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JOURNAL ARTICLE
Akinori Maruta, Takuji Iwashita, Kensaku Yoshida, Yuhei Iwasa, Mitsuru Okuno, Keisuke Iwata, Ryuichi Tezuka, Shinya Uemura, Shogo Shimizu, Masahito Shimizu
BACKGROUND: One-stage endoscopic management, where papillary interventions and stone removal are simultaneously performed, has been reported to be an effective treatment for acute cholangitis caused by common bile duct stones (CBDS). However, there have been few reports comparing it with two-stage management, and there is no established strategy for the indication of one-stage management. The aim of the present study was to compare the short- and long-term outcomes between one- and two-stage management for acute cholangitis caused by CBDS...
March 18, 2024: Journal of Hepato-biliary-pancreatic Sciences
#22
Javier A Meza-Hernandez, Asya Zubillaga-Mares, Minnet Serrano-Sanchez, Francisco E Alvarez-Bautista, Mario Trejo-Avila, Alejandra Nuñez-Venzor
Anatomical variations of the biliary tree pose diagnostic and treatment challenges. While most are harmless and often discovered incidentally during procedures, some can lead to clinical issues and biliary complications, making knowledge of these variants crucial to prevent surgical mishaps. Here, we present an unusual and clinically significant case. A 61-year-old man is admitted to the hospital with epigastric pain and diagnosis of pancreatitis of biliary origin and intermediate risk of choledocholithiasis...
March 2024: Journal of Surgical Case Reports
#23
JOURNAL ARTICLE
Jongman Kim, Jae-Won Joh, Kwang-Woong Lee, Dong Lak Choi, Hee-Jung Wang
BACKGROUNDS/AIMS: Prolonged use of steroids after liver transplantation (LT) significantly increases the risk of diabetes or cardiovascular disease, which can adversely affect patient outcomes. Our study evaluated the effectiveness and safety of early steroid withdrawal within the first year following LT. METHODS: This study was conducted as an open-label, multicenter, randomized controlled trial. Liver transplant recipients were randomly assigned to one of the following two groups: Group 1, in which steroids were withdrawn two weeks posttransplantation, and Group 2, in which steroids were withdrawn three months posttransplantation...
March 15, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
#24
REVIEW
Toshiharu Ueki, Toru Maruo, Yoshinori Igarashi, Akira Yamamiya, Keiichi Tominaga, Atsushi Irisawa, Hitoshi Yoshida, Terumi Kamisawa, Mamoru Takenaka, Hiroyuki Isayama
The progress of endoscopic diagnosis and treatment for inflammatory diseases of the biliary tract and pancreas have been remarkable. Endoscopic ultrasonography (EUS) and EUS-elastography are used for the diagnosis of early chronic pancreatitis and evaluation of endocrine and exocrine function in chronic pancreatitis. Notably, extracorporeal shock wave lithotripsy and electrohydraulic shock wave lithotripsy have improved the endoscopic stone removal rate in patients for whom pancreatic stone removal is difficult...
March 12, 2024: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
#25
JOURNAL ARTICLE
Rebecca Dini, Eleonora Gori, Verena Habermaass, Ilaria Lippi, Simonetta Citi, Caterina Puccinelli, Veronica Marchetti
Canine chronic biliary tree disease (CBTD) is a suspected risk factor for pancreatic injury. The aim of this study was to evaluate the frequency and features of pancreatic involvement in canine CBTD, and their relationship with hyperlipemia and its severity. CBTD was defined as the increase in at least two of ALP, GGT, total bilirubin, cholesterol, and a biliary tree abnormal abdominal ultrasound (graded mild to severe). Pancreatic ultrasound appearance was recorded and classified as acute/chronic. Dogs were divided into a PBD group (pancreatic and biliary disease) and BD group (only biliary tree disease)...
March 4, 2024: Animals: An Open Access Journal From MDPI
#26
JOURNAL ARTICLE
Camilo Ramírez-Giraldo, Danny Conde Monroy, José Alejandro Daza Vergara, Andrés Isaza-Restrepo, Isabella Van-Londoño, Luisa Trujillo-Guerrero
Acute pancreatitis is the recurrent reason for gastrointestinal admission in a clinical urgent setting, it happens secondary to a wide array of pathologies out of which biliary disease stands as one of the most frequent causes for its presentation. Approximately 20% of pancreatitis are of moderate or severe severity. Currently, there is not a clear recommendation on timing for cholecystectomy, either early or delayed. CHISPA is a randomized controlled, parallel-group, superior clinical trial. An intention-to-treat analysis will be performed...
