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https://www.readbyqxmd.com/read/28208009/impact-of-a-newly-developed-short-double-balloon-enteroscope-on-stent-placement-in-patients-with-surgically-altered-anatomies
#1
Koichiro Tsutsumi, Hironari Kato, Hiroyuki Okada
A newly developed short double-balloon enteroscope with a working channel enlarged to a diameter of 3.2 mm is a novel innovation in stent placement for patients with surgically altered anatomies. Herein, we report three patients in whom this new scope contributed to an efficient technique and ideal treatment. In the first case, the double guidewire technique was efficient and effective for multiple stent placements. In the second case, covered self-expandable metal stent (SEMS) placement, which is the standard treatment for malignant biliary obstruction, could be performed in a technologically sound and safe manner...
February 17, 2017: Gut and Liver
https://www.readbyqxmd.com/read/28194595/double-balloon-colonoscopy-has-a-higher-cecal-intubation-rate-than-conventional-colonoscopy-using-a-colon-simulator
#2
Keijiro Sunada, Satoshi Shinozaki, Tomonori Yano, Yoshikazu Hayashi, Hirotsugu Sakamoto, Alan Kawarai Lefor, Hironori Yamamoto
BACKGROUND/AIM: Cecal intubation using conventional colonoscopy (CC) requires substantial training. We hypothesized that double-balloon colonoscopy (DBC) facilitates cecal intubation by endoscopy naïve operators. The aim of this study is to evaluate the cecal intubation rate and learning curve of DBC compared with CC. METHODS: Eighteen endoscopy naïve medical students were allocated to two groups and attempted cecal intubation within 20 min using a colon simulator...
February 13, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28191494/specific-characteristics-of-hemorrhagic-meckel-s-diverticulum-at-double-balloon-endoscopy
#3
Yasuyuki Mizutani, Masanao Nakamura, Osamu Watanabe, Takeshi Yamamura, Kohei Funasaka, Eizaburo Ohno, Hiroki Kawashima, Ryoji Miyahara, Alberto Murino, Hidemi Goto, Yoshiki Hirooka
Background and study aims Diagnosis of Meckel's diverticulum (MD) before surgery may be challenging; double-balloon endoscopy (DBE) facilitates identification of MD in the setting of a gastrointestinal bleeding; however, MD can be found incidentally without this condition. The purpose of this research was to determine specific characteristic of hemorrhagic MD and incidental MD at DBE. Patients and methods Ectopic gastric mucosa enclosed in the MD and/or ulceration were defined as "major findings"; ring-like scar surrounding the MD was defined as "minor finding"...
January 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28188060/mesenteric-findings-of-ct-enterography-are-well-correlated-with-the-endoscopic-severity-of-crohn-s-disease
#4
Takehiro Sakurai, Tatsuro Katsuno, Keiko Saito, Sayuri Yoshihama, Tomoo Nakagawa, Hirotaka Koseki, Takashi Taida, Hideaki Ishigami, Ken-Ichiro Okimoto, Daisuke Maruoka, Tomoaki Matsumura, Makoto Arai, Osamu Yokosuka
BACKGROUND: Maintenance of mucosal healing is a primary goal when treating Crohn's disease (CD). Endoscopy is the most precise method for the assessment of mucosal healing, but is considered overly invasive for patients with CD. In contrast, CT enterography (CTE) is less invasive, but little is known about the correlation between mucosal status and CTE parameters. METHODS: We recruited CD patients who underwent CTE and double balloon endoscopy (DBE) on the same day at our hospital between 2012 and 2014...
