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Endoscopic retrograde cholangiopancreatography

https://read.qxmd.com/read/38486672/outcome-of-long-term-biliary-stenting-for-stones-in-the-2010s-beware-the-cholecystectomised
#1
JOURNAL ARTICLE
Jamal Ahmed, Priyanka Prakash, Gney Mehta, Tessa Davies, Yin Yin Lim, Nicholas D Cross, Marek Alexander Czajkowski, Miles Clifford Allison
OBJECTIVE: Endoscopic retrograde cholangiopancreatography (ERCP) is the mainstay of management for most patients with common bile duct stones (CBDS). Duct clearance at initial ERCP may not be achieved in a third of patients, many of whom may be elderly with multiple comorbidities rendering them at potentially high risk for further procedures. We aimed to quantify the rate of biliary sequelae and mortality among a large cohort undergoing a single ERCP with sphincterotomy and stent insertion without having undergone complete ductal clearance (permanent stent insertion, PSI), and to examine factors that may predispose to adverse outcomes...
March 2024: Frontline Gastroenterology
https://read.qxmd.com/read/38477473/diagnostic-efficacy-of-a-novel-rotating-brush-for-endoscopic-sampling-of-malignant-biliary-strictures-a-multicenter-prospective-study
#2
JOURNAL ARTICLE
Mingxing Xia, Zhenyang Shen, Haiming Zheng, Lin Yuan, Jiangfeng Hu, Yi Zhao, Dongxun Zhou, Xianghui Bai, Junjun Wang, Xiaoman Li, Weiming Dai, Mei Kang, Hui Zhou, Rong Wan, Lungen Lu, Bing Hu, Xinjian Wan, Xiaobo Cai
OBJECTIVES: Although cytologic examination of biliary stricture brushings obtained via endoscopic retrograde cholangiopancreatography (ERCP) is commonly used for diagnosing malignant biliary strictures (MBSs), it has low sensitivity. Several new brushes have capabilities that are still being debated. We have developed a novel brush working from conventional back-and-forth movement to rotation in situ (RIS) that may be more efficient for MBS sampling. We aimed to compare the MBSs detection sensitivity of our RIS brush with that of the conventional brush...
March 13, 2024: American Journal of Gastroenterology
https://read.qxmd.com/read/38477455/using-gel-immersion-endoscopy-to-control-duodenum-spasm-during-endoscopic-retrograde-cholangiopancreatography
#3
JOURNAL ARTICLE
Yuki Ishikawa-Kakiya, Hirotsugu Maruyama, Kojiro Tanoue, Akira Higashimori, Shusei Fukunaga, Yasuhiro Fujiwara
No abstract text is available yet for this article.
March 13, 2024: American Journal of Gastroenterology
https://read.qxmd.com/read/38473337/association-between-cholecystectomy-and-the-incidence-of-pancreaticobiliary-cancer-after-endoscopic-choledocholithiasis-management
#4
JOURNAL ARTICLE
Chi-Chih Wang, Jing-Yang Huang, Li-Han Weng, Yao-Chun Hsu, Wen-Wei Sung, Chao-Yen Huang, Chun-Che Lin, James Cheng-Chung Wei, Ming-Chang Tsai
(1) Background: Previous studies have raised concerns about a potential increase in pancreaticobiliary cancer risk after cholecystectomy, but few studies have focused on patients who undergo cholecystectomy after receiving endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis. This study aims to clarify cancer risks in these patients, who usually require cholecystectomy, to reduce recurrent biliary events. (2) Methods: We conducted a nationwide cohort study linked to the National Health Insurance Research Database, the Cancer Registry Database, and the Death Registry Records to evaluate the risk of pancreaticobiliary cancers...
February 28, 2024: Cancers
https://read.qxmd.com/read/38472961/updates-in-diagnosis-and-endoscopic-management-of-cholangiocarcinoma
#5
REVIEW
Roxana-Luiza Caragut, Madalina Ilie, Teodor Cabel, Deniz Günșahin, Afrodita Panaitescu, Christopher Pavel, Oana Mihaela Plotogea, Ecaterina Mihaela Rînja, Gabriel Constantinescu, Vasile Sandru
Cholangiocarcinoma (CCA) is an adenocarcinoma originating from the epithelial cells of the bile ducts/hepatocytes or peribiliary glands. There are three types of cholangiocarcinoma: intrahepatic, perihilar and distal. CCA represents approximately 3% of the gastrointestinal malignancies. The incidence of CCA is higher in regions of the Eastern world compared to the Western countries. There are multiple risk factors associated with cholangiocarcinoma such as liver fluke, primary sclerosing cholangitis, chronic hepatitis B, liver cirrhosis and non-alcoholic fatty liver disease...
