keyword
https://read.qxmd.com/read/38414614/response-letter-to-acute-cholangitis-does-malignant-biliary-obstruction-vs-choledocholithiasis-etiology-change-the-outcomes-with-imaging-aspects
#1
JOURNAL ARTICLE
Sonay Aydin, Baris Irgul
Radiological imaging findings may contribute to the differentiation of malignant biliary obstruction from choledocholithiasis in the etiology of acute cholangitis.
February 16, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/37779801/the-short-and-long-term-safety-and-efficacy-profile-of-subtotal-cholecystectomy-a-single-centre-long-term-follow-up-study
#2
JOURNAL ARTICLE
Ahmed Salman Bodla, Muhammad Umair Rashid, Maleeha Hassan, Saad Rehman, George Kirby
Background Subtotal cholecystectomy (STC) has been reported as an effective method to remove the gallbladder if the hepatocystic triangle anatomy is unfavourable. However, the evidence regarding its long-term outcomes from the United Kingdom (UK) is lacking. This study aimed to assess its short and long-term outcomes with a minimum of one-year follow-up. Methodology We retrospectively analysed all elective and emergency STCs performed in a single UK NHS Trust between 2014 and 2020. Relevant data were collected using electronic patient records and questionnaire-based, long-term, telephonic follow-up (median follow-up of 3...
August 2023: Curēus
https://read.qxmd.com/read/37661767/does-an-extensive-diagnostic-workup-for-upfront-resectable-pancreatic-cancer-result-in-a-delay-which-affects-survival-results-from-an-international-multicentre-study
#3
JOURNAL ARTICLE
Thomas B Russell, Peter L Labib, Jemimah Denson, Fabio Ausania, Elizabeth Pando, Keith J Roberts, Ambareen Kausar, Vasileios K Mavroeidis, Gabriele Marangoni, Sarah C Thomasset, Adam E Frampton, Pavlos Lykoudis, Manuel Maglione, Nassir Alhaboob, Hassaan Bari, Andrew M Smith, Duncan Spalding, Parthi Srinivasan, Brian R Davidson, Ricky H Bhogal, Daniel Croagh, Ashray Rajagopalan, Ismael Dominguez, Rohan Thakkar, Dhanny Gomez, Michael A Silva, Pierfrancesco Lapolla, Andrea Mingoli, Alberto Porcu, Teresa Perra, Nehal S Shah, Zaed Z R Hamady, Bilal Al-Sarrieh, Alejandro Serrablo, Somaiah Aroori
BACKGROUNDS/AIMS: Pancreatoduodenectomy (PD) is recommended in fit patients with a carcinoma (PDAC) of the pancreatic head, and a delayed resection may affect survival. This study aimed to correlate the time from staging to PD with long-term survival, and study the impact of preoperative investigations (if any) on the timing of surgery. METHODS: Data were extracted from the Recurrence After Whipple's (RAW) study, a multicentre retrospective study of PD outcomes...
September 4, 2023: Annals of Hepato-Biliary-Pancreatic Surgery
https://read.qxmd.com/read/37470827/diagnosis-of-functional-strictures-in%C3%A2-patients-with-primary-sclerosing-cholangitis-using-hepatobiliary-contrast-enhanced-mri-a-proof-of-concept-study
#4
JOURNAL ARTICLE
Sarah Poetter-Lang, Alina Messner, Nina Bastati, Kristina I Ringe, Maxime Ronot, Sudhakar K Venkatesh, Raphael Ambros, Antonia Kristic, Aida Korajac, Gregor Dovjak, Martin Zalaudek, Jacqueline C Hodge, Christoph Schramm, Emina Halilbasic, Michael Trauner, Ahmed Ba-Ssalamah
OBJECTIVES: PSC strictures are routinely diagnosed on T2-MRCP as dominant- (DS) or high-grade stricture (HGS). However, high inter-observer variability limits their utility. We introduce the "potential functional stricture" (PFS) on T1-weighted hepatobiliary-phase images of gadoxetic acid-enhanced MR cholangiography (T1-MRC) to assess inter-reader agreement on diagnosis, location, and prognostic value of PFS on T1-MRC vs. DS or HGS on T2-MRCP in PSC patients, using ERCP as the gold standard...