2024: BMJ surgery, interventions, & health technologies
#27
JOURNAL ARTICLE
Weidong Zhou, Qinfu Liu, Zhaojun Wang, Liying Yao, Jian Chen, Xiaojun Yang
BACKGROUND: The incidence of hyperlipidemic acute pancreatitis (HLAP) has been increasing annually. However, population-based morbidity assessments need to be updated. Early, rapid, and effective lipid-lowering may minimize pancreatic injury and improve clinical prognosis. It is essential to choose the proper treatment. However, treatment options for HLAP are controversial, and there is no uniform treatment protocol. METHODS: In this retrospective study, 127 patients with hyperlipidemic severe acute pancreatitis (HL-SAP) were registered from January 2018 to December 2022 at the General Hospital of Ningxia Medical University...
March 8, 2024: Lipids in Health and Disease
#28
JOURNAL ARTICLE
Sulaiman Yusuf, Alivia R Nuriyanto, Nurul Nadia, Muntadhar Muntadhar, Yumna Muzakkir, Nurhayani D Susanti, Zain Al-Shather, Fenny Harrika
A choledochal cyst is a bile duct anomaly that disrupts the transportation of bile from the liver to the gallbladder and small intestine. Choledochal cysts are rare, occurring in approximately one out of every 100,000 to 150,000 children in Western countries, with a girls-to-boys ratio of 4:1. Immediate surgery to excise the cyst and construct a biliary-enteric continuity is necessary to treat this condition. This case-report aimed to present a child with choledochal cyst type IVa who underwent a Roux-en-Y hepaticojejunostomy...
August 2023: Narra J
#29
JOURNAL ARTICLE
Ali Jaan, Zouina Sarfraz, Umer Farooq, Sheza Malik, Asad Ur Rahman, Patrick Okolo
BACKGROUND: Acute pancreatitis (AP) often presents with varying severity, with a small fraction evolving into severe AP, and is associated with high mortality. Complications such as intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are intricately associated with AP. OBJECTIVE: To assess the clinical implications and predictors of ACS in AP patients. METHODS: We conducted a retrospective study using the National Inpatient Sample (NIS) database on adult AP patients, further stratified by the presence of concurrent ACS...
February 18, 2024: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
#30
JOURNAL ARTICLE
Srinivas Srinidhi Vadlapudi, Anshu Srivastava, Nidhi Saini, Moinak Sen Sarma, Ujjal Poddar, Surender Kumar Yachha
BACKGROUND: Ascites in children is multifactorial and serum ascites albumin gradient (SAAG) ≥1.1 helps differentiate portal hypertension (PHTN) related from non-PHTN ascites. AIMS: We evaluated the aetiology and diagnostic accuracy of SAAG in children with ascites. METHODS: Children with ascites were retrospectively evaluated. Etiological diagnosis was based on clinical presentation and investigations. All cases with ascitic fluid analysis and a definite diagnosis were included for calculating the utility of SAAG...
February 29, 2024: Digestive and Liver Disease
#31
JOURNAL ARTICLE
Santi Mangiafico, Helga Bertani, Flavia Pigò, Salvatore Russo, Marinella Lupo, Silvia Cocca, Giuseppe Grande, Ugo Germani, Raffaele Manta, Rita Conigliaro
BACKGROUND: Acute pancreatitis in 10% to 20% of cases can be associated with necrosis of the pancreatic gland, peripancreatic tissue, or both. We report a case series of a new endoscopic approach to treat infected pancreatic necrosis (IPN). PATIENTS AND METHODS: Consecutive patients with IPN, extending from the perigastric area up to the paracolic gutters or into the pelvis, were prospectively studied from January 2017 to June 2022. The treatment protocol was radiologic percutaneous drainage as the first step, followed by fully covered metal stent placement (FC-SEMS) in the track of the catheter...
