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Endoscopic interventions

M Harputluoglu, M Aladag, U Demirel, Y Bilgic, R Dertli, M A Erdogan, M Karincaoglu, R Kutlu, V Ince, S Karakas, E Parlak, S Yilmaz
BACKGROUND AND AIM: Biliary complications are an important cause of mortality and morbidity after living donor liver transplantation (LDLT). We present our endoscopic treatment results after LDLT as a single center with high volume. METHODS: Patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) after LDLT between 2005 and 2015 were included. Clinical data included patient demographics, ERCP indications (stricture or leak), and treatment outcomes, including need for percutaneous and surgical interventions...
April 2018: Acta Gastro-enterologica Belgica
Charlotte Garret, Matthieu Péron, Jean Reignier, Aurélie Le Thuaut, Jean-Baptiste Lascarrou, Frédéric Douane, Marc Lerhun, Isabelle Archambeaud, Noëlle Brulé, Cédric Bretonnière, Olivier Zambon, Laurent Nicolet, Nicolas Regenet, Christophe Guitton, Emmanuel Coron
Objective: The primary objective of this article is to identify risk factors for infected pancreatic necrosis (IPN) in patients admitted to the intensive care unit (ICU) for severe acute pancreatitis. We also described outcomes of IPN. Background: Acute pancreatitis is common and associated with multiple, potentially life-threatening complications. Over the last decade, minimally invasive procedures have been developed to treat IPN. Methods: We retrospectively studied consecutive patients admitted for severe acute pancreatitis to the ICUs of the Nantes University Hospital in France, between 2012 and 2015...
July 2018: United European Gastroenterology Journal
Asad Ur-Rahman, Jian Guan, Sameen Khalid, Alvina Munaf, Mohammad Sharbatji, Evgeny Idrisov, Xiaoping He, Archana Machavarapu, Khalid Abusaada
BACKGROUND: Glasgow-Blatchford score (GBS) has been developed for risk stratification in management of acute upper gastrointestinal (GI) bleeding. However, the performance of GBS in patients with lower GI bleeding is unknown. AIM: To evaluate the performance of full or modified GBS and modified GBS in prediction of major clinical outcomes in patients with lower GI bleeding. METHODS: A retrospective study of patients admitted to a tertiary care center with either non-variceal upper GI bleeding or lower GI bleeding was conducted...
July 19, 2018: Digestive Diseases and Sciences
Abbas Al-Kurd, Ronit Grinbaum, Ala'a Abubeih, Ariel Verbner, Amram Kupietzky, Ido Mizrahi, Haggi Mazeh, Nahum Beglaibter
INTRODUCTION: It is commonly stated in bariatric surgical forums that leaks following laparoscopic sleeve gastrectomy (LSG) are more difficult to manage than those following laparoscopic roux-en-Y gastric bypass (LRYGB). However, no previous study has provided a thorough comparison of leak management following these two operations. METHODS: Our database was retrospectively reviewed to identify patients with leak following LSG and LRYGB performed between January 2007 and December 2017...
July 19, 2018: Obesity Surgery
Nayan Lamba, Tim Fick, Rhishi Nandoe Tewarie, Marike L Broekman
PURPOSE: Leptomeningeal metastases (LM) are a rare, but often debilitating complication of advanced cancer that can severely impact a patient's quality-of-life. LM can result in hydrocephalus (HC) and lead to a range of neurologic sequelae, including weakness, headaches, and altered mental status. Given that patients with LM generally have quite poor prognoses, the decision of how to manage this HC remains unclear and is not only a medical, but also an ethical one. METHODS: We first provide a brief overview of management options for hydrocephalus secondary to LM...
July 18, 2018: Journal of Neuro-oncology
Marcus Hollenbach, Christiane Prettin, Felix Gundling, Wolfgang Schepp, Jochen Seufert, Jürgen Stein, Thomas Rösch, Jens Aberle, Jürgen Feisthammel, David Petroff, Albrecht Hoffmeister
BACKGROUND: Obesity is a global problem leading to reduced life expectancy, cardiovascular diseases, diabetes and many types of cancer. Even people willing to accept treatment only achieve a mean weight loss of about 5 kg using commercial weight loss programs. Surgical interventions, e.g. sleeve gastrectomy or gastric bypass are effective but accompanied by risk of serious complications and side effects. Less invasive endoscopic procedures mainly comprise the intragastric balloon (IB) and the duodenal-jejunal bypass liner (DJBL)...
