keyword
https://read.qxmd.com/read/38533845/endoscopic-retrieval-of-the-torn-pancreatic-stent-by-pushing-out-through-the-eus-pd-fistula-tract
#1
Kenta Yoshida, Haruka Toyonaga, Tsuyoshi Hayashi, Masayo Motoya, Toshifumi Kin, Kuniyuki Takahashi, Akio Katanuma
No abstract text is available yet for this article.
March 27, 2024: Journal of Hepato-biliary-pancreatic Sciences
https://read.qxmd.com/read/38532800/migration-of-a-common-bile-duct-stone-into-the-main-pancreatic-duct-due-to-catheter-manipulation-during-endoscopic-retrograde-cholangiopancreatography
#2
Toji Murabayashi, Haruka Nakamura, Shinya Sugimoto
INTRODUCTION: We report the first case of a choledocholithiasis migrating into the main pancreatic duct (MPD) due to catheter manipulation during endoscopic retrograde cholangiopancreatography (ERCP). CASE PRESENTATION: A 57-year-old woman complaining of vomiting was diagnosed with acute cholangitis and pancreatitis due to choledocholithiasis. During ERCP, the stone migrated from the papilla into the MPD due to the pushing motion of the catheter. However, the ERCP session was completed after biliary sphincterotomy without intervention in the MPD because the migration was not noticed...
2024: Case Reports in Gastroenterology
https://read.qxmd.com/read/38529515/development-and-validation-of-a-practical-clinical-risk-prediction-model-for-post-endoscopic-retrograde-cholangiopancreatography-pancreatitis
#3
JOURNAL ARTICLE
Zhao Wu Meng, Yibing Ruan, Stacey Fisher, Kirles Bishay, Millie Chau, Megan Howarth, Shane Cartwright, Yen-I Chen, Elijah Dixon, Steven J Heitman, Darren R Brenner, Nauzer Forbes
BACKGROUND: Pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP) can lead to significant morbidity and mortality. We aimed to develop an accurate post-ERCP pancreatitis risk prediction model using easily obtainable variables. METHODS: Using prospective multi-center ERCP data, we performed logistic regression using stepwise selection on several patient-, procedure-, and endoscopist-related factors that were determined a priori. The final model was based on a combination of the Bayesian information criterion and Akaike's information criterion performance, balancing the inclusion of clinically relevant variables and model parsimony...
April 2024: DEN Open
https://read.qxmd.com/read/38526116/heterotopic-auxiliary-whole-liver-rat-transplant-model-utilizing-a-hepaticoureterostomy-for-allograft-rejection-studies
#4
JOURNAL ARTICLE
Bret Verhoven, Weifeng Zeng, Peter Chlebeck, Kristina Matkowskyj, Heather Jennings, Samuel Poore, David Al-Adra
Small animal transplant models are indispensable for organ tolerance studies investigating feasible therapeutic interventions in preclinical studies. Rat liver transplantation (LTx) protocols typically use an orthotopic model where the recipients' native liver is removed and replaced with a donor liver. This technically demanding surgical procedure requires advanced micro-surgical skills and is further complicated by lengthy anhepatic and lower body ischemia times. This prompted the development of a less complicated heterotopic method that can be performed faster with no anhepatic or lower body ischemia time, reducing post-surgery stress for the recipient animal...
March 8, 2024: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/38523883/caroli-s-disease-associated-with-autosomal-dominant-polycystic-kidney-disease-with-acute-pancreatitis-a-case-report
#5
Karishma M Rathi, Priyanka Pingat, Prachi Bansode, Shaili Dongare
A rare congenital hepatobiliary disorder called Caroli's disease is characterized by multifocal segmental dilatation of intrahepatic bile ducts that can affect the entire liver or only specific areas of it. Coexisting conditions with Caroli's disease include autosomal dominant polycystic kidney disease (ADPKD) and autosomal recessive polycystic kidney disease (ARPKD). ADPKD results in the development of cysts, which are tiny fluid-filled sacs, in the kidneys. Caroli's disease is considered a rare disorder, affecting a small number of individuals worldwide...
