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Aliraza Rahimi, Fardad Ejtehadi
Pancreatic stent proximal migration is a well known complication of pancreatic duct stenting, which occurs in about 5-6% of cases. Serious complications should be avoided by retrieval of the stent via different endoscopic techniques. We report a new technique previously reported only once (in a pancreatic duct with underlying pathology), to remove the proximally migrated pancreatic stent in a normal pancreatic duct by SpyGlass Direct Visualization System (Boston Scientific, Natick, Massachusetts, USA) and SpyBite Forceps (Boston Scientific, Natick, Massachusetts, USA)...
July 2016: Middle East Journal of Digestive Diseases
Wim Laleman, Kristof Verraes, Werner Van Steenbergen, David Cassiman, Frederik Nevens, Schalk Van der Merwe, Chris Verslype
BACKGROUND AND STUDY AIM: Indeterminate biliary strictures and difficult bile duct stones remain clinically arduous and challenging situations. We aimed to evaluate the utility of the single-operator cholangioscopy (SOC)-system SpyGlass in both conditions in a single-center biliopancreatic interventional unit and in perspective of available aggregated literature. METHODS: Usefulness of SOC was assessed for the above-mentioned indications by means of the combination of successful procedural completion, clinical success and incidence of procedure-related adverse events in our own prospective cohort from 3/2010 to 7/2014 and all available literature till 6/2015...
September 7, 2016: Surgical Endoscopy
Yusuke Ishida, Takao Itoi, Yoshinobu Okabe
A number of case studies have described the usefulness of peroral cholangioscopy for diagnosis and therapy, performed by visualizing the inner cavity of the bile duct. Currently available types of peroral cholangioscopy include peroral videocholangioscopy (POCS) using a mother-baby scope system (MBSS), direct peroral videocholangioscopy (D-POCS), and SpyGlass™ Direct Visualization System (SGDVS). POCS started with cholangioscopy using MBSS, requiring two skilled endoscopists using two endoscopic systems. On the other hand, D-POCS and SGDVS were developed as single-operator techniques...
June 2016: Current Treatment Options in Gastroenterology
Toshio Kurihara, Ichiro Yasuda, Hiroyuki Isayama, Toshio Tsuyuguchi, Taketo Yamaguchi, Ken Kawabe, Yoshinobu Okabe, Keiji Hanada, Tsuyoshi Hayashi, Takao Ohtsuka, Syuhei Oana, Hiroshi Kawakami, Yoshinori Igarashi, Kazuya Matsumoto, Kiichi Tamada, Shomei Ryozawa, Hiroki Kawashima, Yutaka Okamoto, Iruru Maetani, Hiroyuki Inoue, Takao Itoi
AIM: To assess the utility and safety of single-operator cholangiopancreatoscopy (SOCPS) using the SpyGlass system in widespread clinical application for biliary and pancreatic diseases. METHODS: This study was a prospective case series conducted in 20 referral centers in Japan. There were 148 patients who underwent SOCPS; 124 for biliary diseases and 24 for pancreatic diseases. The attempted interventions were SOCPS examination, SOCPS-directed tissue sampling, and therapy for stone removal, among others...
February 7, 2016: World Journal of Gastroenterology: WJG
Félix I Téllez-Ávila, Gilberto Duarte-Medrano, Francisco Valdovinos-Andraca, Víctor Gallardo-Cabrera, David R Herrera-Mora
No abstract text is available yet for this article.
2016: Endoscopy
Suryaprakash Bhandari, Rajesh Bathini, Atul Sharma, Amit Maydeo
BACKGROUND AND AIMS: ERCP is an established technique for the management of bile duct stones. Large bile duct stones (>1.2 cm) require additional techniques such as mechanical lithotripsy and balloon sphincteroplasty for ductal clearance. The literature on endoscopic management of cystic duct stones (CDSs) and Mirizzi syndrome (MS) is limited. We report our experience with cholangioscopy-assisted extraction of CDSs and MS in patients in whom conventional endoscopic and surgical techniques failed...
July 2016: Gastrointestinal Endoscopy
Young Sik Woo, Jong Kyun Lee, Dong Hyo Noh, Joo Kyung Park, Kwang Hyuck Lee, Kyu Taek Lee
BACKGROUND AND AIMS: Anastomotic biliary strictures are common in patients that undergo living donor liver transplantation. Although endoscopic management has the advantage over percutaneous approaches, the initial success rate for the endoscopic management is unsatisfactory. The SpyGlass system can be a useful device in patients with a severe anastomotic stricture. METHODS: The SpyGlass cholangioscopy-assisted guidewire placement was performed in 15 patients with a difficult guidewire placement in which the guidewire could not transverse the stricture with conventional methods for 10 min or more...