February 29, 2024: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
#32
JOURNAL ARTICLE
Shota Harai, Susumu Hijioka, Reiko Yamada, Takeshi Ogura, Mitsuharu Fukasawa, Atsushi Okuda, Hideyuki Horike, Dai Inoue, Masanari Sekine, Yusuke Ishida, Takehiko Koga, Hidetoshi Kitamura, Yasuhito Tanaka, Motohiro Yoshinari, Katsumasa Kobayashi, Mark Chatto, Daiki Yamashige, Yuki Kawasaki, Yoshikuni Nagashio, Takuji Okusaka
BACKGROUND AND AIM: The 10-mm self-expandable metal stent (SEMS) is the standard for endoscopic transpapillary biliary drainage before pancreatic cancer surgery. However, the efficacy of stents thinner than 10 mm has not been adequately validated. Therefore, we aimed to evaluate the safety of a 6-mm fully covered SEMS (FCSEMS) for distal malignant biliary obstruction (DMBO) during preoperative chemotherapy for pancreatic cancer. METHODS: This was a single-arm, multicenter, prospective phase II study of endoscopic transpapillary initial biliary drainage for DMBO before pancreatic cancer surgery...
February 29, 2024: Journal of Gastroenterology and Hepatology
#33
JOURNAL ARTICLE
Jinjiao Lu, Zhen Fan
The primary objective of the present study was to investigate the efficacy and safety of endoscopic therapy for acute obstructive suppurative cholangitis (AOSC) in patients with different underlying conditions. The present study comprised 47 patients diagnosed with AOSC, with a mean age of 70±14 years. Minimally invasive endoscopic treatments, including endoscopic duodenal papillary sphincterotomy, endoscopic duodenal nasobiliary drainage and/or placement of an endobiliary duct stent drainage tube, were performed...
April 2024: Experimental and Therapeutic Medicine
#34
JOURNAL ARTICLE
Shuzo Terada, Shinya Kawaguchi, Eiji Nakatani, Atsuko Inagawa, Tomoki Hikichi, Shodai Takeda, Yuya Ishiguro, Hirotaka Kashima, Taiyo Hirata, Shinya Ikeda, Kazuhisa Asahara, Tatsunori Satoh, Yuichi Masui, Masanori Matsuda, Ryosuke Itai, Asami Kawai, Shinya Endo, Takafumi Kurokami, Naofumi Shirane, Kazuya Ohno
AIMS: Small common bile duct stones are known to occasionally clear spontaneously. This study aimed to prospectively assess the role of biliary stent placement in promoting the spontaneous clearance of small common bile duct stones. METHODS AND RESULTS: We analyzed patients presenting with common bile duct stones of ≤5 mm diameter between June 2020 and May 2022. The exclusion criteria included asymptomatic patients, biliary pancreatitis, altered gastrointestinal anatomy, bile duct strictures (malignant or benign), and a history of EST...
February 2024: JGH Open: An Open Access Journal of Gastroenterology and Hepatology
#35
Sonya A Smith, Fraser Simpson, Nicholas Bell-Allen, Nicholas Brown, Sanjivan Mudaliar, Khurram Aftab, Diana Tam, Manju D Chandrasegaram
Haemobilia, or bleeding within the biliary tree, is rare. It can cause biliary obstruction secondary to blood clots. A comorbid 87-year-old was admitted to hospital with acute cholecystitis, choledocholithiasis, and an Escherichia coli bacteremia. He had a partial pancreatectomy and gastrojejunostomy 35 years prior for severe pancreatitis. He was treated with antibiotics and a percutaneous cholecystostomy. He developed atrial fibrillation and was subsequently commenced on warfarin. He re-presented 5 days after discharge with abdominal pain and fevers...
February 2024: Journal of Surgical Case Reports
#36
JOURNAL ARTICLE
Mohammad Kermansaravi, Scott Shikora, Bruno Dillemans, Marina Kurian, Teresa LaMasters, Ramon Vilallonga, Gerhard Prager, Sonja Chiappetta
OBJECTIVE: This study aimed to survey international experts in metabolic and bariatric surgery (MBS) to improve and consolidate the management of biliary disease in patients with severe obesity undergoing MBS. BACKGROUND: Obesity and rapid weight loss after MBS are risk factors for the development of gallstones. Complications, such as cholecystitis, acute cholangitis, and biliary pancreatitis, are potentially life-threatening, and no guidelines for the proper management of gallstone disease exist...