July 18, 2018: BMC Gastroenterology
Keith Siau, Neil D Hawkes, Paul Dunckley
PURPOSE OF THE REVIEW: Progress towards the goal of high-quality endoscopy across health economies has been founded on high-quality structured training programmes linked to credentialing practice and ongoing performance monitoring. This review appraises the recent literature on training interventions, which may benefit performance and competency acquisition in novice endoscopy trainees. RECENT FINDINGS: Increasing data on the learning curves for different endoscopic procedures has highlighted variations in performance amongst trainees...
July 17, 2018: Current Treatment Options in Gastroenterology
Ioanna Aggeletopoulou, Christos Konstantakis, Spilios Manolakopoulos, Christos Triantos
AIM: To summarize and critically examine the role of band ligation in secondary prophylaxis of variceal bleeding in patients with cirrhosis. METHODS: A literature review was performed using the MEDLINE and PubMed databases. The search terms consisted of the words "endoscopic band ligation" OR "variceal band ligation" OR "ligation" AND "secondary prophylaxis" OR "secondary prevention" AND "variceal bleeding" OR "variceal hemorrhage" AND "liver cirrhosis"...
July 14, 2018: World Journal of Gastroenterology: WJG
Arman A Kahokehr, Michael A Granieri, George D Webster, Andrew C Peterson
INTRODUCTION: To evaluate the management of recurrence after urethroplasty for bulbar urethral stricture disease (BUSD) at our institution. METHODS: We performed an institution review board approved retrospective case study of our urethroplasty database to collect stricture-related and post-operative information with emphasis on recurrence after urethroplasty for BUSD between 1996-2012. Repair types included primary anastomotic, augmented anastomotic and onlay. Recurrence was defined as the need for intervention and diagnosed with cystoscopy or retrograde urethrogram...
July 13, 2018: Journal of Urology
Ali Shahrami, Saba Ahmadi, Saeed Safari
Introduction: Screening of high risk patients and accelerating their treatment measures can reduce the burden of the disease caused by acute upper gastrointestinal (GI) bleeding. This study aimed to compare the full and modified Glasgow-Blatchford Bleeding Score (GBS and mGBS) in prediction of in-hospital outcomes of upper GI bleeding. Methods: In the present retrospective cross-sectional study, the accuracy of GBS and mGBS models were compared in predicting the outcome of patients over 18 years of age with acute upper GI bleeding confirmed via endoscopy, presenting to the emergency departments of 3 teaching hospitals during 4 years...
2018: Emergency (Tehran, Iran)
Frederick Yoo, Carmen Chan, Edward C Kuan, Marvin Bergsneider, Marilene B Wang
Objectives  Prolactinomas are the most common functional pituitary adenoma. Symptoms of a prolactinoma stem from hormonal causes (menstrual irregularities, galactorrhea, and reduced libido) or from tumor mass effect (visual changes and headache). Gender differences have been noted in prolactinomas, with males presenting with larger tumors and sequelae of mass effect, while females present commonly with hormonal symptoms. The purpose of this study is to evaluate differences in patient and disease characteristics, and outcomes between male and female prolactinoma patients undergoing surgery...
August 2018: Journal of Neurological Surgery. Part B, Skull Base
Vera Matievics, Balázs Sztanó, Ádám Bach, László Rovó
INTRODUCTION: Dyspnea caused by bilateral vocal cord paralysis often requires surgical intervention to prevent acute asphyxiation. The regeneration of the laryngeal nerves may last weeks or months and it is difficult to predict the outcome. In the past decades, several open and endoscopic surgical techniques have been introduced for treatment to avoid tracheostomy, however, these procedures with resection of the glottis resulted in irreversible changes in the laryngeal structure, thus the voice quality decreased over a long-term period...
July 2018: Orvosi Hetilap
Arne Bokemeyer, Dina Gross, Markus Brückner, Tobias Nowacki, Dominik Bettenworth, Hartmut Schmidt, Hauke Heinzow, Iyad Kabar, Hansjoerg Ullerich, Frank Lenze
BACKGROUND: Treatment of biliary strictures is challenging. Digital single-operator cholangioscopes (SOCs) equipped with an improved imaging quality, were recently introduced and may be useful for selective guidewire placement in difficult biliary strictures. METHODS: A total of 167 digital SOC procedures performed between 2015 and 2018 were retrospectively analyzed for successful guidewire placements across biliary strictures. Only cases with previous failed conventional guidewire placement approaches were included...
