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Endoscopic retrograde colangiopancreatography

Rómulo Darío Vargas, Claudia Patricia Córdoba, Luis Felipe Uriza, Valeria Costa Barney, Gabriel Mosquera-Klinger, Diego Alfonso Ortega
OBJECTIVE: Determine the grade of agreement between the colangiopancreatography by magnetic resonance (CPRM) and the endoscopic retrograde colangio pancreatography (ERCP) in hospitalized patients by biliary lithiasis in a period of time in a reference hospital. MATERIAL AND METHODS: Type of study, retrospective evaluation of diagnostic tool, the size of the sample was calculated from the pilot simple and was 320 patients. We recolected 354 patients that urderwent both studies (CPRM and ERCP), to evaluate the correlation between both procedures we used Kappa variation...
July 2015: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Lidia Ionescu, D Timofte, M Savin, V Fotea, R Dănilă
Impacted common bile duct (CBD) lithiasis poses therapeutical challenges and repeated attempts of removal may result in life-threatening complications. CASE REPORT. A 45 year-old female patient was admitted in emergency for right upper quadrant abdominal pain and jaundice. Clinical, lab data, abdominal ultrasound (US) and cholangio-MRI established the diagnosis of acute cholecystitis and obstructive jaundice due to distal CBD lithiasis. Endoscopic retrograde colangiopancreatography (ERCP) confirmed the presence of a distal CBD stone but extraction failed...
January 2015: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
José Manuel Aranda-Narváez, Antonio Jesús González-Sánchez, María Custodia Montiel-Casado, Alberto Titos-García, Julio Santoyo-Santoyo
Necrosis of pancreatic parenchyma or extrapancreatic tissues is present in 10%-20% of patients with acute pancreatitis, defining the necrotizing presentation frequently associated with high morbidity and mortality rates. During the initial phase of acute necrotizing pancreatitis the most important pillars of medical treatment are fluid resuscitation, early enteral nutrition, endoscopic retrograde colangiopancreatography if associated cholangitis and intensive care unit support. When infection of pancreatic or extrapancreatic necrosis occurs, surgical approach constitutes the most accepted therapeutic option...
December 16, 2014: World Journal of Clinical Cases
E A Baulina, A V Allenov, A A Baulin, O N Shchekin, V A Nikolashin, O A Nikolashin, V A Baulin, R R Il'iasov, O A Baulina
The article is devoted to the substantiation of strategy changes in acute cholecystitis and the bilirubinemia of obscure etiology. At the first stage the treatment was started from RCG in 120 patients and RCG with EPG in 232 patients. The results obtained were not very good, there being many organizational problems. At the second stage the laparoscopic cholecystectomy with drainage of the common bile duct (228 patients) were performed in 248 patients with acute cholecystitis and increased bilirubin from 29...
2013: Vestnik Khirurgii Imeni I. I. Grekova
Juan Ramírez García
OBJECTIVE: Determine the factors that contribute to the technical difficulty of endoscopic clearance of common bile duct (CBD) stones in patients that underwent endoscopic retrograde cholangiopancreatography (ERCP). METHODS: Prospective study included 90 patients, who underwent ERCP and an endoscopic sphincterotomy for the extraction of CBD stone. Between April 2009 and March 2010 at Arzobispo Loayza National Hospital. The technical difficult of CBD stone removal was graded in: easy (1 to 8 attempts) and difficult ( more than 8 attempts or failed)...
October 2011: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Michelle J Alfa, Nancy Olson, Pat Degagné, Patricia J Simner
BACKGROUND: Cleaning of flexible endoscopes is most commonly performed using manual methods that are often performed inadequately. The aim of this study was to validate the sample collection protocol and the Rapid Use Scope Test (RUST) and then assess its usefulness in clinical use. METHODS: The benchmarks for adequate cleaning were protein <6.4 μg/cm(2), hemoglobin <2.2 μg/cm(2), and carbohydrate <1.2 μg/cm(2). Sample collection consisted of flushing 10 mL of sterile reverse osmosis water through the suction-biopsy port to the distal end...