November 27, 2016: European Journal of Radiology
https://www.readbyqxmd.com/read/28182300/endoscopic-double-stenting-for-gastrojejunostomy-anastomotic-and-biliary-obstruction-in-a-patient-with-roux-en-y-reconstruction
#5
Tadahisa Inoue, Kiyoaki Ito, Masashi Yoneda
Although it has been reported that endoscopic double stenting using a self-expandable metallic stent (SEMS) for gastroduodenal and biliary obstruction is useful [1-2], the efficacy and safety of performing double stenting using balloon enteroscopy is uncertain in patients with surgically altered anatomy. We describe a patient who had undergone gastrectomy and then underwent endoscopic double stenting for gastrojejunostomy anastomotic and biliary obstruction. A man in his 50s with a history of having undergone distal gastrectomy with Roux-en-Y reconstruction because of gastric cancer developed gastrojejunostomy anastomotic obstruction due to local anastomotic recurrence and peritoneal dissemination (Fig...
February 9, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28181995/is-the-bishop-score-significant-in-predicting-the-success-of-labor-induction-in-multiparous-women
#6
D Navve, N Orenstein, R Ribak, Y Daykan, G Shechter-Maor, T Biron-Shental
OBJECTIVE: To determine whether the Bishop-score upon admission effects mode of delivery, maternal or neonatal outcomes of labor induction in multiparous women. STUDY DESIGN: A retrospective study including 600 multiparous women with a singleton pregnancy, 34 gestational weeks and above who underwent labor induction for maternal, fetal or combined indications. Induction was performed with one of three methods- oxytocin, a slow release vaginal prostaglandin E2 insert (10 mg dinoprostone) or a transcervical double balloon catheter...
February 9, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/28180927/short-segment-coil-embolization-using-a-double-balloon-technique-in-an-experimental-vascular-model
#7
Daisuke Yunaiyama, Toru Saguchi, Tomohisa Moriya, Natsuhiko Shirota, Jun Otaka, Koichi Tokuuye, Yuichi Nagakawa, Akihiko Tsuchida, Kazuhiro Saito
PURPOSE: To evaluate the feasibility of short-segment coil embolization between 2 balloons for tight packing in an experimental vascular model. MATERIALS AND METHODS: Three coil embolization techniques were performed by 5 interventional radiologists as follows: (1) proximal balloon technique (proximal BT) which involved proximal balloon inflation and coil deployment over the balloon, (2) distal balloon technique (distal BT) which involved distal balloon inflation and coil deployment at the proximal side of the inflated balloon, and (3) double-balloon technique (DBT) which involved coil deployment between 2 inflated balloons...
February 8, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28172763/p165-impact-of-double-balloon-endoscopy-on-management-of-small-bowel-crohn-s-disease
#8
A Madian, M Matsuura, A El Bahrawy, H Nakase, T Chiba, M N Rafaat
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28162902/coronary-subclavian-steal-syndrome-successfully-treated-with-subclavian-artery-stenting-a-report-of-2-cases
#9
Satoshi Murai, Hisakazu Itami, Kazuhiko Nishi, Shinji Otsuka, Noboru Kusaka, Tsukasa Nishiura, Kotaro Ogihara
Coronary subclavian steal syndrome (CSSS) is a well-recognized phenomenon secondary to coronary artery bypass grafting and may cause myocardial ischemia. We report 2 cases of CSSS successfully treated with subclavian artery (SA) stenting. In both cases, an Optimo balloon guiding catheter was placed in the SA immediately proximal to the vertebral artery (VA) origin as a double protection system for the VA and left internal thoracic artery (LITA) graft. There were no periprocedural complications. Balloon protection for both the VA and LITA using a single balloon guiding catheter is a reasonable and safe technique for preventing distal embolisms...
February 2, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28161705/endoscopic-characteristics-risk-grade-and-prognostic-prediction-in-gastrointestinal-stromal-tumors-of-the-small-bowel
#10
Arihiro Nakano, Masanao Nakamura, Osamu Watanabe, Takeshi Yamamura, Kohei Funasaka, Eizaburo Ohno, Hiroki Kawashima, Ryoji Miyahara, Hidemi Goto, Yoshiki Hirooka
BACKGROUND/AIMS: Balloon-assisted endoscopy allows us to diagnose gastrointestinal (GI) stromal tumors (GISTs) in the small bowel including endoscopic ultrasonography and taking biopsy. The aim of this study was to retrospectively clarify clinical and endoscopic characteristics of small bowel GISTs using double-balloon endoscopy (DBE). METHODS: We reviewed 25 patients who underwent DBE and were diagnosed with GISTs. The risk of GISTs was stratified using the National Institute of Health (NIH) consensus criteria...
