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https://www.readbyqxmd.com/read/29147136/step-by-step-strategy-in-the-management-of-residual-hepatolithiasis-using-post-operative-cholangioscopy
#1
REVIEW
Xu-Dong Wen, Tao Wang, Zhu Huang, Hong-Jian Zhang, Bing-Yin Zhang, Li-Jun Tang, Wei-Hui Liu
Hepatolithiasis is the presence of calculi within the intrahepatic bile duct specifically located proximal to the confluence of the left and right hepatic ducts. The ultimate goal of hepatolithiasis treatment is the complete removal of the stone, the correction of the associated strictures and the prevention of recurrent cholangitis. Although hepatectomy could effectively achieve the above goals, it can be restricted by the risk of insufficient residual liver volume, and has a 15.6% rate of residual hepatolithiasis...
November 2017: Therapeutic Advances in Gastroenterology
https://www.readbyqxmd.com/read/29107445/-apple-far-from-the-tree-comparative-effectiveness-of-fiberoptic-single-operator-cholangiopancreatoscopy-fsocp-and-digital-socp-dsocp
#2
Meir Mizrahi, Tawfik Khoury, Yan Wang, Jonah Cohen, Jennifer Sheridan, Ram Chuttani, Tyler M Berzin, Mandeep S Sawhney, Douglas K Pleskow
BACKGROUND: While the fiberoptic single-operator cholangiopancreatoscopy (FSOCP) system has demonstrated efficacy in the diagnosis and management of pancreaticobiliary diseases, the digital SOCP (DSOCP) appears to provide higher resolution digital imaging, however a comparison of these devices has not been established. The aim of this work was to compare the efficacy of FSOCP and DSOCP in biliary stone disease and indeterminate biliary strictures. METHODS: A retrospective analysis of a prospective cohort was performed in patients undergoing FSOCP or DSOCP demographics included indication, diagnostic yield, procedure time, radiation dose, and complications...
October 26, 2017: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29102735/traumatic-bile-duct-neuroma-diagnosed-by-boring-biopsy-with-cholangioscopy
#3
Haruka Toyonaga, Yohei Taniguchi, Tetsuro Inokuma, Yukihiro Imai
No abstract text is available yet for this article.
November 1, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29102615/rendezvous-biliary-recanalization-of-complete-biliary-obstruction-with-direct-peroral-and-percutaneous-transhepatic-cholangioscopy
#4
Majidah A Bukhari
No abstract text is available yet for this article.
November 1, 2017: Gastroenterology
https://www.readbyqxmd.com/read/29101557/uncomplicated-common-bile-duct-stone-removal-guided-by-cholangioscopy-versus-conventional-endoscopic-retrograde-cholangiopancreatography
#5
Wiriyaporn Ridtitid, Thanawat Luangsukrerk, Phonthep Angsuwatcharakon, Panida Piyachaturawat, Prapimphan Aumpansub, Cameron Hurst, Roongruedee Chaiteerakij, Pradermchai Kongkam, Rungsun Rerknimitr
BACKGROUND: Although previous studies have reported the possibility of therapeutic ERCP without fluoroscopy, more robust documentation of fluoroscopy-free common bile duct stone (CBDS) clearance is needed. Technically, "digital cholangioscopy" (DCS) may be used to confirm CBDS clearance. We aimed to compare the feasibility, safety, and radiation exposure between patients with CBDS undergoing stone removal by DCS and conventional ERCP (cERCP). METHODS: Fifty (50) consecutive patients with a CBDS size < 15 mm underwent DCS (SpyGlass DS Direct Visualization System, Boston Scientific, Marlboro, MA, USA) between December 2015 and October 2016...
November 3, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29089269/erc-vs-direct-cholangioscopy-dawn-of-a-new-reference-standard
#6
Vincent Zimmer
No abstract text is available yet for this article.
October 13, 2017: Digestive and Liver Disease
https://www.readbyqxmd.com/read/29074446/efficacy-and-safety-of-digital-single-operator-cholangioscopy-for-difficult-biliary-stones
#7
Olaya I Brewer Gutierrez, Noor L H Bekkali, Isaac Raijman, Richard Sturgess, Divyesh V Sejpal, Hanaa D Aridi, Stuart Sherman, Raj J Shah, Richard S Kwon, James L Buxbaum, Claudio Zulli, Wahid Wassef, Douglas G Adler, Vladimir Kushnir, Andrew Y Wang, Kumar Krishnan, Vivek Kaul, Demetrios Tzimas, Christopher J DiMaio, Sammy Ho, Bret Petersen, Jong Ho Moon, B Joseph Elmunzer, George J M Webster, Yen-I Chen, Laura K Dwyer, Summant Inamdar, Vanessa B Patrick, Augustin Attwell, Amy Hosmer, Christopher Ko, Attilio Maurano, Avik Sarkar, Linda J Taylor, Martin H Gregory, Daniel S Strand, Ali Raza, Shivangi Kothari, Jessica P Harris, Nikhil A Kumta, Amar Manvar, Mark D Topazian, Yun Nah Lee, Clayton M Spiceland, Majidah A Bukhari, Omid Sanaei, Saowanee Ngamruengphong, Mouen A Khashab
BACKGROUND & AIMS: It is not clear whether digital single-operator cholangioscopy (D-SOC) with electrohydraulic and laser lithotripsy is effective in removal of difficult biliary stones. We investigated the safety and efficacy of D-SOC with electrohydraulic and laser lithotripsy in an international, multicenter study of patients with difficult biliary stones. METHODS: We performed a retrospective analysis of 407 patients (60.4% female; mean age, 64.2 years) who underwent D-SOC for difficult biliary stones at 22 tertiary centers in the United States, United Kingdom, or Korea from February 2015 through December 2016; 306 patients underwent electrohydraulic lithotripsy and 101 (24...