February 24, 2024: Diagnostics
https://read.qxmd.com/read/38470865/comparative-study-between-biliary-covered-self-expandable-metal-stent-and-conventional-endoscopic-bile-drainage-treatment-in-endoscopic-retrograde-cholangiopancreatography-related-stapfer-type-ii-retroperitoneal-perforations
#6
JOURNAL ARTICLE
Jun Heo, Min Kyu Jung, Jieun Lee, Dong Wook Lee, Chang Min Cho, Jung Guen Cha
BACKGROUND: Perforation is one of the most serious complications of endoscopic retrograde cholangiopancreatography (ERCP). Conventional nonsurgical endoscopic treatments including intravenous antibiotic administration and plastic endoscopic biliary drainage are generally approved for the treatment of ERCP-related Stapfer type II perforation (perivaterian type). Biliary covered metal stent placement has recently been reported to have favorable outcomes in ERCP-related Stapfer type II perforations...
2024: PloS One
https://read.qxmd.com/read/38463814/comparing-sedation-protocols-for-endoscopic-retrograde-cholangiopancreatography-ercp-a-retrospective-study
#7
JOURNAL ARTICLE
Ning Zhang, Guanjun Li
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is a widely used diagnostic and therapeutic procedure. Effective sedation is crucial to enhance patient comfort and optimize endoscopist performance. Various sedation protocols, including Propofol and Dexmedetomidine (Pro-Dex), Ketamine and Propofol (Keto-Fol), Propofol and Midazolam (Pro-Mid), and Propofol alone, have been utilized during ERCP. This retrospective study aims to compare the safety and efficacy of these four sedation protocols...
March 15, 2024: Heliyon
https://read.qxmd.com/read/38463375/early-endoscopic-management-of-an-infected-acute-necrotic-collection-misdiagnosed-as-a-pancreatic-pseudocyst-a-case-report
#8
Hong-Ying Zhang, Chen-Cong He
BACKGROUND: Infected acute necrotic collection (ANC) is a fatal complication of acute pancreatitis with substantial morbidity and mortality. Drainage plays an exceedingly important role as the first step in invasive intervention for infected necrosis; however, there is great controversy about the optimal drainage time, and better treatment should be explored. CASE SUMMARY: We report the case of a 43-year-old man who was admitted to the hospital with severe intake reduction due to early satiety 2 wk after treatment for acute pancreatitis; conservative treatment was ineffective, and a pancreatic pseudocyst was suspected on contrast-enhanced computed tomography (CT)...
February 27, 2024: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38462478/quality-indicators-of-endoscopic-retrograde-cholangiopancreatography-in-korea
#9
REVIEW
Hyung Ku Chon, Ki-Hyun Kim, Tae Jun Song, Dong-Won Ahn, Eaum Seok Lee, Yun Nah Lee, Yoon Suk Lee, Tae Joo Jeon, Chang Hwan Park, Kwang Bum Cho, Dong Wook Lee, Jin-Seok Park, Seung Bae Yoon, Kwang Hyun Chung, Jin Lee, Miyoung Choi
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that requires significant experiences and skills and has various procedure-related complications, some of which can be severe and even result in the death of patients. Expanding ERCP availability has the advantage of increasing accessibility for patients. However, ERCP poses a substantial risk if performed without proper quality management. ERCP quality management is essential for both ensuring safe and successful procedures and meeting the social demands for enhanced healthcare competitiveness and quality assurance...
March 11, 2024: Gut and Liver
https://read.qxmd.com/read/38462055/initial-experience-with-duodenoscopes-with-single-use-end-caps-in-pediatric-endoscopic-retrograde-cholangiopancreatography-infection-prevention-comes-at-a-cost
#10
JOURNAL ARTICLE
Monique T Barakat, Andrew Liman, Roberto Gugig
BACKGROUND AND AIMS: Duodenoscopes with single-use end caps were introduced to minimize infection risk, but are unstudied in pediatrics. METHODS: We collected clinical data and endoscopists' evaluations of duodenoscopes with single-use end caps versus reusable duodenoscopes over 18 months. RESULTS: A total of 106 ERCPs were performed for patients aged 1-18 (mean 14.2) years. Forty-six involved single-use end caps, with 9 requiring crossover to reusable duodenoscopes...