February 4, 2017: Digestion
https://www.readbyqxmd.com/read/28147477/what-is-the-role-of-double-balloon-endoscopy-in-patients-presenting-with-obscure-gastrointestinal-bleeding
#11
Jung Ho Kim, Kwang An Kwon
No abstract text is available yet for this article.
January 2017: Clinical Endoscopy
https://www.readbyqxmd.com/read/28135732/endoscopic-full-thickness-resection-for-inverted-meckel-s-diverticulum-using-double-balloon-enteroscopy
#12
Kazutoshi Konomatsu, Toshio Kuwai, Toshiki Yamaguchi, Hiroki Imagawa, Atsushi Yamaguchi, Hirotaka Kouno, Hiroshi Kohno
No abstract text is available yet for this article.
February 2017: Endoscopy
https://www.readbyqxmd.com/read/28133265/-endoscopic-stent-placement-to-alleviate-afferent-loop-syndrome-following-recurrence-of-pancreatic-cancer
#13
Masahiro Murakami, Junzo Shimizu, Chikato Koga, Tae Matsumura, Chizu Kameda, Ryohei Kawabata, Masaki Hirota, Masato Yoshikawa, Shingo Noura, Yukihiro Kusumoto, Motohiro Hirao, Masahiko Tsujii, Junichi Hasegawa
We report a case of endoscopic stent placement to alleviate afferent loop syndrome following recurrence of pancreatic cancer. A 73-year-old man who had undergone pancreatic duodenectomy with portal vein resection for pancreatic cancer had developed a local recurrence and was treated with chemotherapy. He developed a high-grade fever and general fatigue, and laboratory data revealed anemia and a high inflammatory reaction; therefore, he was admitted to our hospital. CT scans revealed intestinal stenosis and upper dilatation, known as afferent loop syndrome, caused by the recurrence...
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28123471/endovascular-treatment-of-irregular-and-complicated-intracranial-aneurysms-with-coils-using-double-microcatheter-technique
#14
Yang Zhang, Ge Gao, Yingjiu Chao, Yu Chen, Jian Yu, Daqun Gu, Jianjun Wei, Chaoshi Niu, Xianming Fu
Embolisation of irregular and complicated aneurysms is a great challenge for neuroradiologists. To overcome possible complications of endovascular treatment of these type of aneurysms, methods such as intracranial stents, balloon remodelling, and the double microcatheter technique have been developed. The aim of the study was to report our preliminary experience with endovascular treatment of irregular and complicated intracranial aneurysm with coils using double microcatheter technique, and evaluation of its feasibility and clinical advantages...
January 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28122805/clinical-outcome-of-double-kissing-crush-versus-provisional-stenting-of-coronary-artery-bifurcation-lesions-the-5-year-follow-up-results-from-a-randomized-and-multicenter-dkcrush-ii-study-randomized-study-on-double-kissing-crush-technique-versus-provisional
#15
Shao-Liang Chen, Teguh Santoso, Jun-Jie Zhang, Fei Ye, Ya-Wei Xu, Qiang Fu, Jing Kan, Feng-Fu Zhang, Yong Zhou, Du-Jiang Xie, Tak W Kwan
BACKGROUND: Provisional stenting is effective for anatomic simple bifurcation lesions. Double kissing crush stenting reduces the 1-year rate of target lesion revascularization. This study aimed to investigate the 5-year clinical results of the DKCRUSH-II study (Randomized Study on Double Kissing Crush Technique Versus Provisional Stenting Technique for Coronary Artery Bifurcation Lesions). METHODS AND RESULTS: A total of 370 patients with coronary bifurcation lesions who were randomly assigned to either the double kissing crush or provisional stenting group in the DKCRUSH-II study were followed for 5 years...
