs (pancreas liver, etc) and mediastinum (e...
August 2007: Minerva Medica
Bruno Mégarbane, Dabor Résière, Jacqueline Ferrand, Laurent Raskine, Kouroche Vahedi, Frédéric J Baud
BACKGROUND: Active Cytomegalovirus (CMV) infection is a common complication in advanced symptomatic Human Immunodeficiency Virus (HIV) infection. CMV-induced intestinal perforations are hard to diagnose and may be observed throughout the gastrointestinal tract. Isolated stomach perforation is exceptional. CASE PRESENTATION: A 47-year-old man was admitted to our intensive care unit with multiorgan failure. Gastrointestinal endoscopic examination showed erythematous gastritis but normal duodenum and colon...
2005: BMC Infectious Diseases
J Devière, M Adler, N Bourgeois, M Delhaye, A Demols, D Franchimont, E François, O Le Moine, H Louis, A Van Gossum, J L Van Laethem
The present paper summarizes the various themes of research which have been developed in the department of medical gastroenterology since it was created in 1977. These include: in pancreatology, the study of chronic pancreatitis pathogenesis, acute pancreatitis pathogenesis and immunomodulation, endoscopic treatment of chronic pancreatitis, the development of new imaging techniques of the bile ducts and the pancreas, as well as the treatment of pancreatic cancer and benign or malignant biliary diseases. in hepatology, the immunomodulation of liver cirrhosis, especially alcoholic liver disease, the modulation of experimental acute and chronic hepatitis, the study of liver ischemia-reperfusion...
2002: Revue Médicale de Bruxelles
M S Cappell, J D Waye, J T Farrar, M H Sleisenger
During the last half century, many outstanding discoveries have revolutionized the clinical practice and science of gastroenterology. Although the scientific results are widely disseminated, the discoverers have received inadequate recognition and the history of their discoveries is largely unstudied and unknown. At the millennium, a committee selected 50 landmark discoveries in gastroenterology during the past 50 years. A brief history of each landmark discovery is presented. Part I was presented in the previous issue of Gastroenterology Clinics of North America...
June 2000: Gastroenterology Clinics of North America
A A Moss, P Schnyder, W Marks, A R Margulis
We studied a series of 22 patient with proven gastric adenocarcinoma who underwent upper gastrointestinal radiography, computed tomography, upper gastrointestinal endoscopy, and/or surgical exploration and resection. Based on the computed tomographic findings, gastric carcinoma was classified into one of four stages: stage 1, intraluminal masses without gastric wall thickening; stage 2, gastric wall thickening (> 1 cm) and exophytic masses; stage 3, gastric wall thickening and contiguous spread of tumor into adjacent organs such as the pancreas, spleen, liver, transverse mesocolon, or esophagus; and stage 4, gastric wall thickening with distant metastatic disease...
January 1981: Gastroenterology
G Allmendinger, E Blaich, F Hofgärtner, H Lorenz, E Schmid
35 out of 57 patients with gastric carcinoma presented with a so called "target" pattern. In cases with distal cancer the more advanced cases with endoscopic types Borrmann III/IV showed this sign more frequently than less advanced forms, i.e. suspected early cancer, Borrmann I or Borrmann II. On the other hand in endoscopically advanced cancers Borrmann III/IV a thickening of the gastric wall was more frequent in distal than in proximal localization of carcinoma. The presence of target sign in abdominal ultrasound did, statistically, not influence gastric resection...
February 1984: Zeitschrift Für Gastroenterologie
P Vilmann, S Khattar, S Hancke
Endoscopic ultrasound examination (EUS) of the upper gastrointestinal (GI) tract for the assessment of mural and extramural pathology has attracted growing international interest in recent years. Since February 1989, EUS has been performed on selected patients in our institution using a new Picker-Pentax fiber-optic ultrasound (US) gastroscope. The instrument consists of a forward-view fiber-optic gastroscope with a 5-MHz curved-array linear US transducer mounted directly behind the lens. The scanning plane lies in the long axis of the scope...
1991: Surgical Endoscopy
N Krasner
The argon ion and Nd: YAG lasers were used initially in the mid 1970s to produce haemostasis in acutely bleeding peptic ulcers. With the evolution of treatment techniques, the main area of use of the Nd: YAG laser has now become the palliation of upper and lower GI malignancies. Thermal ablation of tumours may be achieved endoscopically by non-contact laser application at high power, or in the contact mode using artificial sapphire probes at much lower energy levels. Still lower powers can be employed therapeutically using interstitial hyperthermia, and this is best applied endoscopically to exophytic tumour nodules in the gut lumen or to tumours localized ultrasonically in solid organs, such as the liver or pancreas...
March 1991: Baillière's Clinical Gastroenterology
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