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Endoscopic interventions

Ji Young Bang, Juan Pablo Arnoletti, Bronte A Holt, Bryce Sutton, Muhammad K Hasan, Udayakumar Navaneethan, Nicholas Feranec, C Mel Wilcox, Benjamin Tharian, Robert H Hawes, Shyam Varadarajulu
BACKGROUND & AIMS: Infected necrotizing pancreatitis is a highly morbid disease with poor outcomes. Intervention strategies have progressed from open necrosectomy to minimally invasive approaches. We compared outcomes of minimally invasive surgery vs endoscopic approaches for patients with infected necrotizing pancreatitis. METHODS: We performed a single-center, randomized trial of 66 patients with confirmed or suspected infected necrotizing pancreatitis who required intervention from May 12, 2014 through March 24, 2017...
November 16, 2018: Gastroenterology
Alexis Slama, Christian Taube, Markus Kamler, Clemens Aigner
Lung transplantation (LuTX) and lung volume reduction (LVR), either surgical (LVRS: lung volume reduction surgery) or endoscopic (ELVR: endoscopic lung volume reduction), are established therapies in the treatment of end-stage chronic obstructive pulmonary disease (COPD) patients. Careful patient selection is crucial for each intervention. If these techniques are sequentially applied there is a paucity of available data and individual center experiences vary depending on details in selection criteria and operative technique...
October 2018: Journal of Thoracic Disease
Shreya Chablaney, Nikhil A Kumta
Endoscopic bariatric and metabolic therapies (EBMTs) have sparked significant interest as minimally invasive therapeutic options for weight loss. Although bariatric surgery remains an effective option for sustained weight loss and improvement in the metabolic syndrome, access and utilization are limited. Various EBMTs have been designed to emulate the physiologic effects of established surgical interventions, including space-occupying and non-space occupying gastric therapies, gastric remodeling procedures, and small bowel therapies...
November 17, 2018: Journal of Diabetes
Alberto Larghi, Mihai Rimbaș, Andrea Tringali, Ivo Boškoski, Gianenrico Rizzatti, Guido Costamagna
Radiofrequency ablation (RFA) acts by delivering thermal energy within the tissue, the result of a high-frequency alternating current released from an active electrode, leading to coagulative necrosis and cellular death. Recently, a biliary catheter working on a guide-wire has been developed and a number of studies have been performed so far. The present paper provides a comprehensive review of the literature on the results of the use of RFA for the clinical management of patients with unresectable malignant biliary strictures, benign biliary strictures, and residual adenomatous tissue in the bile duct after endoscopic papillectomy...
November 16, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
Masahiro Itonaga, Masayuki Kitano, Keiichi Hatamaru, Takashi Tamura, Junya Nuta, Yuki Kawaji, Mamoru Takenaka, Kosuke Minaga, Masatoshi Kudo, Takeshi Ogura, Kazuhide Higuchi, Yasutaka Chiba
OBJECTIVES: When endoscopic retrograde cholangiopancreatography (ERCP) fails in patients with malignant distal biliary obstruction, endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) is an alternative. It associates with high technical and clinical success rates but also high adverse events rates. This prospective cohort study was aimed to evaluate the clinical efficacy and safety of EUS-CDS with our newly developed partially-covered self-expandable metal stent with a thin delivery system...
November 16, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
Yassar A Qureshi, M Muntzer Mughal, Sheraz R Markar, Borzoueh Mohammadi, Jeremy George, Martin Hayward, David Lawrence
BACKGROUND: Acquired aerodigestive fistula (ADF) are rare, but associated with significant morbidity. Surgery affords the best prospect of cure. We present our experience of the surgical management of ADFs at a specialist unit, highlighting operative techniques, challenges and assess clinical outcomes following intervention. We also illustrate findings of a Hospital Episodes Statistics search for ADFs. METHODS: A prospectively-maintained database was searched to identify all patients diagnosed with an ADF who were managed at our institution...
November 15, 2018: Journal of Cardiothoracic Surgery
M Dedeciusová, T Tyll, V Beneš, D Netuka
Subdural empyema is a rare purulent intracranial infection. Outcome is dependent on the preoperative level of consciousness, therefore an early diagnosis and urgent neurosurgical intervention are necessary. Mortality of subdural empyema remains high, ranging from 6% to 15%. The case report presents a patient with subdural empyema which resulted from sinusitis. The integral and first part of therapy was an urgent neurosurgical drainage of subdural empyema, followed by functional endoscopic sinus surgery performed by ENT surgeon...