July 20, 2023: European Radiology
https://read.qxmd.com/read/37140189/anatomical-endoscopic-retrograde-cholangiopancreatography-simulator-using-moulded-meshed-silicone-a-novel-simulator-pilot-study
#5
JOURNAL ARTICLE
Alen Maximillian Brodaric, Ngar Lok Joshua Wong, Jessica Falon, Jean Wong, Kai Cheng, Sarah Whereat, David Storey
INTRODUCTION: Endoscopic retrograde cholangio-pancreatography (ERCP) has higher rates of morbidity and mortality compared to upper or lower gastrointestinal tract endoscopy. The availability of magnetic resonance cholangiopancreatography means ERCP is usually performed for therapeutic purposes. Simulation could provide an adjunct to patient-based training in ERCP however models to date have been unconvincing. METHODS: This ERCP simulation model was constructed from moulded meshed silicone by co-designers: Jean Wong and Kai Cheng...
May 4, 2023: ANZ Journal of Surgery
https://read.qxmd.com/read/36444433/-efficacy-and-safety-of-endoscopic-retrograde-cholangiopancreatography-in-children
#6
JOURNAL ARTICLE
Z P Yu, L Zhu, X P Yang, R L Cao, Y X Chen
Objective: To investigate the efficacy and safety of endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis and treatment of biliary and pancreatic diseases in children. Methods: The clinical data of 127 children who were treated with ERCP in the First Affiliated Hospital of Nanchang University from January 2007 to July 2021 were analyzed. According to the diseases they suffered from, the children were divided into biliary group and pancreatic group. The operation times, technical success rate, diagnosis, interventions and post-ERCP complications between the groups were compared by t -test or χ2 test...
December 2, 2022: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://read.qxmd.com/read/36341246/practice-patterns-and-adherence-to-society-guidelines-for-suspected-choledocholithiasis-a-comparison-of-academic-and-community-settings-from-a-large-us-healthcare-system
#7
JOURNAL ARTICLE
Shahrooz Rashtak, Hemant Goyal, Aswathi Chandran, Bhavtosh Dedania, Prithvi Patil, Vaibhav Wadhwa, Sushovan Guha, Tomas Davee, Srinivas Ramireddy, Nirav Thosani
Background: The American Society of Gastrointestinal Endoscopy (ASGE) has proposed practice guidelines for evaluating patients with suspected choledocholithiasis. This study aims to assess and compare practice patterns for following ASGE guidelines for choledocholithiasis in a large academic vs. community hospital setting. Methods: A total of one thousand ER indicated for choledocholithiasis were randomly selected. Patients' demographics, total bilirubin, imaging studies including magnetic resonance cholangiopancreatography (MRCP), intraoperative cholangiogram (IOC), endoscopic ultrasound (EUS), and ERCP results were retrospectively collected...
2022: Frontiers in Medicine
https://read.qxmd.com/read/36186945/role-of-endoscopic-ultrasound-in-evaluation-of-patients-with-missed-common-bile-duct-stones
#8
JOURNAL ARTICLE
Mohamed Eissa, Hussein Hassan Okasha, Mohamed Abbasy, Ahmed Kamal Khamis, Abeer Abdellatef, Mohamed Akl Rady
BACKGROUND: Choledocholithiasis develops in up to 20% of patients with gall bladder stones. The challenge in diagnosis usually occurs with small stones that may be missed by magnetic resonance cholangiopancreatography (MRCP). Endoscopic ultrasound (EUS) is accurate in detecting common bile duct (CBD) stones missed by MRCP, especially the small ones or those impacted at the distal CBD or the papillary region. AIM: To evaluate the accuracy of EUS in detecting CBD stones missed by MRCP...