July 13, 2018: Surgical Endoscopy
Youssef Teklali, Yohann Robert, Bernard Boillot, Camille Overs, Christian Piolat, Pierre Yves Rabattu
AIMS: The aims of this study were to evaluate the efficacy and safety of endoscopic treatment of primary obstructive megaureter in children, and to assess its long-term outcome. METHODS: Case files of 35 children who had endoscopic treatment of symptomatic primary obstructive megaureter between 2006 and 2016 were retrospectively analyzed. All children had ureterovesical junction dilatation with one or more ureteral dilators, and insertion of a JJ stent. An analysis of the case files and a comparison between pre- and postoperative ultrasound and scintigraphy findings were performed...
June 28, 2018: Journal of Pediatric Urology
John Rodriguez, Andrew T Strong, Ivy N Haskins, Joshua P Landreneau, Matthew T Allemang, Kevin El-Hayek, James Villamere, Chao Tu, Michael S Cline, Matthew Kroh, Jeffrey L Ponsky
OBJECTIVE: For patients with gastroparesis, temporary pyloric disruption has been shown to improve symptoms and gastric emptying. Per-oral pyloromyotomy (POP) is an innovative endoscopic procedure to divide the pylorus from within a submucosal tunnel, as a corollary to surgical pyloromyotomy. Here we evaluate subjective and objective outcomes 12-weeks after POP at a high volume center. METHODS: The first 100 consecutive patients undergoing POP were included, with procedure dates between January 2016 and October 2017...
July 12, 2018: Annals of Surgery
R Zhang, S-J Zhang, X-J Wang
OBJECTIVE: To explore the effects of postoperative functional exercise on patients who underwent percutaneous transforaminal endoscopic discectomy for lumbar disc herniation. PATIENTS AND METHODS: From January to May 2011, patients who had a lumbar disc herniation and then underwent percutaneous transforaminal endoscopic discectomy were divided randomly into two groups: the intervention group (n=46) and the control group (n=46). The intervention group conducted early functional exercises of passive and autonomic activities after their operations, while the control group conducted routine functional exercises after their operations...
July 2018: European Review for Medical and Pharmacological Sciences
C L McGivney, J Sweeney, K F Gough, E W Hill, L M Katz
BACKGROUND: We hypothesised that grade/appearance for upper respiratory tract (URT) disorders identified at the first overground endoscopy (OGE) examination would vary at subsequent examinations. OBJECTIVES: To compare OGE examinations from horses evaluated on at least 2 occasions under similar exercise conditions without treatment intervention. STUDY DESIGN: Retrospective cohort. METHODS: Pre-exercise and exercising OGE recordings from Thoroughbred horses undergoing multiple examinations under similar exercise conditions were reviewed, with the first 2 recordings for each horse statistically evaluated...
July 12, 2018: Equine Veterinary Journal
Volodymyr Pylypchuk
Introduction: The morbidity of chronic pancreatitis (CP) remains at a high level. In cases of CP, prepapillary stenosis of the common bile duct (CBD) complicates the course of disease in 30-60% of patients. Aim: To improve the detection of biliary hypertension (BH) in patients with complicated forms of CP by increasing the accuracy of preoperative and intraoperative diagnostics using modern diagnostic methods. Material and methods: We analysed the results of surgical treatment of 573 patients with complicated forms of CP...
2018: Przegla̜d Gastroenterologiczny
Andrew Thamboo, Aakanksha Rathor, Nicole A Borchard, Jayakar V Nayak, Peter H Hwang, Zara M Patel
BACKGROUND: In uncomplicated chronic rhinosinusitis (CRS), a consensus regarding appropriate medical therapy (AMT) before surgical intervention has been published in the form of "appropriateness criteria" for endoscopic sinus surgery (ESS). We sought to determine why tertiary surgeons may deviate from the suggested criteria and evaluated whether those deviations result in change in outcomes. METHODS: Patients with uncomplicated CRS were prospectively enrolled over the course of 1 year...
July 12, 2018: International Forum of Allergy & Rhinology
Yi Zhang, Yu Fan, Jinlu Fan, Yanhui Cui
PURPOSE: To evaluate the surgical intervention and its effect on congenital dacryocystocele. METHODS: A total of 531 children with congenital dacryocystocele admitted to the Department of Ophthalmology of Beijing Children's Hospital, Shanghai Aier Eye Hospital, Nanjing Aier Eye Hospital, and the First Affiliated Hospital of Jinzhou Medical University between January 2007 and January 2017 were retrospectively analyzed. RESULTS: A total of 531 patients were followed up for 3-24 months, with an average of 13...
July 1, 2018: European Journal of Ophthalmology
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