September 2016: Surgical Endoscopy
Lillian Du, Pernilla D'Souza, Aducio Thiesen, Safwat Girgis, Richard Owen, Dermot McNally, Philippe Sarlieve, Gurpal Sandha
Peroral cholangioscopy is useful in differentiating benign from malignant biliary strictures. However, when conventional biliary access via endoscopic retrograde cholangiopancreatography (ERCP) fails, percutaneous transhepatic cholangioscopy (PTCS) via the SpyGlass cholangioscopy system can be used to achieve a diagnosis. Four patients with biliary strictures in whom conventional ERCP was not possible and percutaneous brushings were either nondiagnostic or unsatisfactory were investigated with PTCS. The technique of PTCS involves insertion of the SpyGlass cholangioscope through a percutaneous transhepatic sheath, placed just prior to the procedure, to visualize the stricture and obtain biopsies with the SpyBite forceps...
November 2015: Endoscopy
Ari F Syam, Syahidatul Wafa, Dadang Makmun
A fifty-five year old female patient presented with jaundice, subfebrile fever and dark yellow urine since one month before admission. She lost weight 10 kilograms during one month. One day before admission to Ciptomangunkusumo General Hospital, she complained of worsened abdominal pain at right upper quadrant urging her to come to the emergency room. An abdominal examination revealed Murphy sign, mild hepatomegaly and deeply icteric sclera. Serum bilirubin was 21.8 mg/dl, alkaline phosphatase and gamma-glutamyltransferase levels were significantly elevated (1090 IU/L and 560 IU/L consecutively) while the transaminases were moderately high (ALT 80 U/L)...
April 2015: Acta Medica Indonesiana
Eduardo E Montalvo-Javé, Germán E Mendoza Barrera, Alan I Valderrama Treviño, María C Piña Barba, César Montalvo-Arenas, Fernando Rojas Mendoza, Benjamin León Mancilla, Manuel A García Pineda, Álvaro Jaime Limón, Jorge Albores Saavedra, Jesús Tapia-Jurado
INTRODUCTION: Cholecystectomy is a common surgical procedure in which complications may occur, such as injury to the biliary tract, which are associated with high morbidity. The aim of this study was to demonstrate the efficacy of a polymer-based absorbable bioprosthesis with bone scaffold for the treatment of bile duct injury in an animal model. MATERIALS AND METHODS: An absorbable bioprosthesis was used to replace the common bile duct in 15 pigs which were divided into 3 groups with different follow-ups at 1, 3 and 6 months...
August 2015: International Journal of Surgery
Udayakumar Navaneethan, Muhammad K Hasan, Vennisvasanth Lourdusamy, Basile Njei, Shyam Varadarajulu, Robert H Hawes
BACKGROUND AND AIMS: Evaluation of indeterminate biliary strictures by brush cytology and intraductal biopsies is limited by low sensitivity. The utility of SpyGlass peroral cholangioscopy for diagnosis of malignant biliary strictures and cholangiocarcinoma (CCA), in particular, remains unclear. Our aim was to study the utility of SpyGlass peroral cholangioscopy and targeted biopsy for diagnosis of malignant biliary strictures and CCA. METHODS: In this systematic review, PubMed and Embase databases were reviewed for studies published to October 2014...
October 2015: Gastrointestinal Endoscopy
Abdulrahman M Aljebreen, Othman R Alharbi, Nahla Azzam, Majid A Almadi
BACKGROUND/AIMS: We aimed to evaluate the efficacy and safety of Spyglass-guided electrohydraulic lithotripsy (EHL) for difficult common bile duct stones (CBD) not amenable to conventional endoscopic therapy. DESIGN: A retrospective study evaluating the efficacy of Spyglass-guided EHL in treating difficult CBD stones, in a single tertiary care center. PATIENTS AND METHODS: All patients who underwent Spyglass-guided EHL from 2012 to 2013 were compared with a historical cohort who had ECSWL...
November 2014: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
Amrita Sethi, Theodore Doukides, Divyesh V Sejpal, Douglas K Pleskow, Adam Slivka, Douglas G Adler, Raj J Shah, Steven A Edmundowicz, Takao Itoi, Bret T Petersen, Frank G Gress, Monica Gaidhane, Michel Kahaleh
Background. The SpyGlass Direct Visualization System (Boston Scientific, Natick, MA) is routinely used during single operator choledochoscopy (SOC) to identify biliary lesions or strictures with a diagnostic accuracy up to 88%. The objective of this study was to determine the interobserver agreement (IOA) of modified scoring criteria for diagnosing biliary lesions/strictures. Methods. 27 SPY SOC video clips were reviewed and scored by 9 interventional endoscopists based on published criteria that included the presence and severity of surface structure, vasculature visualization, lesions, and findings...