October 24, 2017: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29073701/re-purposed-use-of-a-stiffening-wire-as-a-novel-adjunct-for-direct-cholangioscopy-access
#8
Vincent Zimmer
No abstract text is available yet for this article.
November 2017: Endoscopy
https://www.readbyqxmd.com/read/29055922/endoscopic-management-of-primary-sclerosing-cholangitis
#9
Jodie A Barkin, Cynthia Levy, Enrico O Souto
Primary sclerosing cholangitis (PSC) remains a rare but potentially devastating chronic, cholestatic liver disease. PSC causes obstruction of intra- and/or extra-hepatic bile ducts by inflammation and fibrosis, leading to biliary obstruction, cirrhosis and portal hypertension with all associated sequelae. The most dreaded consequence of PSC is cholangiocarcinoma, occurring in 10-20% of patients with PSC, and with population-based estimates of a 398-fold increased risk of cholangiocarcinoma in patients with PSC compared to the general population...
October 16, 2017: Annals of Hepatology
https://www.readbyqxmd.com/read/29053099/-peroral-cholangioscopy
#10
Linn Iren Risanger, Finn Møller Pedersen, Stig Borbjerg Laursen
Peroral cholangioscopy has been used since the 1970'es and provides direct visualization of the biliary tree, possibility of electrohydraulic or laser lithotripsy and visually guided biopsies. This paper presents an overview of the existing literature focusing on the Spyglass single-operator cholangioscopy system. Several studies indicate that cholangioscopy can improve therapy of difficult accessible biliary stones and histological diagnosis in patients with indeterminate bile duct stenoses.
October 16, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29043289/restoration-of-completely-transected-common-bile-duct-continuity-using-single-operator-cholangioscopy
#11
Saad Emhmed Ali, Houssam Mardini, Mohsin Salih, Steven J Krohmer, Wesam M Frandah
Common bile duct (CBD) injury, ranging from a partial tear to a complete transection, is a major surgical complication of cholecystectomy with significant morbidity and mortality. Proper management of these complex injuries depends on the type and extent of injury and time of recognition. Identifying and repairing injuries during cholecystectomy can prevent development of complications, but this only occurs in about one-third of cases. We report a novel technique to reconnect a transected CBD with assistance of single-operator cholangioscopy...
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/29034764/indeterminate-biliary-strictures-a-simplified-approach
#12
Chencheng Xie, Khalil Aloreidi, Bhavesh Patel, Timothy Ridgway, Thavam Thambi-Pillai, Gary Timmerman, Adeel Khan, Muslim Atiq
Pre-operative evaluation of biliary strictures remains challenging. The dilemma that exists is how to balance the risk of failing to detect malignancy and the potential morbidity caused by unnecessary surgery in patients with benign etiologies. With emerging novel diagnostic modalities, this study aims to assess the efficacy of diagnostic techniques and facilitate a clinical approach to indeterminate biliary strictures. Areas covered: Conventional imaging modalities are crucial in identifying the location of a stricture and are helpful for choosing further diagnostic modalities...
October 23, 2017: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29033423/recurrent-bleeding-from-a-hepatic-artery-pseudoaneurysm-after-biliary-stent-placement
#13
Kenji Yamauchi, Daisuke Uchida, Hironari Kato, Hiroyuki Okada
A 78-year-old woman was admitted with benign biliary stenosis. A plastic stent was placed at the left branch to prevent obstructive cholangitis. Two weeks after the procedure, the patient was readmitted with cholangitis caused by hemobilia. However, computed tomography (CT), endoscopic retrograde cholangiopancreatography (ERCP), peroral cholangioscopy, and abdominal angiography failed to establish the bleeding source. At the seventh bleeding, CT revealed a hepatic artery pseudoaneurysm for which coil embolization was successfully performed...
October 16, 2017: Internal Medicine
https://www.readbyqxmd.com/read/28992640/electronic-hydraulic-lithotripsy-by-antegrade-digital-cholangioscopy-through-endoscopic-ultrasound-guided-hepaticojejunostomy
#14
Yasuo Otsuka, Ken Kamata, Mamoru Takenaka, Kosuke Minaga, Hidekazu Tanaka, Masatoshi Kudo
No abstract text is available yet for this article.