November 2012: American Journal of Infection Control
Gabriela Hernández-Molina, Martha L Michel-Peregrina
Sjögren's syndrome (SS) is an autoimmune disorder affecting primarily the exocrine glands, leading to keratoconjunctivitis sicca (KCS) and xerostomia, but that can also include extraglandular features(1). Due the anatomical, physiological and pathological similarity between the pancreas and the salivary glands, it has been described that the pancreas it is not exempt from the damage produced by this syndrome. Some authors have assessed pancreatic involvement of SS by analyzing the histopathological changes, evaluating the pancreatic endocrine and exocrine function (serum pancreatic enzymes, elastase, lipase or trypsin determinations, N-benzoyl-L-tyrosyl-para-aminobenzoic acid excretion test, etc), searching specific pancreatic antibodies (antiductal) or performing endoscopic retrograde colangiopancreatography or noninvasive imaging studies such as computed tomography or ultrasound...
March 2011: Reumatología Clinica
Lorella Fanti, Massimo Agostoni, Marco Gemma, Franco Radaelli, Rita Conigliaro, Luigi Beretta, Gemma Rossi, Mario Guslandi, Pier Alberto Testoni
BACKGROUND: Best strategy of sedation/analgesia in gastrointestinal (GI) endoscopy is still debated. AIMS OF THE STUDY: To evaluate sedation and monitoring practice among Italian gastroenterologists and to assess their opinion about non-anaesthesiologist propofol administration. METHODS: A 19-item survey was mailed to all 1192 members of the Italian Society of Digestive Endoscopy (SIED). For each respondent were recorded demographic data, medical specialty, years of practise and practise setting...
September 2011: Digestive and Liver Disease
Sergio Muñoz C, Carla Mancilla A, Leonor Moyano S, Cecilia Castillo T, Ricardo Rossi F, Javier Brahm B, Zoltán Berger F
BACKGROUND: Autoimmune pancreatitis is a special form of chronic pancreatitis, more common in men and usually presenting as obstructive jaundice or abdominal pain. It may be associated with other immunological disorders and sometimes it is possible to find positive serological markers. Typical images show pancreatic enlargement with focal or diffuse stenosis of the pancreatic duct but sometimes it presents as a focal pancreatic mass that is difficult to differentiate from pancreatic carcinoma...
March 2010: Revista Médica de Chile
D Lozoya-González, A Farca-Belsaguy, M Peláez-Luna, E Vázquez-Ballesteros, E González-Galeote, J C Salceda-Otero
Ampullary adenomas can occur sporadically or as part of familial adenomatous polyposis syndrome. Most of them are asymptomatic. Current standard of management is complete surgical or endoscopic resection, depending on depth of invasion and/or biliary tract involvement. The last can be established by endoscopic ultrasound or endoscopic retrograde colangiopancreatography. Surgical resection has high morbidity (25% to 65%) and mortality (10%) in unexperienced hands compared to endoscopic therapy (12% and 1%, respectively)...
2010: Revista de Gastroenterología de México
Emmanuel Christoforidis, Konstantinos Vasiliadis, Konstantinos Blouhos, Konstantinos Tsalis, Eleni Tsorlini, Theodoros Tsachalis, Dimitrios Betsis
BACKGROUND: Little information is available on short and long-term outcome of therapeutic endoscopic retrograde colangiopancreatography (ERCP) for choledocholithiasis in nonagenarians (>=90 years). The aim of this study was to evaluate retrospectively the feasibility of therapeutic ERCP in nonagenarians with choledocholithiasis, as compared with patients aged between 75 and 89 years. PATIENTS AND METHODS: During a 9-year period, therapeutic ERCP was performed for choledocholithiasis in 33 nonagenarian patients (group A) and 272 patients aged 75 to 89 years (group B)...
December 2008: Journal of Gastrointestinal and Liver Diseases: JGLD
Cristina Gravalos, Lourdes García-Sanchez, Marta Hernandez, Esther Holgado, Natalia Alvarez, Ignacio García-Escobar, Joaquín Martínez, Luis Robles
Isolated metastases to the pancreas from colorectal cancer (CRC) are very rare. We report a case of a 37-year-old man with a hereditary nonpolyposis CRC with a solitary metastasis to the pancreas who was treated with right hemicolectomy, neoadjuvant chemotherapy, complete surgical resection of the pancreatic metastasis, and adjuvant chemotherapy. After 12 months of follow-up, the patient remains free of disease. Differential diagnosis of isolated metastasis to the pancreas should be performed with pancreatic primary adenocarcinomas and neuroendocrine tumors...