September 16, 2022: World Journal of Gastrointestinal Endoscopy
https://read.qxmd.com/read/36163565/suspected-common-bile-duct-stones-reduction-of-unnecessary-ercp-by-pre-procedural-imaging-and-timing-of-ercp
#9
MULTICENTER STUDY
Christina J Sperna Weiland, Evelien C Verschoor, Alexander C Poen, Xavier J M N Smeets, Niels G Venneman, Abha Bhalla, Ben J M Witteman, Hester C Timmerhuis, Devica S Umans, Jeanin E van Hooft, Marco J Bruno, P Fockens, Robert C Verdonk, Joost P H Drenth, Erwin J M van Geenen
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is the procedure of choice to remove sludge/stones from the common bile duct (CBD). In a small but clinically important proportion of patients with suspected choledocholithiasis ERCP is negative. This is undesirable because of ERCP associated morbidity. We aimed to map the diagnostic pathway leading up to ERCP and evaluate ERCP outcome. METHODS: We established a prospective multicenter cohort of patients with suspected CBD stones...
February 2023: Surgical Endoscopy
https://read.qxmd.com/read/36104482/utilizing-ct-to-identify-clinically-significant-biliary-dilatation-in-symptomatic-post-cholecystectomy-patients-when-should-we-be-worried
#10
JOURNAL ARTICLE
Imo I Uko, Cecil Wood, Edward Nguyen, Annie Huang, Roberta Catania, Amir A Borhani, Jeanne M Horowitz, Helena Gabriel, Rajesh Keswani, Paul Nikolaidis, Frank H Miller, Linda C Kelahan
PURPOSE: To determine a reliable threshold common duct diameter on CT, in combination with other ancillary CT and clinical parameters, at which the likelihood of pathology requiring further imaging or intervention is increased in post-cholecystectomy patients. METHODS: In this IRB approved retrospective study, two attending radiologists independently reviewed CT imaging for 118 post-cholecystectomy patients, who were subsequently evaluated with MRCP, ERCP, or EUS, prompted by findings on the CT and clinical status...
September 15, 2022: Abdominal Radiology
https://read.qxmd.com/read/35687136/comparison-of-utility-of-deep-learning-reconstruction-on-3d-mrcps-obtained-with-three-different-k-space-data-acquisitions-in-patients-with-ipmn
#11
JOURNAL ARTICLE
Takahiro Matsuyama, Yoshiharu Ohno, Kaori Yamamoto, Masato Ikedo, Masao Yui, Minami Furuta, Reina Fujisawa, Satomu Hanamatsu, Hiroyuki Nagata, Takahiro Ueda, Hirotaka Ikeda, Saki Takeda, Akiyoshi Iwase, Takashi Fukuba, Hokuto Akamatsu, Ryota Hanaoka, Ryoichi Kato, Kazuhiro Murayama, Hiroshi Toyama
OBJECTIVE: To compare the utility of deep learning reconstruction (DLR) for improving acquisition time, image quality, and intraductal papillary mucinous neoplasm (IPMN) evaluation for 3D MRCP obtained with parallel imaging (PI), multiple k-space data acquisition for each repetition time (TR) technique (Fast 3D mode multiple: Fast 3Dm) and compressed sensing (CS) with PI. MATERIALS AND METHODS: A total of 32 IPMN patients who had undergone 3D MRCPs obtained with PI, Fast 3Dm, and CS with PI and reconstructed with and without DLR were retrospectively included in this study...
October 2022: European Radiology
https://read.qxmd.com/read/35581962/evaluating-the-accuracy-of-american-society-for-gastrointestinal-endoscopy-guidelines-in-patients-with-acute-gallstone-pancreatitis-with-choledocholithiasis
#12
JOURNAL ARTICLE
Supisara Tintara, Ishani Shah, William Yakah, Awais Ahmed, Cristina S Sorrento, Cinthana Kandasamy, Steven D Freedman, Darshan J Kothari, Sunil G Sheth
BACKGROUND: Acute gallstone pancreatitis (AGP) is the most common cause of acute pancreatitis (AP) in the United States. Patients with AGP may also present with choledocholithiasis. In 2010, the American Society for Gastrointestinal Endoscopy (ASGE) suggested a management algorithm based on probability for choledocholithiasis, recommending additional imaging for patients at intermediate risk and endoscopic retrograde cholangiopancreatography (ERCP) for patients at high risk of choledocholithiasis...