October 9, 2017: Endoscopy
https://www.readbyqxmd.com/read/28990806/optimizing-the-detection-of-biliary-dysplasia-in-primary-sclerosing-cholangitis-before-liver-transplantation
#15
Ammar Majeed, Maria Castedal, Urban Arnelo, Gunnar Söderdahl, Annika Bergquist, Karouk Said
BACKGROUND: Patients with primary sclerosing cholangitis (PSC) have increased risk of cholangiocarcinoma (CCA). We evaluated pre-transplant work-up in PSC patients, to search for the most effective strategy for the detection of biliary dysplasia or early CCA. METHODS: Two hundred and twenty five consecutive PSC patients undergoing liver transplantation (LTx) in Sweden between 1999 and 2013 were studied. Patients with CCA or dysplasia in the explanted liver were compared with those with benign histopathology...
October 9, 2017: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/28974362/biliary-intervention-using-spyglass-ds-cholangioscopy-through-a-cap-attached-variable-stiffness-colonoscope-in-a-patient-following-billroth-ii-gastrectomy
#16
Tesshin Ban, Hiroshi Kawakami, Yoshimasa Kubota
The SpyGlass DS system is currently used as a direct video cholangioscope for biliary diagnostic and therapeutic procedures. In general, the SpyGlass DS cholangioscope is passed through the working channel of a duodenoscope and inserted into a bile duct via duodenal papilla. However, the procedure has been challenging in patients with altered gastrointestinal anatomy due to the retrograde route through a potentially tortuous afferent limb. A therapeutic colonoscope with variable stiffness can offer alternative guidance for SpyGlass DS cholangioscope in patients with surgically altered gastrointestinal anatomy...
September 2017: Arab Journal of Gastroenterology: the Official Publication of the Pan-Arab Association of Gastroenterology
https://www.readbyqxmd.com/read/28944047/novel-biomarkers-and-endoscopic-techniques-for-diagnosing-pancreaticobiliary-malignancy
#17
REVIEW
Margaret G Keane, Amar Shah, Stephen P Pereira, Deepak Joshi
The UK incidence of pancreatic ductal adenocarcinoma is 9 per 100,000 population, and biliary tract cancer occurs at a rate of 1-2 per 100,000. The incidence of both cancers is increasing annually and these tumours continue to be diagnosed late and at an advanced stage, limiting options for curative treatment. Population-based screening programmes do not exist for these cancers, and diagnosis currently is dependent on symptom recognition, but often symptoms are not present until the disease is advanced. Recently, a number of promising blood and urine biomarkers have been described for pancreaticobiliary malignancy and are summarised in this review...
2017: F1000Research
https://www.readbyqxmd.com/read/28932727/effectiveness-of-cholangioscopy-using-narrow-band-imaging-for-hepatobiliary-malignancies
#18
Ji Woong Jang, Dong Hyo Noh, Kyu-Hyun Paik, Sae Hee Kim, Il-Hyun Paik, Sung Hee Jung
PURPOSE: Recently, cholangioscopy using narrow band imaging (NBI) has been used as a diagnostic modality for better visualization in hepatobiliary malignancies; however, there are few reports on it. Our aim is to evaluate the effectiveness of cholangioscopy using NBI in hepatobiliary malignancies. METHODS: Between January 2007 and December 2016, 152 cholangioscopies using percutaneous approach were conducted in total 123 patients. Among these, 36 patients were suspicious of hepatobiliary malignancies...
September 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28931489/the-endoscopist-and-malignant-and-non-malignant-biliary-obstruction
#19
REVIEW
S P Pereira, G Goodchild, G J M Webster
Patients with biliary strictures often represent a diagnostic and therapeutic challenge, due to the site and complexity of biliary obstruction and wide differential diagnosis. Multidisciplinary decision making is required to reach an accurate and timely diagnosis and to plan optimal care. Developments in endoscopic ultrasound and peroral cholangioscopy have advanced the diagnostic yield of biliary endoscopy, and novel optical imaging techniques are emerging. Endoscopic approaches to biliary drainage are preferred in most scenarios, and recent advances in therapeutic endoscopic ultrasound allow drainage where the previous alternatives were only percutaneous or surgical...
September 18, 2017: Biochimica et Biophysica Acta
https://www.readbyqxmd.com/read/28926850/spyglass-percutaneous-transhepatic-cholangioscopy-guided-lithotripsy-of-a-large-intrahepatic-stone
#20
Tomazo Franzini, Leandro Cardarelli-Leite, Estela Regina Ramos Figueira, Flávio Morita, Fernanda Uchiyama Golghetto Domingos, Francisco Cesar Carnevale, Eduardo Guimarães Hourneaux de Moura
No abstract text is available yet for this article.
September 19, 2017: Endoscopy
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