October 2023: Middle East Journal of Digestive Diseases
https://read.qxmd.com/read/38523372/triamcinolone-acetonide-alleviates-benign-biliary-stricture-by-ameliorating-biliary-fibrosis-and-inflammation
#6
Seyeon Joo, See Young Joo, Su Yeon Lee, Yeseong Hwang, Minki Kim, Jae Woong Jeong, Sung Ill Jang, Sungsoon Fang
We conducted a comprehensive series of molecular biological studies aimed at unraveling the intricate mechanisms underlying the anti-fibrotic effects of triamcinolone acetonide (TA) when used in conjunction with fully covered self-expandable metal stents (FCSEMS) for the management of benign biliary strictures (BBS). To decipher the molecular mechanisms responsible for the anti-fibrotic effects of corticosteroids on gallbladder mucosa, we conducted a comprehensive analysis. This analysis included various methodologies such as immunohistochemistry, ELISA, real-time PCR, and transcriptome analysis, enabling us to examine alterations in factors related to fibrosis and inflammation at both the protein and RNA levels...
March 25, 2024: BMB Reports
https://read.qxmd.com/read/38522890/multimodal-treatment-with-endoscopic-ablation-and-systemic-therapy-for-cholangiocarcinoma
#7
REVIEW
Zaheer Nabi, Michał Żorniak, D Nageshwar Reddy
Cholangiocarcinoma (CCA) are primary malignancies of biliary system and usually unresectable at the time of diagnosis. As a consequence, majority of these cases are candidates for palliative care. With the advances in chemotherapeutic agents and multidisciplinary care, the survival rate has improved in cases with inoperable malignant biliary obstruction. As a consequence, there is a need to provide effective and durable palliative care in these patients. The main role of endoscopic palliation in the vast majority of CCA includes biliary stenting for obstructive jaundice...
February 2024: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/38521477/impact-of-the-supra-papilla-method-on-patency-in-distal-malignant-biliary-obstruction-a-multicenter-randomized-controlled-trial
#8
JOURNAL ARTICLE
Sung Woo Ko, Hyun Don Joo, Tae Jun Song, Seongje Kim, Seong Ji Choi, Chi Hyuk Oh, Md PhD Dongwook Oh, Jin-Seok Park, Seung Bae Yoon, Md PhD Jai Hoon Yoon, Dong-Wan Seo, Sung Koo Lee
BACKGROUND: /aims: Placement of a self-expandable metal stent (SEMS) across the duodenal major papilla carries a risk of duodenobiliary reflux (DBR). The supra-papilla method of stenting may reduce DBR and improve stent patency compared to the trans-papilla method. This study aimed to compare the clinical outcomes between the supra-papilla and trans-papilla methods for distal malignant biliary obstruction (DMBO). METHODS: Between January 2021 and January 2023, consecutive patients with DMBO from six centers in Korea were randomly assigned to either the supra-papilla or trans-papilla method arm in a 1:1 ratio...
March 21, 2024: Gastrointestinal Endoscopy
https://read.qxmd.com/read/38517593/minimal-endoscopic-sphincterotomy-followed-by-papillary-balloon-dilation-to-relieve-choledocholithiasis-in-a-6-year-old-girl-with-hereditary-spherocytosis
#9
JOURNAL ARTICLE
Kiyoaki Yabe, Wataru Yamagata, Masamichi Satou, Itsuhiro Oka, Hideyuki Horike, Shin Namiki, Kenji Hosoi
A 6-year-old girl previously diagnosed with hereditary spherocytosis was admitted to our hospital with gallstones and cholangitis. Endoscopic retrograde cholangiopancreatography (ERCP) was performed, and fluoroscopy revealed a dilated common bile duct (CBD) without evident stones, possibly due to spontaneous excretion through the papilla of Vater. A 7-French plastic stent was inserted into the CBD. After the procedure, a marked increase in pancreatic enzyme levels was observed, and she was diagnosed with post-ERCP pancreatitis (PEP)...
March 22, 2024: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/38514464/how-to-prevent-and-treat-biliary-lumen-apposing-metal-stent-dysfunction
#10
EDITORIAL
Jérémie Albouys, Thomas Guilmoteau, Marion Schaefer, Jérémie Jacques
No abstract text is available yet for this article.
March 21, 2024: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://read.qxmd.com/read/38513144/percutaneous-placement-of-a-retrievable-fully-covered-metal-stent-with-anchoring-flaps-for-the-treatment-of-biliary-anastomotic-stricture-following-ldlt
#11
JOURNAL ARTICLE
Joonho Hur, Woosun Choi, Sang Lim Choi, Suk-Won Suh
To investigate the outcomes following percutaneous placement of a retrievable fully covered self-expanding metal stent (fcSEMS) with anchoring flaps at proximal and distal ends for the treatment of biliary anastomotic strictures following living-donor liver transplantation (LDLT). We retrospectively reviewed the medical records of nine patients who underwent this procedure at our centre between April 2020 and March 2021. Percutaneous stent placement was technically successful in 100% patients, and all stents were successfully retrieved...