February 24, 2024: Obesity Surgery
#37
JOURNAL ARTICLE
Kazuya Matsumoto, Hisashi Noma, Koichi Fujita, Takeshi Tomoda, Takumi Onoyama, Keiji Hanada, Akihito Okazaki, Ken Hirao, Daisuke Goto, Ichiro Moriyama, Yoshinori Kushiyama, Mamoru Takenaka, Toru Maruo, Hisakazu Matsumoto, Masanori Asada, Hiroko Nebiki, Toshihiro Katayama, Takashi Kawamura, Akira Kurita, Toshiharu Ueki, Masahiro Tsujimae, Tokuhiro Matsubara, Satoshi Yamada, Takashi Tamura, Saiko Marui, Akira Mitoro, Hajime Isomoto, Shujiro Yazumi, Hirofumi Kawamoto
The prognostic factors associated with severe-to-fatal post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) remain unclear despite the extensive number of studies on PEP. In total, 3739 ERCP patients with biliary disease with an intact papilla and indicated for ERCP were prospectively enrolled at 36 centers from April 2017 to March 2018. Those with acute pancreatitis diagnosed before ERCP, altered gastrointestinal anatomy, and an American Society of Anesthesiologists (ASA) physical status > 4 were excluded...
February 17, 2024: Journal of Clinical Medicine
#38
REVIEW
Marco Parillo, Carlo Augusto Mallio, Ilona A Dekkers, Àlex Rovira, Aart J van der Molen, Carlo Cosimo Quattrocchi
The acquisition of images minutes or even hours after intravenous extracellular gadolinium-based contrast agents (GBCA) administration ("Late/Delayed Gadolinium Enhancement" imaging; in this review, further termed LGE) has gained significant prominence in recent years in magnetic resonance imaging. The major limitation of LGE is the long examination time; thus, it becomes necessary to understand when it is worth waiting time after the intravenous injection of GBCA and which additional information comes from LGE...
February 22, 2024: Magma
#39
JOURNAL ARTICLE
Pietro Addeo, Pierre de Marini, Gerlinde Averous, Arnaud Trog, Pierre de Mathelin, Stefano Gussago, Laura Fiore, Lucas Geyer, Vincent Noblet, Philippe Bachellier
BACKGROUND: High acinar pancreatic contents are associated with a higher rate of postpancreatectomy acute pancreatitis and pancreatic fistula formation (POPF). Predicting acinar contents preoperatively might identify those at high risk of developing postoperative complications. METHODS: A multivariable analysis was performed to identify radiological factors associated with high pancreatic acinar content at histology in patients undergoing pancreaticoduodenectomy...
February 9, 2024: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
#40
JOURNAL ARTICLE
Raúl Velamazán, Pablo López-Guillén, Samuel J Martínez-Domínguez, Daniel Abad Baroja, Daniel Oyón, Anna Arnau, Lara M Ruiz-Belmonte, Javier Tejedor-Tejada, Raul Zapater, Noelia Martín-Vicente, Pedro José Fernández-Esparcia, Ana Belén Julián Gomara, Violeta Sastre Lozano, Juan José Manzanares García, Irene Chivato Martín-Falquina, Laura Andrés Pascual, Nuria Torres Monclus, Natividad Zaragoza Velasco, Eukene Rojo, Berta Lapeña-Muñoz, Virginia Flores, Arantxa Díaz Gómez, Pablo Cañamares-Orbís, Isabel Vinzo Abizanda, Natalia Marcos Carrasco, Laura Pardo Grau, Guillermo García-Rayado, Judith Millastre Bocos, Ana Garcia Garcia de Paredes, María Vaamonde Lorenzo, Arantzazu Izagirre Arostegi, Edgard Efrén Lozada-Hernández, José Antonio Velarde-Ruiz Velasco, Enrique de-Madaria
BACKGROUND: Delayed cholecystectomy in patients with symptomatic gallstone disease is associated with recurrence. Limited data on the recurrence patterns and the factors that determine them are available. OBJECTIVE: We aimed to determine the pattern of relapse in each symptomatic gallstone disease (acute pancreatitis, cholecystitis, cholangitis, symptomatic choledocholithiasis, and biliary colic) and determine the associated factors. METHODS: RELAPSTONE was an international multicenter retrospective cohort study...
February 20, 2024: United European Gastroenterology Journal
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