November 2008: Clinical Colorectal Cancer
D Mazzon, B Germanà, D Poole, M Celato, L Bernardi, G Calleri, F Fant, M Bernard, P Lecis, F Costan Biedo
AIM: In this study we describe the results of adoption of local guidelines for conscious sedation (CS) during endoscopic-retrograde-cholangiopancreatography (ERCP) in Belluno Hospital. Local guidelines were created referring to SIED-SIAARTI-ANOTE guidelines for CS in gastrointestinal endoscopy. METHODS: Between January 2002 and February 2004, 300 ERCPs to be performed under CS have been scheduled. According to local guidelines CS was performed by the gastroenterologist assisted by an anesthesia nurse...
March 2005: Minerva Anestesiologica
A Garavello, S Manfroni, G Bellanova, D Antonellis
OBJECTIVE: Evaluation of three cases of Mirizzi's syndrome (MS), a rare condition of non neoplastic biliary tree obstruction. MATERIALS AND METHODS: We reviewed three cases of MS, operated from July 1998 to December 2000 in our institution. All patients were preoperatively evaluated by clinical examination, Ultrasound (US) and Endoscopic retrograde colangiopancreatography (CPRE) for jaundice. Computed Tomography (TC) was also performed in two. RESULTS: Abdominal pain was the main symptom in two patients, jaundice in one (17 mg/dl); Courvoisier-Terrier sign, suggestive for a biliopancreatic neoplasm, was present in two patients...
May 2004: Annali Italiani di Chirurgia
Eduardo Hernández-Castillo, Ricardo Mondragón-Sánchez, Alejandro Mondragón-Sánchez, Ma Nancy Martínez-González
INTRODUCTION: Choledochal cysts are a rare anomaly of the biliary system; only 20-30% are diagnosed in adults. The etiology remains uncertain; however, many patients with this pathology have had an anomalous pancreatobiliary junction. AIM: To evaluate recent trends regarding diagnosis and treatment of choledochal cysts. MATERIALS AND METHODS: Review of the world literature was performed on the matter of choledochal cysts. Incidence, signs and symptoms at presentation, and diagnostic tools and therapeutics are discussed...
October 2003: Revista de Gastroenterología de México
Zita Romão, J Pontes, P Andrade, M C Leitão, A Donato, Diniz Freitas
Histiocitose X or Histiocytosis of the Langerhans cells represents a complex spectrum of clinical alterations, resulting from infiltration by anomalous histiocytes of various organs, including the skin, bones, lungs, lymphatic ganglia and liver. Liver disease is rare and the mechanism by which lesions appear is unknown. Cholestasis results from phenomena of sclerosant colangitis, which affects the intrahepatic ducts, or from proliferation of histiocytic cells in the periportal areas. Some patients develop biliar cyrrhosis...
January 2002: Acta Médica Portuguesa
A Amboldi, M Musazzi, A Cornelli, C Perone, T Merloni, I Gomarasca, S Bonvini, M Zanotti
BACKGROUND: On the basis of personal experience and studies, the importance to diagnose quickly the seriousness of an acute pancreatitis with the help of simple and credible criteria of evaluation is underlined. It's also underlined the help of endoscopic papillosphincterotomy in the initial phase of a biliary pancreatitis; in fact this exam permits to perform a laparoscopic cholecystectomy in a second time and reduce surgical trauma. METHODS: Personal experience with 288 cases of acute pancreatitis (AP), during a twenty-year period (1975-1996) is described...
May 1999: Minerva Chirurgica
P A Testoni, F Lella, F Bagnolo, S Caporuscio, L Cattani, E Colombo, M Buizza
The pancreas commonly reacts to endoscopic papillosphincterotomy (EST) with a rise in serum amylase, and acute pancreatitis may also develop. The long-acting somatostatin analogue octreotide has recently been proposed for prevention of colangiopancreatography (ERCP)/EST-induced pancreatic reaction. Therefore, we tested the prophylactic effects of a subcutaneous 3-day administration of octreotide to 60 consecutive patients undergoing ERCP and EST. They were randomly allocated to receive either 200 micrograms octreotide t...
July 1996: Pancreas
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