March 2024: Journal of International Medical Research
https://read.qxmd.com/read/38510458/comparison-of-long-term-outcomes-of-endoscopic-ultrasound-guided-hepaticogastrostomy-and-choledochoduodenostomy-for-distal-malignant-biliary-obstruction-a-multicenter-retrospective-study
#12
JOURNAL ARTICLE
Dongwook Oh, Sung Yong Han, Sang Hyub Lee, Seong-Hun Kim, Woo Hyun Paik, Hyung-Ku Chon, Tae Jun Song, Se Woo Park, Jae Hee Cho
BACKGROUND: Endoscopic ultrasound-guided biliary drainage (EUS-BD), classified as choledochoduodenostomy (CDS) and hepaticogastrostomy (HGS), is a feasible and effective alternative for distal malignant biliary obstruction (MBO) in failed endoscopic retrograde cholangiopancreatography. However, the preferred technique for better outcomes has not yet been evaluated. OBJECTIVES: We compared the long-term outcomes between the techniques. DESIGN: Retrospective comparative study...
2024: Therapeutic Advances in Gastroenterology
https://read.qxmd.com/read/38504748/correction-intraductal-radiofrequency-ablation-plus-biliary-stent-versus-stent-alone-for-malignant-biliary-obstruction-a-systematic-review-and-meta-analysis
#13
Matheus de Oliveira Veras, Diogo Turiani Hourneaux de Moura, Thomas R McCarty, Guilherme Henrique Peixoto de Oliveira, Rômulo Sérgio Araújo Gomes, Davi Lucena Landim, Felipe Giacobo Nunes, Tomazo Antônio Prince Franzini, Marcos Eduardo Lera Dos Santos, Wanderley Marques Bernardo, Eduardo Guimarães Hourneaux de Moura
[This corrects the article DOI: 10.1055/a-2204-8316.].
March 2024: Endoscopy International Open
https://read.qxmd.com/read/38504508/two-devices-in-one-channel-method-using-a-balloon-catheter-in-a-case-of-difficult-cannulation-into-the-gallbladder-caused-by-a-remarkably-steep-cystic-duct-in-endoscopic-gallbladder-stenting
#14
Mariko Tsukamoto, Shin Kato, Michio Nakamura
No abstract text is available yet for this article.
March 19, 2024: Journal of Hepato-biliary-pancreatic Sciences
https://read.qxmd.com/read/38500944/asymptomatic-pneumoperitoneum-with-a-large-amount-of-gas-appeared-during-endoscopic-ultrasound-guided-biliary-drainage
#15
Koji Takahashi, Hiroshi Ohyama, Izumi Ohno, Yuichi Takiguchi, Naoya Kato
We report a case in which a large amount of intraperitoneal free gas developed during endoscopic ultrasound-guided biliary drainage with the rendezvous technique. A 62-year-old woman presented with obstructive jaundice caused by a pancreatic head tumor. Endoscopic retrograde cholangiopancreatography was attempted but failed due to difficulty cannulating the bile duct. Consequently, endoscopic ultrasound-guided hepaticogastrostomy was performed using a fully covered metal stent. Subsequently, the rendezvous technique was employed to access the biliary system and perform an endoscopic sphincterotomy...
February 2024: Curēus
https://read.qxmd.com/read/38492316/pleural-migration-of-biliary-stent-10-years-following-treatment-of-hepatic-hydatic-echinococcosis-a-case-report
#16
S Atri, R Elaifia, A Sebai, M Hammami, A Haddad, J M Kacem
INTRODUCTION: Echinococcosis, caused by larval stages of taeniid cestodes, primarily affects the liver and is commonly treated surgically. However, a complication post-treatment is biliary fistula, necessitating interventions like biliary stents. While stent complications are recognized, proximal migration leading to pneumonia is exceptionally rare. This case report details an unusual occurrence of biliary stent migration years after hepatic hydatid echinococcosis treatment. CASE PRESENTATION: A 42-year-old patient underwent 2014 surgery for a large hydatid cyst, resulting in a biliary fistula...
