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G Mbatshi, E J Macken, H U De Schepper, H Piessevaux, P H Deprez, T G Moreels
Endoscopic retrograde cholangiopancreatography (ERCP) in Billroth II patients is challenging and different endoscopes can be used. We retrospectively analysed 67 ERCP procedures in 38 Billroth II patients focussing on endoscope type and respective technical success and adverse event rate. 33 (49.2 %) ERCPs were performed using a duodenoscope, 87.9 % were successful and 3 were completed with the single-balloon enteroscope. 28 (41.8 %) ERCPs were performed with the single-balloon enteroscope, 82.1 % were successful and 2 were completed with a paediatric colonoscope...
October 2017: Acta Gastro-enterologica Belgica
V Zimmer
No abstract text is available yet for this article.
March 15, 2018: Clinics and Research in Hepatology and Gastroenterology
Agazi Gebreselassie, Majidah Bukhari, Ahmad Awan, Mouen Khashab
Portal vein thrombosis with cavernous transformation is a rare cause of biliary obstruction. Portal biliopathy is a term that refers to abnormalities in the intrahepatic and extrahepatic biliary tract, gall bladder, and cystic duct secondary to portal hypertension. Patients may be asymptomatic, but they can also present with abdominal pain, jaundice, and fever. We present the case of a 61-year-old Caucasian female who presented with generalized weakness, dark urine, and yellow skin for three days' duration...
January 9, 2018: Curēus
Amy Tyberg, Isaac Raijman, Ali Siddiqui, Urban Arnelo, Douglas G Adler, Ming-Ming Xu, Najib Nassani, Divyesh V Sejpal, Prashant Kedia, Yun Nah Lee, Frank G Gress, Sammy Ho, Monica Gaidhane, Michel Kahaleh
INTRODUCTION: In patients with pancreaticobiliary lesions anticipating surgical resection, digital pancreaticocholangioscopy can be used to identify the extent of disease. This presurgical"mapping" could change the surgical plan and optimize patient care. MATERIALS AND METHODS: Patients with pancreaticobiliary lesions anticipating surgery who underwent endoscopic retrograde cholangiopancreatography with digital pancreaticocholangioscopy from 9 international centers were included...
March 6, 2018: Journal of Clinical Gastroenterology
Jessica Bernica, Sherif Alhanafi, Neeharika Kalkota, Yi Jia, Christopher Dodoo, Alok Dwivedi, Robert J Sealock, Kalpesh Patel, Isaac Raijman, Marc J Zuckerman, Mohamed Othman
BACKGROUND: Although cholangioscopy is a widespread technique used during Endoscopic Retrograde Cholangiopancreatiography (ERCP), its safety and feasibility in the elderly are not well established. This study aims to evaluate the safety and feasibility of ERCP in elderly patients. METHODS: A retrospective study of all ERCPs with single operator cholangioscopy (SOC) was conducted at three tertiary referral hospitals between March 2012 and October 2015 (specific dates varying by center)...
March 2, 2018: Clinical Gastroenterology and Hepatology
Yong Zhou, Wen-Zhang Zha, Xu-Dong Wu, Ren-Gen Fan, Biao Zhang, Yong-Hua Xu, Cheng-Lin Qin, Jing Jia
BACKGROUND: Hepatectomy and additional common bile duct exploration are required for the treatment of left-sided hepatolithiasis (LSH). METHODS: Eligible LSH patients (n = 62) scheduled for open left lateral segmentectomy or left hemihepatectomy with intraoperative biliary exploration via the left hepatic duct orifice (LHD group, n = 35) or the common bile duct (CBD group, n = 27) were retrospectively studied. T-tube insertion was performed on selected patients...
January 2018: Medicine (Baltimore)
Waleed Fateen, Nick Taylor, Martin W James
No abstract text is available yet for this article.
March 1, 2018: Annals of Hepatology
Víctor Sánchez Cerna, Christian Alcántara Figueroa, Tania Reyes Mugruza, Lisbeth Acorda Sifuentes, Miguel Valverde Huamán, Mario Valdivia Roldán, Gloria Várgas Cárdenas, Corina Mayuri Bravo de Rueda, Rolando Tito La Torre, Jeimy Ramos Pacheco, Miguel Chávez Rossell, Lucinda Morán Tisoc
INTRODUCTION: Cholangioscopy is a test that allows the evaluation of the biliary epithelium. It is used for diagnosis and management of biliary diseases. OBJECTIVES: Determine the success rate of complete removal of difficult stones with the use of laser lithotripsy through cholangioscopy as well as its complications. Determine the visual impression accuracy of bile duct injuries. MATERIALS AND METHODS: This is a prospective and descriptive study...
October 2017: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Kilian Weigand, Arne Kandulski, Ina Zuber-Jerger, Martina Mueller, Holger Goessmann
No abstract text is available yet for this article.
February 16, 2018: Endoscopy
Takeshi Ogura, Atsushi Okuda, Akira Miyano, Nobu Nishioka, Kazuhide Higuchi
No abstract text is available yet for this article.