March 8, 2024: Gastrointestinal Endoscopy
https://read.qxmd.com/read/38459544/uncovering-the-spread-of-drug-resistant-bacteria-through-next-generation-sequencing-based-surveillance-transmission-of-extended-spectrum-%C3%AE-lactamase-producing-enterobacterales-by-a-contaminated-duodenoscope
#11
JOURNAL ARTICLE
Cansu Cimen, Erik Bathoorn, Arjo J Loeve, Monika Fliss, Matthijs S Berends, Wouter B Nagengast, Axel Hamprecht, Andreas Voss, Mariëtte Lokate
Contamination of duodenoscopes is a significant concern due to the transmission of multidrug-resistant organisms (MDROs) among patients who undergo endoscopic retrograde cholangiopancreatography (ERCP), resulting in outbreaks worldwide. In July 2020, it was determined that three different patients, all had undergone ERCP with the same duodenoscope, were infected. Two patients were infected with blaCTX-M-15 encoding Citrobacter freundii, one experiencing a bloodstream infection and the other a urinary tract infection, while another patient had a bloodstream infection caused by blaSHV-12 encoding Klebsiella pneumoniae...
March 8, 2024: Antimicrobial Resistance and Infection Control
https://read.qxmd.com/read/38457070/a-case-of-progressive-xanthogranulomatous-pancreatitis-with-splenic-abscess
#12
JOURNAL ARTICLE
Keiji Nagata, Kojiro Nakamura, Taku Iida, Junji Iwasaki, Ryo Ito, Satsuki Asai, Misa Ishihara, Toshiyuki Hata, Atsushi Itami, Takahisa Kyogoku
Xanthogranulomatous inflammation is a chronic inflammatory reaction microscopically characterized by aggregation of foamy histiocytes, fibrous tissue, and infiltration of various inflammatory cells. In contrast to xanthogranulomatous inflammation in the gallbladder or kidney, xanthogranulomatous pancreatitis is rare. We herein present a case of xanthogranulomatous pancreatitis in a patient who underwent distal pancreatectomy with splenectomy under preoperative suspicion of a pancreatic pseudocyst or pancreatic tumor...
March 8, 2024: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/38456946/a-nomogram-for-prediction-of-ercp-success-in-patients-with-bile-duct-leaks-a-multicenter-study
#13
JOURNAL ARTICLE
De-Xin Chen, Sheng-Xin Chen, Sen-Lin Hou, Gui-Hai Wen, Hai-Kun Yang, Da-Peng Shi, Qing-Xin Lu, Ya-Qi Zhai, Ming-Yang Li
BACKGROUND: Bile duct leaks (BDLs) are serious complications that occurs after hepatobiliary surgery and trauma, leading to rapid clinical deterioration. Endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for BDLs, but it is not clear which patients will respond to this therapy and which patients will require additional surgical intervention. The aim of our study was to explore the predictors of successful ERCP for BDLs. METHODS: A retrospective analysis was conducted using data from six centers' databases...
March 8, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38453748/balloon-endoscopy-assisted-endoscopic-retrograde-cholangiopancreatography-for-hepatolithiasis-in-patients-with-hepaticojejunostomy
#14
JOURNAL ARTICLE
Ryunosuke Hakuta, Tatsuya Sato, Yousuke Nakai, Hirofumi Kogure, Hiroto Nishio, Kouhei Kurihara, Shuichi Tange, Rintaro Fukuda, Shinya Takaoka, Yukari Suzuki, Hiroki Oyama, Sachiko Kanai, Kensaku Noguchi, Tatsunori Suzuki, Kazunaga Ishigaki, Tomotaka Saito, Tsuyoshi Hamada, Naminatsu Takahara, Mitsuhiro Fujishiro
BACKGROUND AND AIM: Balloon endoscopy-assisted endoscopic retrograde cholangiopancreatography (BE-ERCP) is an emerging procedure for pancreatobiliary diseases in patients with surgically altered anatomy. However, data on BE-ERCP for hepatolithiasis after hepaticojejunostomy (HJS) are still limited. METHODS: Stone removal success, adverse events and recurrence were retrospectively studied in consecutive patients who underwent BE-ERCP for hepatolithiasis after HJS between January 2011 and October 2022...
