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Digestive tube stents

Sameh I Sersar, Lamees A Maghrabi
Background Aerodigestive fistulae can be defined as abnormal communications between the gastrointestinal tract and the respiratory tract. Choking after meals, coughing, feeding difficulties, tachycardia, and persistent pneumonia are the main presentations. The aim of our study was to review our experience in the management of 27 cases of acquired aerodigestive fistulae of different types, levels, and management. Methods We conducted a retrospective observational study on 27 cases of fistulae between the respiratory and digestive tracts, which were managed in 2 hospitals in Saudi Arabia in the last 5 years...
March 2018: Asian Cardiovascular & Thoracic Annals
Martin Götz, Georg Braun, Ralf Jakobs, Helmut Messmann, Eduard F Stange, Markus M Lerch
In patients with ileus with dilated intestine in imaging studies, endoscopic decompression appears a feasible option. However, its use is often uncritical and without scientific evidence. Before considering endoscopic intervention, CT-imaging should differentiate between mechanical obstruction and paralytic ileus/intestinal pseudo-obstruction. Tumor diagnosis and localisation are essential because the latter determines the choice of the decompression procedure. Coecal dilatation of more than 12 cm indicates an increased risk of perforation...
December 2017: Zeitschrift Für Gastroenterologie
Miguel Martínez-Guillén, Joan B Gornals, Claudia F Consiglieri, Josep M Castellvi, Carme Loras
BACKGROUND AND AIM: Complete gastrointestinal strictures are a technically demanding problem. In this setting, an anterograde technique is associated with a high risk of complications and a combined anterograde-retrograde technique requires a prior ostomy. Our aim was to assess the outcome of a first case series for the management of complete gastrointestinal strictures using endoscopic ultrasound (EUS)-guided puncture as a novel endoscopic approach. PATIENTS AND METHODS: This retrospective case-series describes four cases that were referred for treatment of complete benign gastrointestinal strictures, three upper and one lower...
September 2017: Revista Española de Enfermedades Digestivas
Yajie Zhao, Jianwei Zhang, Zhongmin Lan, Qinglong Jiang, Shuisheng Zhang, Yunmian Chu, Yingtai Chen, Chengfeng Wang
The technique of pancreatic duct stenting during pancreatic anastomosis can markedly reduce the incidence of postoperative pancreatic fistula (PF) after pancreaticoduodenectomy (PD). The method of drainage includes using either an external or an internal stent; the meta-analysis result shows us that there were no differences in the rates of postoperative complications between PD using internal stents and PD using external stents; internal stents may be more favorable during postoperative management of drainage tube...
2017: BioMed Research International
Manon C W Spaander, Todd H Baron, Peter D Siersema, Lorenzo Fuccio, Brigitte Schumacher, Àngels Escorsell, Juan-Carlos Garcia-Pagán, Jean-Marc Dumonceau, Massimo Conio, Antonella de Ceglie, Janusz Skowronek, Marianne Nordsmark, Thomas Seufferlein, André Van Gossum, Cesare Hassan, Alessandro Repici, Marco J Bruno
This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE), endorsed by the European Society for Radiotherapy and Oncology (ESTRO), the European Society of Digestive Endoscopy (ESDO), and the European Society for Clinical Nutrition and Metabolism (ESPEN). The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system was adopted to define the strength of recommendations and the quality of evidence. Main recommendations for malignant disease 1 ESGE recommends placement of partially or fully covered self-expandable metal stents (SEMSs) for palliative treatment of malignant dysphagia over laser therapy, photodynamic therapy, and esophageal bypass (strong recommendation, high quality evidence)...
October 2016: Endoscopy
Bulent Kaya, Yetkin Ozcabi, Iksan Tasdelen, Ender Onur, Kemal Memisoglu
Hepaticojejunostomy is an important part of many surgical procedures including pancreaticoduodenectomy. Biliary leakage from hepaticojejunostomy may be associated with intraabdominal abscess formation, biliary peritonitis, and even mortality. A 72-year-old female patient was admitted to our hospital with obstructive jaundice. After initial evaluation, she was diagnosed with distal common bile duct obstruction without accurate diagnosis. Before planned pancreaticoduodenectomy, biliary drainage with a T-tube was performed due to the presence of cholangitis...
May 2016: Korean Journal of Hepato-biliary-pancreatic Surgery
G Chêne, G Lamblin, M Marcelli, S Huet, T Gauthier
OBJECTIVES: To provide clinical practice guidelines from the French College of Obstetrics and Gynecology (CNGOF) based on the best evidence available, concerning the urinary, infectious and digestive adverse events related to benign hysterectomy and the associated surgery including opportunistic salpingectomy and adnexectomy. MATERIAL AND METHOD: Review of literature using following keywords: benign hysterectomy; urinary injury; bladder injury; ureteral injury; vesicovaginal fistula; infection; bowel injury; salpingectomy...