February 16, 2018: Endoscopy
Rieko Kamiyama, Takeshi Ogura, Atsushi Okuda, Akira Miyano, Nobu Nishioka, Miyuki Imanishi, Wataru Takagi, Kazuhide Higuchi
Background/Aims: Electrohydraulic lithotripsy (EHL) under endoscopic retrograde cholangiopancreatography (ERCP) guidance can be an option to treat difficult stones. Recently, a digital, single-operator cholangioscope (SPY-DS) has become available. Peroral transluminal cholangioscopy (PTLC) using SPY-DS has also been reported. In this retrospective study, the technical feasibility and clinical effectiveness of EHL for difficult bile duct stones under ERCP guidance and under PTLC guidance was examined...
February 8, 2018: Gut and Liver
Tomazo Franzini, Renata Nobre Moura, Priscilla Bonifácio, Gustavo Oliveira Luz, Thiago Ferreira de Souza, Marcos Eduardo Lera Dos Santos, Gustavo Luis Rodela, Edson Ide, Paulo Herman, André Luis Montagnini, Luiz Augusto Carneiro D'Albuquerque, Paulo Sakai, Eduardo Guimarães Hourneaux de Moura
Background and study aims:  Endoscopic removal of biliary stones has high success rates, ranging between 85 % to 95 %. Nevertheless, some stones may be challenging and different endoscopic methods have evolved. Papillary large balloon dilation after sphincterotomy is a widely used technique with success rates ranging from 68 to 90 % for stones larger than 15 mm. Cholangioscopy allows performing lithotripsy under direct biliary visualization, either by laser or electrohydraulic waves, which have similar success rate (80 % - 90 %)...
February 2018: Endoscopy International Open
Amy Hosmer, Mohamed M Abdelfatah, Ryan Law, Todd H Baron
Background and study aims:  Endoscopic retrograde cholangiography (ERC) in patients with complex surgically-altered anatomy (SAA) is technically demanding and has limitations. Developments in EUS-guided procedures allow alternative approaches for patients with altered gastrointestinal anatomy and biliary lithiasis. Patients and methods:  Single-center, retrospective review of prospectively entered patients with SAA who underwent EUS-guided hepaticogastrostomy (HGS) followed by an interval antegrade endoscopic clearance of biliary lithiasis...
February 2018: Endoscopy International Open
Andrea Anderloni, Alessandro Fugazza, Francesco Auriemma, Roberta Maselli, Ferdinando D'Amico, Edoardo Troncone, Alessandro Repici
No abstract text is available yet for this article.
February 2, 2018: Endoscopy
Kazuhito Uemura, Hiroaki Takahashi, Kazuhiro Mino, Takuji Ota, Shunsuke Shichi
We report a case of combined hepatocellular and cholangiocarcinoma with hemobilia. A 65-year-old man was admitted to our hospital because of pain in the right hypochondralrigion. Abdominal ultrasonography revealed bile duct dilatation in the lateral segment of liver and blood test findings showed elevation of the hepatobiliary enzyme, so ERC was performed and hemorrhage from the duodenal papilla was observed. In cholangiography, dilation of the left hepatic bile duct and filling defect were observed, and in the peroral cholangioscopy, a hemorrhagic papillary elevated lesion was identified in the left hepatic bile duct and diagnosed as adenocarcinoma as a result of biopsy...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Usman Iqbal Aujla, Nimzing Ladep, Laura Dwyer, Stephen Hood, Nicholas Stern, Richard Sturgess
AIM: To describe the efficacy and safety of endoscopic papillary large balloon dilatation (EPLBD) in the management of bile duct stones in a Western population. METHODS: Data was collected from the endoscopic retrograde cholangiopancreatography (ERCP) and Radiology electronic database along with a review of case notes over a period of six years from 1st August 2009 to 31st July 2015 and incorporated into Microsoft excel. Statistical analyses were performed using MedCalc for Windows, version 12...
December 28, 2017: World Journal of Gastroenterology: WJG
Takeshi Ogura, Atsushi Okuda, Akira Miyano, Nobu Nishioka, Kazuhide Higuchi
No abstract text is available yet for this article.
January 12, 2018: Endoscopy
Andrea Anderloni, Francesco Auriemma, Alessandro Fugazza, Roberta Maselli, Alessandro Repici
No abstract text is available yet for this article.
January 12, 2018: Endoscopy
Mohammad F Ali, Rani Modayil, Krishna C Gurram, Collin Brathwaite, David Friedel, Stavros Stavropoulos
BACKGROUND: Deep enteroscopy-assisted ERCP (DEA-ERCP) in post-bariatric Roux-en-Y (RY) anatomy is challenging. Laparoscopy-assisted ERCP (LA-ERCP) or EUS-directed transgastric ERCP (EDGE) are technically easier and faster, but are more invasive and morbid procedures. Therefore, we have used DEA-ERCP as our first-line approach, reserving EDGE and LA-ERCP for cases in which adjunctive techniques that cannot be performed through an enteroscope are required (eg, EUS-FNA, SO manometry), or DEA-ERCP failures...
January 6, 2018: Gastrointestinal Endoscopy
Ryunosuke Hakuta, Hirofumi Kogure, Yousuke Nakai, Naminatsu Takahara, Suguru Mizuno, Minoru Tada, Kazuhiko Koike
No abstract text is available yet for this article.
December 15, 2017: Endoscopy
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