keyword
https://read.qxmd.com/read/38464977/incidence-and-factors-associated-with-stent-dysfunction-and-pancreatitis-after-gastroduodenal-stenting-for-malignant-gastric-outlet-obstruction
#1
JOURNAL ARTICLE
Daiki Yamashige, Susumu Hijioka, Yoshikuni Nagashio, Yuta Maruki, Soma Fukuda, Shin Yagi, Kohei Okamoto, Hidenobu Hara, Yuya Hagiwara, Daiki Agarie, Tetsuro Takasaki, Mark Chatto, Akihiro Ohba, Shunsuke Kondo, Chigusa Morizane, Hideki Ueno, Miyuki Sone, Yutaka Saito, Takuji Okusaka
Background and study aims Endoscopic gastroduodenal stent (GDS) deployment is currently a standard treatment for malignant gastric outlet obstruction (mGOO) in patients with limited life expectancy; however, stent dysfunction (SD) and complicated pancreatitis often occur after GDS deployment. We investigated incidence and contributing factors of SD and complicated pancreatitis. Patients and methods We retrospectively reviewed 203 patients who underwent initial GDS deployment for palliation of mGOO symptoms between October 2017 and July 2022, including 109 who underwent GDS deployment across the duodenal papilla (sub-cohort)...
March 2024: Endoscopy International Open
https://read.qxmd.com/read/37564728/ultrasound-assisted-endoscopic-gastric-bypass-usa-egb-a-potential-endoscopic-alternative-to-surgical-bypass-a-pre-clinical-proof-of-concept-study
#2
JOURNAL ARTICLE
Kambiz Kadkhodayan, Artur Viana, Sanmeet Singh, Natalie Cosgrove, Deepanshu Jain, Dennis Yang, Mustafa A Arain, Shayan Irani, Muhammad Khalid Hasan
Background and study aims Endoscopic weight loss procedures have gained traction as minimally invasive options for the primary treatment of obesity. Thus far, we have developed endoscopic procedures that reliably address gastric restriction but result in significantly less weight loss than surgical gastrointestinal bypass. The goal of this nonsurvival study was to assess the technical feasibility of an endoscopic procedure, that incorporates both gastric restriction and potentially reversible gastrointestinal bypass...
June 2023: Endoscopy International Open
https://read.qxmd.com/read/37398755/no-stone-left-unturned-bouveret-syndrome-treated-with-electrohydraulic-lithotripsy-and-open-extraction-with-pyloric-exclusion-and-gastrojejunostomy
#3
Kaiser F Kabir, John P Hanna, Hossein Haghbin
Bouveret syndrome is ectopic gallstone impaction and obstruction of the duodenum or pylorus affecting a small minority of gallstone ileus cases. There have been advances in its endoscopic management, but this remains a challenging condition to treat successfully. We present a patient with Bouveret syndrome who required open surgical extraction and gastrojejunostomy after attempts of endoscopic retrieval and electrohydraulic lithotripsy (EHL). A 79-year-old man with a medical history of gastroesophageal reflux disease, chronic obstructive pulmonary disease on 5 liters of oxygen at baseline, and coronary artery disease with recent stenting presented to the hospital with three days of abdominal pain and vomiting...
May 2023: Curēus
https://read.qxmd.com/read/36935813/endoscopic-pyloric-exclusion-eus-guided-gastrojejunostomy-combined-with-endoscopic-suturing-and-closure-of-the-pylorus-a%C3%A2-novel-approach-to-failed-surgical-repair-of-a-perforated-duodenal-ulcer
#4
JOURNAL ARTICLE
Kambiz Kadkhodayan, Azhar Hussain, Hafiz Khan, Mustafa Arain, Dennis Yang, Muhammad K Hasan
Video 1Endoscopic pyloric exclusion: same-session EUS-guided gastro-jejunostomy combined with endoscopic suturing and closure of the pylorus.
March 2023: VideoGIE
https://read.qxmd.com/read/36733017/-fracture-of-a-gastrointestinal-stent-during-chemotherapy-for-unresectable-advanced-gastric-cancer-a-case-report
#5
JOURNAL ARTICLE
Daisuke Terashita, Atsushi Gakuhara, Shuichi Fukuda, Hideo Tomihara, Katsuya Ota, Kotaro Kitani, Kazuhiko Hashimoto, Hajime Ishikawa, Jinichi Hida, Yutaka Kimura
A 79-year-old man with shortness of breath on exertion had right pleural effusion and ascites effusion on CT, and was diagnosed with adenocarcinoma on pleural cytology. Upper gastrointestinal endoscopy revealed a gastric cancer with pyloric stenosis, and biopsy from the same site revealed Group 5(tub2). The patient was diagnosed as unresectable advanced gastric cancer with pyloric stenosis and peritoneal and pleural dissemination. After placement of an uncovered metallic stent for the pyloric stenosis, SOX therapy was started...