April 28, 2022: World Journal of Gastroenterology: WJG
https://read.qxmd.com/read/35144973/eus-versus-mrcp-to-perform-ercp-in-patients-with-intermediate-likelihood-of-choledocholithiasis-a-randomised-controlled-trial
#13
JOURNAL ARTICLE
Nitin Jagtap, J Kiran Kumar, Radhika Chavan, Jahangeer Basha, Manu Tandan, Sundeep Lakhtakia, Rakesh Kalapala, Zaheer Nabi, Rajesh Gupta, Mohan Ramchandani, Rupjyoti Talukdar, Manohar Reddy, Raghavendra Yarlagadda, Jagadish Singh, Sana Fatima Memon, G Venkat Rao, D Nageshwar Reddy
OBJECTIVE: In patients with an intermediate likelihood of choledocholithiasis, European Society of Gastrointestinal Endoscopy (ESGE) guidelines recommend endoscopic ultrasound (EUS) or magnetic resonance cholangiopancreatography (MRCP) to diagnose choledocholithiasis to make the indication for endoscopic retrograde cholangiopancreatography (ERCP) treatment; there is no randomised control trial to compare both in this setting. DESIGN: Patients with suspected choledocholithiasis satisfying ESGE guideline's intermediate likelihood were screened for this single-centre randomised controlled trial between November 2019 and May 2020...
February 10, 2022: Gut
https://read.qxmd.com/read/35065151/magnetic-resonance-cholangiopancreatography-vs-endoscopy-retrograde-cholangiopancreatography-for-detection-of-anatomic-variants-of-the-pancreatic-duct-in-children
#14
JOURNAL ARTICLE
Tom K Lin, David S Vitale, Maisam Abu-El-Haija, Christopher G Anton, Eric Crotty, Yinan Li, Bin Zhang, Andrew T Trout
OBJECTIVE: To compare the efficacy of magnetic resonance cholangiopancreatography (MRCP) with endoscopy retrograde cholangiopancreatography (ERCP) in children for the identification of pancreatic duct variants. STUDY DESIGN: We identified children with a pancreatic duct variant by ERCP and separately queried our MRCP database for similar variants. Patients with a paired ERCP-MRCP were reviewed. Three radiologists blinded to the ERCP and MRCP findings were asked to independently review the MRCP studies and define the pancreatic duct anatomy...
May 2022: Journal of Pediatrics
https://read.qxmd.com/read/35013006/early-laboratory-values-after-liver-transplantation-are-associated-with-anastomotic-biliary-strictures
#15
JOURNAL ARTICLE
Matthew Fasullo, Priyanush Kandakatla, Reza Amerinasab, Divyanshoo Rai Kohli, Tilak Shah, Samarth Patel, Chandra Bhati, Doumit Bouhaidar, Mohammad S Siddiqui, Ravi Vachhani
BACKGROUNDS/AIMS: The aim of this study was to evaluate longitudinal changes of post-liver transplantation (LT) biliary anatomy and to assess the association of increased laboratory values after LT with the development of post-LT anastomotic biliary stricture (ABS). METHODS: Adult deceased donor LT recipients from 2008 and 2019 were evaluated. ABS was defined after blinded review of endoscopic cholangiograms. Controls were patients who underwent LT for hepatocellular carcinoma who did not have any clinical or biochemical concerns for ABS...
February 28, 2022: Annals of Hepato-Biliary-Pancreatic Surgery
https://read.qxmd.com/read/34698935/nonradiation-to-endoscopist-ercp-is-non-inferior-to-standard-ercp
#16
JOURNAL ARTICLE
Wei Zeng, Jie Hu, Yanglin Pan, Mingqing Zhang, Li Xu
BACKGROUND: Radiation exposure is inherently involved in endoscopic retrograde cholangiopancreatography (ERCP), which could cause radiation-induced injury to endoscopists with long-term exposure. Nonradiation ERCP has been applied to pregnant patients. Conceivably, the same techniques could be used to benefit endoscopists. This study was designed to evaluate the effectiveness and safety of nonradiation-to-endoscopist (NRE) ERCP, compared with standard ERCP. METHODS: A retrospective, single-center study was conducted from August 2010 to December 2015...