December 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Stéphanie Berthet, Estelle Tenisch, Marie Claude Miron, Nassiba Alami, Jennifer Timmons, Ann Aspirot, Christophe Faure
OBJECTIVE: To report the incidence of congenital vascular anomalies in a cohort of patients with esophageal atresia (EA) and tracheoesophageal fistula (TEF) while describing the clinical presentation, diagnosis, and consequences, and to evaluate the diagnostic value of esophagram in diagnosing an aberrant right subclavian artery (ARSA). METHODS: All patients born with EA/TEF between 2005 and 2013 were studied. Preoperative echocardiography reports, surgical descriptions of primary esophageal repair, and esophagrams were reviewed retrospectively...
May 2015: Journal of Pediatrics
M Henry, A Benjellou, I Henry
Arterial Aneurysms are traditionally treated surgically but the operative risks remain high. More and more interventional procedures are proposed: - For Visceral and Peripheral aneurysms covered stents, endografts, coils can be used, but these techniques have a lot of disadvantages, drawbacks. Aneurysms with collateral branches cannot be treated with covered stents. The stent can occlude these collaterals leading to severe complications. - For Aortic Aneurysms (AAA, TAAA) hybrid techniques, endografts have been used to reduce morbidity/mortality rates encountered with surgical procedures...
2014: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
Rudolf Mennigen, Norbert Senninger, Mike G Laukoetter
Endoscopic management of leakages and perforations of the upper gastrointestinal tract has gained great importance as it avoids the morbidity and mortality of surgical intervention. In the past years, covered self-expanding metal stents were the mainstay of endoscopic therapy. However, two new techniques are now available that enlarge the possibilities of defect closure: endoscopic vacuum therapy (EVT), and over-the-scope clip (OTSC). EVT is performed by mounting a polyurethane sponge on a gastric tube and placing it into the leakage...
June 28, 2014: World Journal of Gastroenterology: WJG
Guillemette Laval, Blandine Marcelin-Benazech, Frédéric Guirimand, Laure Chauvenet, Laure Copel, Aurélie Durand, Eric Francois, Martine Gabolde, Pascale Mariani, Christine Rebischung, Vincent Servois, Eric Terrebonne, Catherine Arvieux
This article reports on the clinical practice guidelines developed by a multidisciplinary group working on the indications and uses of the various available treatment options for relieving intestinal obstruction or its symptoms in patients with peritoneal carcinomatosis. These guidelines are based on a literature review and expert opinion. The recommended strategy involves a clinical and radiological evaluation, of which CT of the abdomen is a crucial component. The results, together with an analysis of the prognostic criteria, are used to determine whether surgery or stenting is the best option...
July 2014: Journal of Pain and Symptom Management
Aya Ishii, Masahiko Sugiyama, Mitsuhiko Ohta, Yorinobu Sumida, Yasue Kimura, Norifumi Tsutsumi, Yo-Ichi Yamashita, Hiroshi Saeki, Hideaki Uchiyama, Hirofumi Kawanaka, Masaru Morita, Yoshihisa Sakaguchi, Tetsuo Ikeda, Tetsuya Kusumoto, Naohiko Harada, Koji Ikejiri, Yoshihiko Maehara
Obstructive colorectal cancer accounts for 3.1-15.8% of total colorectal cancer cases, therefore it is not a rare condition. Formerly, it has been often treated with emergent operation such as colostomy or trans-anal tube decompression. Since 2012, revision of the medical payment system, it has become possible to be treated with elective operation when using endoscopic metal stent placement that enable to decompress enlarged intestine by transanal approach. This procedure provides safe elective surgery with sufficient preoperative inspection and conventional bowel preparation...
December 2013: Fukuoka Igaku Zasshi, Hukuoka Acta Medica
X Dray, M Camus, U Chaput
Endoscopy has an ever-increasing role in the treatment of complications in digestive surgery. Endoscopic treatment is essentially used for (i) fistula or intra-abdominal collection secondary to anastomotic dehiscence and (ii) anastomotic stricture, especially esophagogastric, but also sometimes after colorectal surgery. First intention treatment of fistula following esophagogastric surgery is the insertion of an extractable self-expandable metallic stent (partially or entirely covered); this is supported by a low level of scientific evidence, but clinical experience has been satisfactory...
June 2013: Journal of Visceral Surgery
Takuji Iwashita, Ichiro Yasuda, Shinpei Doi, Shinya Uemura, Masatoshi Mabuchi, Mitsuru Okuno, Tsuyoshi Mukai, Takao Itoi, Hisataka Moriwaki
INTRODUCTION: Endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy is challenging. Several endoscopic ultrasound (EUS)-guided biliary access techniques have been reported as effective alternatives. EUS-guided antegrade treatments (AG) have been developed more recently but have not yet been studied well. AIMS: To evaluate the feasibility and safety of EUS-AG for biliary disorders in patients with surgically altered anatomies...