December 2022: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/36523710/safety-and-efficacy-of-fully-covered-self-expandable-metal-stents-for-benign-upper-gastrointestinal-strictures-beyond-the-esophagus
#6
JOURNAL ARTICLE
Navkiran K Randhawa, Ahamed Khalyfa, Mahnoor Khan, Nayab Ahsan, Mahnoor Inamullah, Kamran Ayub
Background Stents utilized for pyloric, duodenal, or anastomotic malignant strictures are generally uncovered and are not retrievable. Taewoong Medical created a through-the-scope stent that is fully covered, retrievable, and can be placed beyond the esophagus for benign gastroduodenal strictures as an alternative to surgical approaches. The aim of this paper is to examine the safety and efficacy of short-term, fully covered, self-expanding metal stents (FC-SEMS) in refractory benign strictures of the pylorus, duodenum, and gastrojejunal anastomosis...
November 2022: Curēus
https://read.qxmd.com/read/36517033/drainage-of-afferent-limb-obstruction-via-the-trans-gastric-bile-duct-formed-after-endoscopic-ultrasound-guided-hepaticogastrostomy-in-a-patient-with-pancreatic-cancer
#7
Masatoshi Mabuchi, Seiji Adachi, Yukari Uno, Hironori Nakamura, Makoto Shimazaki, Shinji Nishiwaki, Iwao Kumazawa, Takuji Iwashita, Masahito Shimizu
A 63-year-old man with advanced pancreatic cancer and pyloric obstruction underwent surgical gastrojejunostomy. Malignant biliary obstruction appeared eight months after surgery and was managed with endoscopic ultrasound (EUS)-guided hepaticogastrostomy (HGS). Subsequently, afferent limb obstruction caused by cancer invasion occurred. Although an intestinal metal stent could not be placed, a biliary metal stent was deployed via the HGS route, which successfully decompressed the afferent limb; the abdominal symptoms subsequently disappeared...
August 15, 2023: Internal Medicine
https://read.qxmd.com/read/36457629/hereditary-multiple-intestinal-atresia-a-case-report-and-review-of-the-literature
#8
Maher M Al-Zaiem, Rawan S Alsamli, Ethar A Alsulami, Ruba F Mohammed, Mohammad I Almatrafi
Hereditary multiple intestinal atresia (HMIA) is a rare form of intestinal atresia that affects the gastrointestinal tract from the pylorus to the rectum. A few cases have been reported in the literature. Here, we report the case of a three-day-old girl who was referred to our hospital as a case of upper intestinal obstruction. After initial resuscitation, the radiological examination revealed pyloric obstruction, multiple intra-abdominal calcifications, and rectal atresia making the diagnosis of HMIA most likely...
October 2022: Curēus
https://read.qxmd.com/read/36417001/feasibility-and-safety-of-inserting-transient-biodegradable-stents-in-the-pylorus-during-pylorus-preserving-gastrectomy-for-gastric-cancer-a-preliminary-study-in-a-porcine-for-proof-of-concept
#9
JOURNAL ARTICLE
Ji-Hyeon Park, Hyesung Yoon, Yoon Jin Kwak, Chaojie Wang, Khalid Mohammed Alzahrani, Sen Wang, Fadhel Dhaifallah H Alzahrani, Hyun Myong Kim, Eunhee Koo, Ja Eun Yoo, Jong-Ho Choi, Shin-Hoo Park, Seong-Ho Kong, Do Joong Park, Hyuk-Joon Lee, Han-Kwang Yang
BACKGROUND: To evaluate whether insertion of self-biodegradable stent into the pylorus to prevent delayed-gastric emptying after pylorus-preserving gastrectomy is feasible and safe through porcine experiment. METHODS: Self-biodegradable dumbbell-shaped pyloric stents were designed from absorbable suture materials: poly(glycolide-co-caprolactone) (PGCL) or poly-p-dioxanone (PPDO). After gastrotomy on ten pigs, each stent was inserted: two shams, four PGCL stents, and four PPDO stents...