July 2022: Surgical Endoscopy
https://read.qxmd.com/read/34310263/same-day-endoscopic-retrograde-cholangio-pancreatography-immediately-after-endoscopic-ultrasound-for-choledocholithiasis-is-feasible-safe-and-cost-effective
#17
JOURNAL ARTICLE
Wisam Sbeit, Anas Kadah, Amir Shahin, Tawfik Khoury
BACKGROUND: Patients with suspected choledocholithiasis should undergo further confirmatory imaging test by endoscopic ultrasound (EUS) or magnetic resonance cholangiopancreatography (MRCP) before performing definite extraction by endoscopic retrograde cholangiopancreatography (ERCP). Usually, those procedures are performed at a separate session. AIM: The aim of our study is to report the safety, efficacy and cost-effectiveness of same day EUS and ERCP. METHODS: A retrospective study including all patients who underwent EUS and ERCP for choledocholithiasis from 1st January 2020 through 1st January 2021...
July 26, 2021: Scandinavian Journal of Gastroenterology
https://read.qxmd.com/read/34038997/endoscopic-interventions-for-the-early-and-remission-phases-of-acute-biliary-pancreatitis-what-are-the-more-concrete-and-practical-situations-for-performing-them
#18
JOURNAL ARTICLE
Sho Hasegawa, Shinsuke Koshita, Yoshihide Kanno, Takahisa Ogawa, Toshitaka Sakai, Hiroaki Kusunose, Kensuke Kubota, Atsushi Nakajima, Yutaka Noda, Kei Ito
BACKGROUND/AIMS: The use of endoscopic intervention (EI) for acute biliary pancreatitis (ABP) remains controversial because the severity of biliary obstruction/cholangitis/pancreatitis is not reflected in the indications for early EI (EEI). METHODS: A total of 148 patients with ABP were included to investigate 1) the differences in the rate of worsening cholangitis/pancreatitis between the EEI group and the early conservative management (ECM) group, especially for each severity of cholangitis/pancreatitis, and 2) the diagnostic ability of imaging studies, including endoscopic ultrasound (EUS), to detect common bile duct stones (CBDSs) in the ECM group...
November 2021: Clinical Endoscopy
https://read.qxmd.com/read/33548019/idiopathic-acute-pancreatitis-a-myth-or-reality-role-of-endoscopic-ultrasonography-and-magnetic-resonance-cholangiopancreatography-in-its-diagnosis
#19
COMPARATIVE STUDY
Tuhin Mitra, Vinod Kumar Dixit, Dawesh Prakash Yadav, Sunit Kumar Shukla, Ashish Verma, Piyush Thakur, Ravikant Thakur
BACKGROUND: Around 10% to 30% patients with acute pancreatitis (AP) do not have a cause after the routine investigations, and are considered as having idiopathic acute pancreatitis (IAP). Establishing the etiology in such patients will prevent recurrences and evolution to chronic pancreatitis. Endoscopic ultrasonography (EUS) and magnetic resonance cholangiopancreatography (MRCP) characteristically are used to diagnose IAP when routine methods fail, but their exact role is not determined...
February 2021: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://read.qxmd.com/read/33106466/eus-assessment-for-intermediate-risk-of-choledocholithiasis-after-a-negative-magnetic-resonance-cholangiopancreatography
#20
JOURNAL ARTICLE
Diana Wee, Stephanie Izard, Gregory Grimaldi, Kara L Raphael, Tai-Ping Lee, Arvind J Trindade
BACKGROUND AND AIMS: Guidelines recommend either EUS or magnetic resonance cholangiopancreatography (MRCP) for intermediate risk of choledocholithiasis. There is a lack of evidence that supports proceeding with EUS if the MRCP is negative and if clinical suspicion still exists. METHODS: This is a retrospective study of all patients who underwent EUS to assess for choledocholithiasis at a tertiary care referral center from July 2013 to October 2019. RESULTS: A total of 593 patients underwent EUS for evaluation for choledocholithiasis...
September 2020: Endoscopic Ultrasound
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