August 2013: Digestive Diseases and Sciences
Kazumichi Kawakubo, Hiroyuki Isayama, Suguru Mizuno, Kenji Hirano, Natsuyo Yamamoto, Naminatsu Takahara, Koji Miyabayashi, Dai Mohri, Takashi Sasaki, Hirofumi Kogure, Naoki Sasahira, Minoru Tada, Kazuhiko Koike
The management of advanced hilar malignant and benign biliary strictures remains difficult regardless of the advances in endoscopic biliary stenting. Endoscopic nasobiliary drainage (ENBD) is suitable for the management, but the number of ENBD tubes is limited by the diameter of the accessory channel of the duodenoscope. In the present study,we demonstrated the feasibility and safety of one-step simultaneous triple ENBD insertion to manage hilar biliary strictures. A therapeutic duodenoscope with a 4.2-mm accessory channel was advanced into the duodenum...
January 2013: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
Vesa Koivukangas, Fausto Biancari, Sanna Meriläinen, Tero Ala-Kokko, Juha Saarnio
BACKGROUND: Stenting has proven to be a promising treatment of spontaneous esophageal perforation, but currently, the scientific background to treatment of this condition is limited. METHODS: Fourteen consecutive patients with spontaneous esophageal perforation were treated with coated self-expandable stent and a debridement procedure (three patients by thoracotomy, four by thoracoscopy, three by tube drainage, and two patients with no drainage). Eight patients had one stent, while six patients needed one or more additional stents to achieve source control...
October 2012: Journal of Trauma and Acute Care Surgery
Chiara Lo Nigro, Girolamo Geraci, Antonio Sciuto, Francesco Li Volsi, Carmelo Sciume, Giuseppe Modica
BACKGROUND: Laparoscopic cholecystectomy (LC) for gallstone disease is the most common surgical procedures performed in Western countries and bile leaks remain a significant cause of morbidity (0.2-2%). The bile ducts of Luschka (DL)are small ducts which originate from the right hepatic lobe, course along the gallbladder bed, and usually drain in the extrahepatic bile ducts. Injuries to these ducts are the second most frequent cause of bile leaks after cholecystectomy. Aim of our study is build a literature review starting from our experience...
July 2012: Annali Italiani di Chirurgia
Eugene Zolotarevsky, Yong Kwon, Manjit Bains, Mark Schattner
We report on a patient who presented with a symptomatic esophagobronchial fistula arising from an esophageal diverticulum with recurrent pulmonary infections despite prophylactic antibiotics. She was not an optimal candidate for esophageal stenting, bronchial stenting, or surgery and had refused a gastrostomy tube placement. We performed a successful endoscopic fistula closure using a novel endoscopic over-the-scope-clip device providing an effective seal of the fistula with durable resolution of symptoms.
September 2012: Annals of Thoracic Surgery
Li Zhang, Yong Hui Huang, Wei Yao, Hong Chang, Chang Ji Guo, San Ren Lin
OBJECTIVE: To evaluate the feasibility and efficacy of small-caliber transnasal esophagogastroduodenoscopy for the placement of nasoenteric feeding tubes (NET) in patients with severe upper gastrointestinal (GI) diseases. METHODS: Between January 2007 and March 2010, 51 patients underwent transnasal endoscopy for the placement of NET in Peking University Third Hospital. Indications for NET included esophageal stricture or gastric outlet obstruction because of corrosive esophagitis or gastritis, partial obstruction due to malignancy, stenosis in stoma or efferent loop, gastroparesis, metallic stent in upper GI tract, tracheoesophageal fistula, severe acute pancreatitis, anorexia nervosa and intensive care patients...
June 2012: Journal of Digestive Diseases
Tsuyoshi Mukai, Ichiro Yasuda, Masanori Nakashima, Shinpei Doi, Takuji Iwashita, Keisuke Iwata, Tomohiro Kato, Eiichi Tomita, Hisataka Moriwaki
BACKGROUND: Endoscopic biliary stenting is a well-established palliative treatment for unresectable malignant biliary strictures, for which plastic tube stents (PSs) and self-expandable metallic stents (SEMSs) are most commonly used. The efficacy of these stents has been extensively described in distal biliary strictures, but not in hilar biliary strictures. The present study aimed to compare the efficacy of PSs and SEMSs for unresectable malignant hilar biliary strictures. METHODS: From June 2004 to November 2008, 60 patients were enrolled and prospectively randomized into the PS or SEMS group...
February 2013: Journal of Hepato-biliary-pancreatic Sciences
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