January 2023: Gastric Cancer
https://read.qxmd.com/read/36100418/-design-and-application-of-a-new-type-of-biliary-intestinal-nutrient-tube
#10
JOURNAL ARTICLE
Jianhua Cao, Sheng Wang, Jianjun Yao, Jinlian Ma, Haiming Li, Zhanhu Mu, Jie Chen
The establishment of a nutritional pathway is the premise and basis of nutritional therapy for patients with malignant tumor. The nasogastric tube, nasoenteric tube, and percutaneous endoscopic gastric/jejunostomy are commonly used clinical pathways for enteral nutrition (EN) therapy. However, these EN pathways are often difficult to establish in patients with malignant obstructive jaundice (MOJ) with pyloric or duodenum primary obstruction. For this reason, a new type biliary-intestinal nutrient tube placed through percutaneous transhepatic cholangiography drainage (PTCD) pathway was designed by the medical staff of hepatobiliary surgery department of Yinchuan First People's Hospital, and National Utility Model Patent of China were obtained (ZL 2020 2 0283951...
July 2022: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/36064363/analysis-of-the-causes-of-failed-placement-of-nasoenteric-tube-under-dsa-guidance-and-treatment-strategies-for-successful-re-catheterization
#11
JOURNAL ARTICLE
Dongqiang Yang, Ping Shi, Bo Shi, Yazhou Li, Yu Zhao, Zhigang Li
BACKGROUND: For patients with advanced cancer or patients who have undergone digestive tract reconstruction, enteral nutrition is the most important nutritional support therapy, which can reduce the risk of enteral infection and improve self-immunity; while digital subtraction angiography (DSA) guided nasoenteric tube placement is suitable for nutritional support and palliative treatment of most patients with advanced cancer, many doctors because the preoperative preparation is not sufficient or the intraoperative operation is not standardized, resulting in catheter failure can not achieve the purpose of nutritional supply, and we need to summarize the lessons of failure and optimize the catheterization strategy...
August 2022: Annals of Palliative Medicine
https://read.qxmd.com/read/35870218/duodenal-perforation-due-to-migrated-biliary-stent-case-report
#12
JOURNAL ARTICLE
Prarthana Pachhai, Rabi Khadka, Narendra Maharjan, Deepak Sharma, Sumita Pradhan, Ramesh Singh Bhandari
INTRODUCTION: Biliary stents are frequently associated with various complications; however biliary stent migration causing duodenal perforation is rare and has only been reported in few cases. PRESENTATION OF CASE: We present a case of 33 years old male with pain abdomen and fever for 2 days came to Emergency department. He had undergone open common bile duct exploration (CBD), clearance of stone and placement of CBD stent. In X-ray abdomen, biliary stent migration was suspected...
July 2, 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/35790185/endoscopic-ultrasound-guided-choledochoduodenostomy-with-pyloric-occlusion-by-proximal-flange-of-electrocautery-enhanced-lumen-apposing-metal-stent-solving-a-rare-adverse-event
#13
JOURNAL ARTICLE
Danilo Paduano, Francesco Auriemma, Federica Spatola, Laura Lamonaca, Alessandro Repici, Benedetto Mangiavillano
No abstract text is available yet for this article.
July 5, 2022: Endoscopy
https://read.qxmd.com/read/35746840/endoscopic-ultrasonography-guided-gastrojejunostomy-for-patients-with-gastric-outlet-obstruction-and-pyloric-metal-stent-dysfunction
#14
Byung Sun Kim, Sung Yeol Yang, Won Dong Lee, Jae Sun Song, Min A Yang, Gum Mo Jung, Jin Woong Cho, Ji Woong Kim
A 52-year-old woman with a gastric outlet obstruction (GOO) caused by pyloric cancer underwent pyloric endoscopic self-expandable metal stent (SEMS) insertion. She presented with abdominal distension 40 days later. The SEMS was dysfunctional, and endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) was performed using an endoscopic nasobiliary drainage tube. A 16 mm×31 mm Niti-S ™ HOT SPAXUS™ (TaeWoong Medical, Gimpo, Korea) was inserted successfully between the stomach and the adjacent jejunum. After the procedure, the patient had a good oral intake for more than seven months...
June 25, 2022: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
https://read.qxmd.com/read/35386164/trans-biliary-gastric-outlet-recanalization-and-stenting-a-case-report
#15
Shahbaz Qazi, Mohamed R Elzahrani, Abdullah T Tatwani, Ahmed S Hilabi
Gastric ischemia is a condition of hypo-perfusion associated with hypotension, vasculitis, and thromboembolism. We report a case of a gastric outflow obstruction due to sizeable visceral artery thrombo-embolism leading to the ischemic conclusion, the frailty, multiple comorbidities deeming general anesthesia (GA) risky, and the patient's decision not to have an open surgery under GA. Invasive procedures in patients with similar profiles like our patient are usually not risk-free, this leads the intervention radiology team to believe a minimally invasive procedure while avoiding GA might be optimal...
