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9 papers 25 to 100 followers
By Rafael Perini GI with special interest in pancreatobiliary pathology
Kjetil Soreide
No abstract text is available yet for this article.
August 2018: Gastroenterology
Rupjyoti Talukdar, Duvvur Nageshwar Reddy
Extracorporeal shock wave lithotripsy is recommended as the first-line therapy for large (>5-mm) obstructive pancreatic ductal stones. Dominant pancreatic duct strictures should be initially managed with a wide-bore single plastic stent with 3 monthly exchanges for a year, even in asymptomatic patients. Recent studies have evaluated multiple plastic and self-expanding covered metal stents for refractory pancreatic ductal stricture. Pancreatic pseudocysts should be treated endoscopically with or without endoscopic ultrasound guidance...
October 2015: Gastrointestinal Endoscopy Clinics of North America
James M Scheiman, Joo Ha Hwang, Paul Moayyedi
No abstract text is available yet for this article.
April 2015: Gastroenterology
Jochen Weigt, Maciej Pech, Arne Kandulski, Peter Malfertheiner
Six patients with biliary duct pathologies were investigated with three-dimensional endoscopic retrograde cholangiopancreatography (3D-ERCP). The technique of 3D-ERCP consists of c-arm rotation using a flat detector c-arm to acquire a complete set of images for 3 D visualization of the biliary system. Our case series demonstrates a high level of accuracy with regard to the diagnosis of stenosis and biliary leakage. In two patients the diagnosis obtained from conventional ERCP changed significantly after 3D-ERCP...
July 2015: Endoscopy
Jean-Marc Dumonceau, Angelo Andriulli, B Joseph Elmunzer, Alberto Mariani, Tobias Meister, Jacques Deviere, Tomasz Marek, Todd H Baron, Cesare Hassan, Pier A Testoni, Christine Kapral
This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It addresses the prophylaxis of post-endoscopic retrograde cholangiopancreatography (post-ERCP) pancreatitis. Main recommendations 1 ESGE recommends routine rectal administration of 100 mg of diclofenac or indomethacin immediately before or after ERCP in all patients without contraindication. In addition to this, in the case of high risk for post-ERCP pancreatitis (PEP), the placement of a 5-Fr prophylactic pancreatic stent should be strongly considered...
September 2014: Endoscopy
Tae Hoon Lee, Young Kyu Jung, Sang-Heum Park
Endoscopic retrograde cholangiopancreatography (ERCP) is an essential technique for the diagnosis and treatment of pancreatobiliary diseases. However, ERCP-related complications such as pancreatitis, cholangitis, hemorrhage, and perforation may be problematic. For a successful and safe ERCP, preprocedural evaluations of the patients and intervention-related risk factors are needed. Furthermore, in light of the recent population aging and increase in chronic cardiopulmonary diseases in Korea, precautions including endoscopic sedation and prevention of cardiopulmonary complications should be considered...
July 2014: Clinical Endoscopy
Kwang Bum Cho
Uneventful duodenal perforation during endoscopic retrograde cholangiopancreatography (ERCP) is an uncommon but occasionally fatal complication. ERCP-related perforations may occur during sphincterotomy and improper manipulation of the equipment and scope. Traditionally, duodenal perforation has been treated with early surgical repair. Recently, nonoperative early endoscopic management techniques including clips or fibrin glue have been reported. In the present paper we review the literature pertaining to the treatment of perforations...
July 2014: Clinical Endoscopy
Tossapol Kerdsirichairat, Rajeev Attam, Mustafa Arain, Yan Bakman, David Radosevich, Martin Freeman
BACKGROUND AND STUDY AIMS: Urgent placement or replacement of pancreatic stents shortly after endoscopic retrograde cholangiopancreatography (ERCP) might attenuate the course of evolving post-ERCP pancreatitis (PEP). PATIENTS AND METHODS: Salvage ERCP with de novo pancreatic stent placement or replacement of outwardly migrated stents was performed within 2 - 48 hours in patients with evolving PEP accompanied by severe pain, systemic inflammatory response syndrome (SIRS), and major elevations in serum amylase and lipase...
December 2014: Endoscopy
Olga Brawman-Mintzer, Valerie Durkalski, Qi Wu, Joseph Romagnuolo, Evan Fogel, Paul Tarnasky, Giuseppe Aliperti, Martin Freeman, Richard Kozarek, Priya Jamidar, Mel Wilcox, Grace Elta, Kyle Orrell, April Wood, Patrick Mauldin, Jose Serrano, Douglas Drossman, Patricia Robuck, Peter Cotton
OBJECTIVES: Patients with several painful functional gastrointestinal disorders (FGIDs) are reported to have a high prevalence of psychosocial disturbance. These aspects have not been studied extensively in patients with suspected Sphincter of Oddi dysfunction (SOD). METHODS: A total of 214 patients with post-cholecystectomy pain and suspected SOD were enrolled in seven US centers in a multicenter-randomized trial (Evaluating Predictors and Interventions in Sphincter of Oddi Dysfunction)...
March 2014: American Journal of Gastroenterology
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