2018: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Lorian Taylor, Abdulelah Almutairdi, Nusrat Shommu, Richard Fedorak, Subrata Ghosh, Raylene A Reimer, Remo Panaccione, Maitreyi Raman
The primary objective of this study was to explore the macro- and micro-nutrient intakes and dietary patterns of patients with Crohn's disease (CD). Secondary objectives were to (a) compare the micronutrient intakes of CD patients with a representative sample of individuals, (b) describe the macro- and micronutrient intakes of male and female CD patients, and (c) describe Mediterranean diet scores (P-MDS) of male and female CD patients in remission that were recruited from an inflammatory bowel disease (IBD) clinic in Calgary, AB...
November 14, 2018: Nutrients
Izadyar Tamadon, Giorgio Soldani, Paolo Dario, Arianna Menciassi
Aortic heart valve replacement is a major surgical intervention, traditionally requiring a large thoracotomy. However, current advances in Minimally Invasive Surgery and Surgical Robotics can offer the possibility to perform the intervention through a narrow mini thoracotomy. The presented surgical robot and proposed surgical scenario aims to provide a highly controllable means for efficiently conducting valve replacement by endoscopic vision. The robot, consisting of a series of joints, is a cable actuated manipulator for reaching the operative site and delivering the valve at the required position...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Valerie Gausman, Giulio Quarta, Michelle H Lee, Natalia Chtourmine, Carmelita Ganotisi, Frances Nanton-Gonzalez, Chui Ling Ng, Jungwon Jun, Leslie Perez, Jason A Dominitz, Scott E Sherman, Michael A Poles, Peter S Liang
GOALS/BACKGROUND: Patients who "no-show" for colonoscopy or present with poor bowel preparation waste endoscopic resources and do not receive adequate examinations for colorectal cancer (CRC) screening. Using the Health Belief Model, we modified an existing patient education pamphlet and evaluated its effect on nonattendance rates and bowel preparation quality. STUDY: We implemented a color patient education pamphlet to target individual perceptions about CRC and changed bowel preparation instructions to include a low-residue diet instead of the previous clear liquid diet...
November 14, 2018: Journal of Clinical Gastroenterology
Ameet Singh, Amber U Luong, Karen J Fong, Randall A Ow, Joseph K Han, Roland Gerencer, J Pablo Stolovitzky, James W Stambaugh, Aarthi Raman
BACKGROUND: Bioabsorbable steroid-releasing implants (mometasone furoate, 370 μg) are effective for improving postsurgical outcomes in the frontal sinus ostia (FSO). In this study we evaluated the effect of these implants on frontal outcomes in various patient subgroups with chronic rhinosinusitis (CRS) using pooled data from 2 randomized, controlled trials (RCTs). METHODS: A total of 160 subjects were enrolled in 2 RCTs. After surgery, subjects were randomized to receive an implant in 1 FSO with the contralateral side as control...
November 15, 2018: International Forum of Allergy & Rhinology
Faisal Inayat, Fahad Zafar, Hanan T Lodhi, Maham Hayat, Hafiz M Kashif Saleem, Arslan Afzal, Chaudhry Saad Sohail
Foreign body ingestion is commonly encountered in clinical practice. According to standard guidelines, urgent therapeutic endoscopy should be performed in cases involving sharp objects to prevent complications. Although several extraction methods are available, few cases may still pose a therapeutic challenge. This report describes a novel endoscopic technique utilizing modification of the standard overtube to facilitate the removal of a large razor blade. This technique offers a minimally invasive approach for rapid retrieval of large sharp-edged foreign bodies, obviating the need for a surgical exploration...
September 6, 2018: Curēus
Altair da Silva Costa, Paulo Rogerio Scordamaglio, Iunis Suzuki, Addy Lidvina Mejia Palomino, Marcia Jacomelli
OBJECTIVE: To describe indications, clinical outcomes and complications of flexible bronchoscopy. METHODS: A descriptive observational study of bronchoscopies performed at the endoscopy service of Hospital Israelita Albert Einstein . Demographic (age, gender and origin) and medical (indications and results of endoscopy and diagnostic tests, such as biopsy collection, lavage, cytology and culture) data were analyzed. Electronic medical records with incomplete data or reporting interventional procedures were excluded...