March 7, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38451665/predictors-of-failure-of-endoscopic-retrograde-cholangiopancreatography-in-clearing-bile-duct-stones-during-index-procedure-a-prospective-study
#15
JOURNAL ARTICLE
Abhishek Kamuni, Lohith Kumar, Suprabhat Giri, Sumaswi Angadi, Sunil Kumar Nanjegowda, Sukanya Bhrugumalla
BACKGROUND: Common bile duct (CBD) stones are known to complicate 10-15% of gallstone diseases. Endoscopic retrograde cholangiopancreatography (ERCP) is the therapeutic modality of choice for bile duct clearance in CBD stones but may fail to achieve stone clearance. This prospective study was done to identify the predictors of failure of CBD clearance with ERCP. OBJECTIVE: This prospective study was done to identify the predictors of failure of CBD clearance with ERCP...
2024: Arquivos de Gastroenterologia
https://read.qxmd.com/read/38450573/using-endoscopic-radial-incision-and-cutting-combined-with-endoscopic-retrograde-cholangiopancreatography-to-treat-biliary-enteric-anastomotic-stricture-and-stones
#16
JOURNAL ARTICLE
Li Wang, Wei-Feng Chen, Ping-Hong Zhou
No abstract text is available yet for this article.
March 7, 2024: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://read.qxmd.com/read/38447805/a-search-strategy-for-detecting-duodenoscope-associated-infections-a-retrospective-observational-study
#17
JOURNAL ARTICLE
Koen van der Ploeg, Corné H W Klaassen, Margreet C Vos, Juliëtte A Severin, Bibi C G C Mason-Slingerland, Marco J Bruno
BACKGROUND: Duodenoscope-associated infections (DAI) are exogenous infections resulting from the use of contaminated duodenoscopes. While numerous outbreaks of DAI involved multidrug-resistant microorganisms (MDRO), outbreaks involving non-MDRO are also likely to occur. Detection challenges arise as these infections often resolve before culture or because causative strains are not retained for comparison with duodenoscope strains. This retrospective observational study aims to identify and analyse DAIs spanning a seven-year period...
March 4, 2024: Journal of Hospital Infection
https://read.qxmd.com/read/38445129/challenging-management-of-acute-cholangitis-in-a-patient-with-unextractable-common-bile-duct-stone-post-gastrojejunostomy-surgery
#18
Ryan M Lynn, Fady Israel, Steve O Obanor
This case report details the management of an 89-year-old female with a complex surgical history, including cholecystectomy, left hepatectomy, and repair of an iatrogenic duodenal perforation, who presented with acute cholangitis due to a large common bile duct stone. Faced with the challenges of altered anatomy and the patient's frailty, a multidisciplinary team employed a series of interventions, including percutaneous transhepatic biliary drainage and endoscopic retrograde cholangiopancreatography (ERCP)...
February 2024: Curēus
https://read.qxmd.com/read/38439818/endoscopic-hemostatic-treatment-with-a-novel-self-assembling-peptide-gel-for-precut-fistulotomy-related-bleeding
#19
Kimitoshi Kubo, Xinhan Zhang, Ikko Tanaka
INTRODUCTION: Precut fistulotomy is of interest as one of the salvage techniques for selective bile duct cannulation using endoscopic retrograde cholangiopancreatography. Of the various endoscopic treatments reported to date for bleeding associated with papillotomy incision, endoscopic hemostasis treatment with a novel self-assembling peptide (SAP) matrix-forming gel (TDM-621) (3-D Matrix Ltd., Tokyo, Japan) remains only insufficiently reported in the literature. CASE PRESENTATION: We herein report 6 cases of precut fistulotomy-related bleeding successfully treated with endoscopic hemostasis treatment with TDM-621, i...
2024: Case Reports in Gastroenterology
https://read.qxmd.com/read/38435233/analysis-of-the-effectiveness-of-second-attempt-endoscopic-retrograde-cholangiopancreatography-ercp-24-hours-second-day-after-primary-failure
#20
JOURNAL ARTICLE
Dilaram Khan, Inayat Ullah, Mohammad Kashif
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is a minimally invasive intervention that has established itself as the gold standard therapeutic option for various pancreaticobiliary conditions. Deep cannulation of the common bile duct (CBD) is essential in ERCP. However, cannulation is not possible in approximately 20% of the cases with the usual techniques even when performed by highly trained professionals or at major healthcare institutions. In case of failure on the first attempt, alternative choices include redoing the procedure (on the second attempt) or moving on to more proficient endoscopic methods such as endoscopic ultrasound (EUS) or radiology-aided techniques (rendezvous procedures), totally percutaneous approaches, or surgical treatments...
February 2024: Curēus
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