February 2022: Curēus
https://read.qxmd.com/read/35126859/gastric-per-oral-endoscopic-myotomy-indications-technique-results-and-comparison-with-surgical-approach
#16
REVIEW
Maria Chiara Verga, Stefano Mazza, Francesco Azzolini, Fabrizio Cereatti, Clara Benedetta Conti, Andrea Drago, Sara Soro, Biagio Elvo, Roberto Grassia
Gastroparesis is a chronic disease of the stomach that causes a delayed gastric emptying, without the presence of a stenosis. For 30 years the authors identified pylorospasm as one of the most important pathophysiological mechanisms determining gastroparesis. Studies with EndoFLIP, a device that assesses pyloric distensibility, increased the knowledge about pylorospasm. Based on this data, several pyloric-targeted therapies were developed to treat refractory gastroparesis: Surgical pyloroplasty and endoscopic approach, such as pyloric injection of botulinum and pyloric stenting...
January 27, 2022: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/35045506/-a-case-of-pyloric-stenosis-due-to-gastric-metastasis-of-breast-cancer
#17
JOURNAL ARTICLE
Eigo Satoh, Yusuke Yatabe, Daisuke Uehira, Koji Yonekura, Ayano Murakata, Yasuhiro Toyofuku, Hideaki Tanami, Takayuki Osanai, Norihide Sugano, Takaaki Sakoma, Shoji Maruyama
We report a case of left advanced breast cancer(T4N1M0, Stage ⅢA)in a 67-year-old woman. In August 2010, her breast cancer(triple-negative invasive ductal carcinoma)was resected(mastectomy plus axillary lymph node dissection) with adjuvant chemotherapy(TC)and irradiation to her chest wall. In July 2018, she experienced recurrent vomiting. Gastrointestinal endoscopy(GS)revealed type Ⅳ advanced gastric cancer-like appearance with pyloric stenosis. Pathological findings confirmed hormone-positive gastric metastasis of breast cancer...
December 2021: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/34996894/first-fully-endoscopic-metabolic-procedure-with-notes-gastrojejunostomy-controlled-bypass-length-and-duodenal-exclusion-a-9-month-porcine-study
#18
JOURNAL ARTICLE
Jean-Michel Gonzalez, Sohaib Ouazzani, Laurent Monino, Laura Beyer-Berjot, Stephane Berdah, Nicolas Cauche, Cecilia Delattre, Joyce A Peetermans, Peter Dayton, Ornela Gjata, Darren Curran, Marc Barthet
We conducted a pilot study of a potential endoscopic alternative to bariatric surgery. We developed a Natural Orifice Transluminal Endoscopic Surgery (NOTES) gastric bypass with controlled bypass limb length using four new devices including a dedicated lumen-apposing metal stent (GJ-LAMS) and pyloric duodenal exclusion device (DED). We evaluated procedural technical success, weight change from baseline, and adverse events in growing Landrace/Large-White pigs through 38 weeks after GJ-LAMS placement. Six pigs (age 2...
January 7, 2022: Scientific Reports
https://read.qxmd.com/read/34868889/corrosive-upper-gastrointestinal-strictures-in-children-difficulties-and-dilemmas
#19
REVIEW
Moinak Sen Sarma, Parijat Ram Tripathi, Sachin Arora
Children constitute 80% of all corrosive ingestion cases. The majority of this burden is contributed by developing countries. Accidental ingestion is common in younger children (< 5 years) while suicidal ingestion is more common in adolescents. The severity of injury depends on nature of corrosive (alkali or acid), pH, amount of ingestion and site of exposure. There are multiple doubts and dilemmas which exist in management of both acute ingestion and chronic complications. Acute ingestion leads to skin, respiratory tract or upper gastrointestinal damage which may range from trivial to life threatening complications...
November 9, 2021: World Journal of Clinical Pediatrics
https://read.qxmd.com/read/34762639/boerhaave-syndrome-with-double-esophageal-perforation-about-a-case
#20
JOURNAL ARTICLE
Arturo Martínez-García, Kymani Pérez-García, Javier Pérez-Palenzuela, Gimel Sosa-Esquivel, José M Díaz-Calderín
INTRODUCTION: Boerhaave syndrome consists of a spontaneous perforation of the esophagus, with high mortality. OBJECTIVE: To describe a case with Boerhaave syndrome with double esophageal perforation. CASE REPORT: 33-year-old female who came to the hospital for emetic symptoms, followed by retrosternal chest pain; chest drainage is performed. Esophageal perforation was diagnosed late and he was transferred to a tertiary level institution. Successive treatments were performed: videothoracoscopy and pleural decortication; alimentary jejunostomy; esophageal stent placement, diagnosis of new perforation, pyloric exclusion, new stent placement, and esophageal exclusion...
2021: Cirugia y Cirujanos
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