February 2017: Circulation. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28101304/gastric-antral-webs-in-adults-a-case-series-characterizing-their-clinical-presentation-and-management-in-the-modern-endoscopic-era
#16
Shannon J Morales, Neha Nigam, Walid M Chalhoub, Dalia I Abdelaziz, James H Lewis, Stanley B Benjamin
AIM: To investigate the current management of gastric antral webs (GAWs) among adults and identify optimal endoscopic and/or surgical management for these patients. METHODS: We reviewed our endoscopy database seeking to identify patients in whom a GAW was visualized among 24640 esophagogastroduodenoscopies (EGD) over a seven-year period (2006-2013) at a single tertiary care center. The diagnosis of GAW was suspected during EGD if aperture size of the antrum did not vary with peristalsis or if a "double bulb" sign was present on upper gastrointestinal series...
January 16, 2017: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28076941/double-balloon-endoscopy-in-overt-and-occult-small-bowel-bleeding-results-complications-and-correlation-with-prior-videocapsule-endoscopy-in-a-tertiary-referral-center
#17
Carlijn Hermans, Arnold Stronkhorst, Annemarie Tjhie-Wensing, Jan Kamphuis, Bas van Balkom, Rob Dahlmans, Lennard Gilissen
BACKGROUND/AIMS: Videocapsule endoscopy (VCE) and double-balloon endoscopy (DBE) allow deep exploration in patients with suspected small bowel pathology. VCE is often performed as an initial small bowel examination to explore whether an intervention by DBE is indicated and to determine insertion route. The study aim was to evaluate the correlation between DBE and VCE in patients with obscure or overt bleeding or anemia, as well as intervention frequency, and complications. METHODS: Retrospective observational study...
January 2017: Clinical Endoscopy
https://www.readbyqxmd.com/read/28075036/double-trouble-a-case-of-periprocedural-detection-of-intracardiac-thrombus-and-aortic-root-dissection-during-emergent-transfemoral-tavr
#18
Carlos Corredor, Eric Horlick, Wendy Tsang, Massimiliano Meineri
We report a case of emergency transcatheter aortic valve replacement (TAVR) in a 65-year-old patient presenting with decompensated severe aortic stenosis. Transesophageal echocardiography (TEE) was used effectively to obtain measurements of the aortic annulus and for intra-procedural guidance. At baseline, we detected a left atrial appendage thrombus and a localized aortic root dissection after balloon valvuloplasty. The case highlights the important role that TEE may play during TAVR procedures.
January 11, 2017: Echocardiography
https://www.readbyqxmd.com/read/28070227/disposable-fluidic-actuators-for-miniature-in-vivo-surgical-robotics
#19
Abolfazl Pourghodrat, Carl A Nelson
Fusion of robotics and minimally invasive surgery (MIS) has created new opportunities to develop diagnostic and therapeutic tools. Surgical robotics is advancing from externally actuated systems to miniature in-vivo robotics. However, with miniaturization of electric-motor-driven surgical robots, there comes a trade-off between the size of the robot and its capability. Slow actuation, low load capacity, sterilization difficulties, leaking electricity and transferring produced heat to tissues, and high cost are among the key limitations of the use of electric motors in in-vivo applications...
March 2017: Journal of Medical Devices
https://www.readbyqxmd.com/read/28068702/double-balloon-enteroscopy-assisted-ercp-in-situs-inversus-with-roux-en-y-hepaticojejunostomy-for-complex-anastomotic-stricture-dilated-with-soehendra-stent-retriever
#20
Tadahisa Inoue, Takaya Yamamoto, Norimitsu Ishii, Yuji Kobayashi, Kiyoaki Ito, Masashi Yoneda
No abstract text is available yet for this article.
February 2017: Endoscopy
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