March 13, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38490459/risk-factors-and-treatment-strategies-for-cholecystitis-after-metallic-stent-placement-due-to-malignant-biliary-obstruction-a-multicenter-retrospective-study
#17
JOURNAL ARTICLE
Akihiro Matsumi, Hironari Kato, Taiji Ogawa, Toru Ueki, Masaki Wato, Masakuni Fujii, Tatsuya Toyokawa, Ryo Harada, Yuki Ishihara, Masahiro Takatani, Hirofumi Tsugeno, Naoko Yunoki, Takeshi Tomoda, Toshiharu Mitsuhashi, Motoyuki Otsuka
BACKGROUND AND STUDY AIMS: Cholecystitis can occur after self-expandable metallic stent (SEMS) placement for malignant biliary obstructions (MBO). Furthermore, the best treatment option for cholecystitis has not been determined. Here, we aimed to identify the risk factors of cholecystitis after SEMS placement and determine the best treatment option. PATIENTS AND METHODS: Incidence, treatments, and predictive factors of cholecystitis were retrospectively evaluated in 1,084 patients with distal MBO (DMBO) and 353 patients with hilar MBO (HMBO) who underwent SEMS placement at the 12 institutions from January 2012 to March 2021...
March 13, 2024: Gastrointestinal Endoscopy
https://read.qxmd.com/read/38488871/safety-of-skipping-the-tract-dilation-step-for-eus-guided-biliary-drainage-in-patients-with-unresectable-malignant-biliary-obstruction-with-video
#18
JOURNAL ARTICLE
Masahiro Itonaga, Reiko Ashida, Tomoya Emori, Keiichi Hatamaru, Yasunobu Yamashita, Yuki Kawaji, Takashi Tamura, Ikuhisa Tuda, Takaaki Tamura, Hiromu Koutani, Hirofumi Yamazaki, Toshio Shimokawa, Masayuki Kitano
BACKGROUND: Thin delivery system stents can be inserted directly without the need for a tract dilation step and are expected to reduce bile leakage during endoscopic ultrasound-guided biliary drainage (EUS-BD). The present study retrospectively compared the safety and efficacy of EUS-BD using a thin metal stent (< 7.5 Fr) with those of EUS-BD using a conventional stent (≥ 7.5 Fr). METHODS: The present study enrolled 112 patients who underwent EUS-BD using metal stents for unresectable malignant biliary obstruction between April 2016 and July 2022...
March 15, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38486672/outcome-of-long-term-biliary-stenting-for-stones-in-the-2010s-beware-the-cholecystectomised
#19
JOURNAL ARTICLE
Jamal Ahmed, Priyanka Prakash, Gney Mehta, Tessa Davies, Yin Yin Lim, Nicholas D Cross, Marek Alexander Czajkowski, Miles Clifford Allison
OBJECTIVE: Endoscopic retrograde cholangiopancreatography (ERCP) is the mainstay of management for most patients with common bile duct stones (CBDS). Duct clearance at initial ERCP may not be achieved in a third of patients, many of whom may be elderly with multiple comorbidities rendering them at potentially high risk for further procedures. We aimed to quantify the rate of biliary sequelae and mortality among a large cohort undergoing a single ERCP with sphincterotomy and stent insertion without having undergone complete ductal clearance (permanent stent insertion, PSI), and to examine factors that may predispose to adverse outcomes...
March 2024: Frontline Gastroenterology
https://read.qxmd.com/read/38486465/evaluating-optimal-bilateral-biliary-stenting-in-endoscopic-reintervention-after-initial-plastic-stent-dysfunction-for-unresectable-malignant-hilar-biliary-obstruction-retrospective-cross-sectional-study
#20
JOURNAL ARTICLE
Mitsuru Okuno, Keisuke Iwata, Takuji Iwashita, Tsuyoshi Mukai, Kota Shimojo, Yosuke Ohashi, Yuhei Iwasa, Akihiko Senju, Shota Iwata, Ryuichi Tezuka, Hironao Ichikawa, Naoki Mita, Shinya Uemura, Kensaku Yoshida, Akinori Maruta, Eiichi Tomita, Ichiro Yasuda, Masahito Shimizu
OBJECTIVES: The placement of plastic stents (PS), including intraductal PS (IS), is useful in patients with unresectable malignant hilar biliary obstruction (UMHBO) because of patency and ease of endoscopic reintervention (ERI). However, the optimal stent replacement method for PS remains unclear. METHODS: This retrospective study included 322 patients with UMHBO. Among them, 146 received PS placement as initial drainage (across-the-papilla PS [aPS], 54; IS, 92), whereas 75 required ERI...
March 14, 2024: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
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