2014: Diagnostic and Therapeutic Endoscopy
Eduardo Guimarães Hourneaux de Moura, Tomazo Franzini, Renata Nobre Moura, Fred Olavo Aragão Andrade Carneiro, Everson Luiz de Almeida Artifon, Paulo Sakai
CONTEXT: Direct endoscopic visualization of biliopancreatic duct is certainly one of the greatest advances of therapeutic endoscopy. The use of a single-operator cholangioscopy platform (SpyGlass) is a promising technique in the evaluation of diseases such as indeterminate biliary stricture and giant choledocholitiasis. This is the first Brazilian case series using this technology. METHODS: We report a case series of 20 patients in whom SpyGlass was used with diagnostic and therapeutic intention...
July 2014: Arquivos de Gastroenterologia
Urban Arnelo, Antti Siiki, Fredrik Swahn, Ralf Segersvärd, Lars Enochsson, Marco del Chiaro, Lars Lundell, Caroline S Verbeke, J-Matthias Löhr
BACKGROUND AND OBJECTIVE: Even when advanced cross-sectional imaging modalities have been employed, endoscopic evaluation of intraductal papillary mucinous neoplasms (IPMN) is often required in order to assess the final character and extent of lesions. The current study addresses the use of SpyGlass single-operator peroral pancreatoscopy in suspected IPMN. DESIGN: A prospective, non-randomized exploratory cohort study. SETTING: Single-center...
November 2014: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
Arnulf Ferlitsch, Andreas Puespoek, Christoph Gasche
BACKGROUND: Chronic appendicitis may be detected in as many as 10% of patients with right lower quadrant pain. Although the appendiceal orifice is easily identified during colonoscopy, its lumen has not been investigated so far. OBJECTIVES: To determine the feasibility of endoscopic appendix imaging to identify features of chronic appendicitis in patients with recurrent right lower quadrant pain. DESIGN: Prospective, proof-of-concept study...
December 2014: Gastrointestinal Endoscopy
Antti Siiki, Irina Rinta-Kiikka, Tarmo Koivisto, Kaija Vasama, Juhani Sand, Johanna Laukkarinen
UNLABELLED: Early diagnosis of dysplastic changes and exclusion of cholangiocarcinoma (CCA) in patients with primary sclerosing cholangitis (PSC) remain a major clinical challenge. Although SpyGlass single-operator cholangioscopy (SOC) appears effective in diagnostics of indeterminate biliary strictures, there are only few studies on its safety in PSC-related strictures. OBJECTIVE: The aim of this study was to assess the clinical feasibility of SOC and directed biopsies, flow cytometry, and brush cytology in PSC patients...
November 2014: Scandinavian Journal of Gastroenterology
Jong Ho Moon, Hyun Jong Choi, Yun Nah Lee
New technological developments in endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and treatment have been slow to progress. However, several informative study results were presented during the 2014 Digestive Disease Week (DDW; 3 - 6 May; Chicago, Illinois, USA) in specific ERCP areas, such as prevention of post-ERCP pancreatitis using nonsteroidal anti-inflammatory drugs and pancreatic duct stenting. Novel and interesting study results regarding preoperative stent selection for periampullary tumors, metal stents for hilar stricture or for prevention of duodenal reflux, and intraductal biliary tumor ablation using photodynamic therapy or radiofrequency ablation were discussed...
September 2014: Endoscopy
Ken Ito, Yoshinori Igarashi, Naoki Okano, Takahiko Mimura, Yui Kishimoto, Seiichi Hara, Kensuke Takuma
INTRODUCTION: To evaluate the efficacy of combined endoscopic lithotomy and extracorporeal shock wave lithotripsy (ESWL), and additional electrohydraulic lithotripsy (EHL) as needed, for the treatment of pancreatic duct stones, we retrospectively evaluated 98 patients with chronic pancreatitis and pancreatic lithiasis. METHODS: For the management of main pancreatic duct (MPD) stones in 98 patients, we performed combined endoscopic treatment (ET)/ESWL therapy as the first treatment option...
2014: BioMed Research International
Masaaki Shimatani, Makoto Takaoka, Tsukasa Ikeura, Toshiyuki Mitsuyama, Kota Kato, Kazuichi Okazaki
No abstract text is available yet for this article.
2014: Endoscopy
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