November 8, 2018: Einstein
Mehmet Ali Erdogan, Muhsin Murat Harputluoglu
Purpose: Almost all of the publications regarding the treatment of biliary complications after liver transplantation are related to biliary complications after right lobe living donor liver transplantation (LDLT) and cadaveric liver transplantation (LT). The number of publications regarding endoscopic treatment of biliary complications after left lobe LDLT is negligible. In this study, we aimed to present the results of endoscopic treatments applied in the management of biliary complications developed in left-lobe duct-to-duct LDLT patients...
2018: Therapeutics and Clinical Risk Management
Frank Scheerer, Wolfgang Schmitt, Markus Dollhopf, Marcus Kremer
BACKGROUND:  Endoscopic submucosal dissection (ESD) is the standard-procedure in Asia for the treatment of early gastric cancer (EGC) within defined criteria. In Europe, this technique is being used more and more frequently. In the context of risk constellations (submucosal invasion, lymphangioinvasion, poorly differentiated carcinoma), the occurrence of lymph node metastases is possible. We defined a low-risk group (differentiated, mucosal EGC without ulceration and vascular infiltration, size independent) to investigate the endoscopic outcome and the long-term course of this special group with excellent prognosis...
November 2018: Zeitschrift Für Gastroenterologie
Liehua Liu, Nan Li, Qian Wang, Haoming Wang, Yuexiang Wu, Weidong Jin, Qiang Zhou, Zili Wang
OBJECTIVE: To review the literature related to iatrogenic lumbar artery injury (ILAI) in spine surgery with a focus on which iatrogenic operation may cause lumbar artery (LA) injury. METHODS: We conducted a comprehensive search in the Web of Science, PubMed, EMBASE and Chinese biomedical databases in July 2018. RESULTS: A total of 20 articles on ILAI were selected in this study, most of which were published as case reports involving a total of 26 cases...
November 9, 2018: World Neurosurgery
Michael A Scaffidi, Rishad Khan, Heather Carnahan, Simon C Ling, Jenifer R Lightdale, Petar Mamula, Jeffrey J Yu, Samir C Grover, Catharine M Walsh
BACKGROUND: Assessment is critical to support pediatric endoscopy training. Although trainee engagement in assessment is encouraged, the use of self-assessment and its accuracy among pediatric endoscopists is not well described. We aimed to determine the self-assessment accuracy of novice, intermediate and experienced pediatric endoscopists. METHODS: Novice (performed <50 previous colonoscopies), intermediate (50-500), and experienced (>1000) pediatric endoscopists from 3 North American academic teaching hospitals each performed a clinical colonoscopy...
November 8, 2018: Journal of Pediatric Gastroenterology and Nutrition
Shu-Ling Wang, Qian Wang, Jun Yao, Sheng-Bing Zhao, Li-Sheng Wang, Zhao-Shen Li, Yu Bai
OBJECTIVE: Adequate bowel preparation is essential for a successful colonoscopy; clinical studies suggest reinforced education can improve the preparation process. However, there have been no trials to compare WeChat directions (the most widely used social media app in China) with those of the short message service (SMS). This study was aimed to assess the effect of WeChat and SMS on the bowel preparation quality. PARTICIPANTS AND METHODS: This was a single-center, prospective, endoscopically blinded, randomized, controlled study...
November 8, 2018: European Journal of Gastroenterology & Hepatology
Andrew Ofosu, Daryl Ramai, Febin John, Mohammed Barakat, Tagore Sunkara, Santosh Sharma, Vinaya Gaduputi, Douglas Adler, Madhavi Reddy
INTRODUCTION: Endoscopic hemostasis in patients with non-variceal bleeding (NVGIB) with standard therapy has improved outcomes. However, persistent bleeding and re-bleeding continues to drive morbidity and mortality. Use of Over-the-scope clips (OTSC) is an emerging treatment modality for managing gastrointestinal bleeding. We performed a systematic review and meta-analysis to evaluate the ability of OTSC to achieve primary hemostasis and re-bleeding rates as primary therapy and rescue endoscopic interventions in patients with NVGIB...
November 7, 2018: Minerva Gastroenterologica e Dietologica
J Baral
Background: The treatment of flat rectal adenomas is challenging. The technical difficulty and the potential of malignancy in suspected benign lesions are the factors in question. Surgical and interventional endoscopic techniques are implemented in Europe without a clear strategy. To minimize recurrent adenoma and unclear histopathological work up en bloc excision is desirable. Methods and results: We demonstrate in this article the transanal endoscopic microsurgical submucosa dissection (TEM-ESD) procedure as a feasible method for en bloc excision of rectal adenomas and early rectal cancer...
2018: Coloproctology
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