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Giovanni Brandi, Michela Venturi, Maria Abbondanza Pantaleo, Giorgio Ercolani
In the oncology landscape, cholangiocarcinoma is a challenging disease in terms of both diagnosis and treatment. Besides anamnesis and clinical examination, a definitive diagnosis of cholangiocarcinoma should be supported by imaging techniques (US, CT, MRI) and invasive investigations (ERC or EUS with brushing and FNA or US or CT-guided biopsy) followed by pathological confirmation. Surgery is the main curative option, so resectability of the tumour should be promptly assessed. Moreover, jaundice must be evaluated at the outset because biliary tract decompression with drainage and stent placement may be required...
March 2016: Digestive and Liver Disease
Leonardo Zorrón Pu, Eduardo Guimarães Hourneaux de Moura, Wanderley Marques Bernardo, Felipe Iankelevich Baracat, Ernesto Quaresma Mendonça, André Kondo, Gustavo Oliveira Luz, Carlos Kiyoshi Furuya Júnior, Everson Luiz de Almeida Artifon
AIM: To analyze through meta-analyses the benefits of two types of stents in the inoperable malignant biliary obstruction. METHODS: A systematic review of randomized clinical trials (RCT) was conducted, with the last update on March 2015, using EMBASE, CINAHL (EBSCO), MEDLINE, LILACS/CENTRAL (BVS), SCOPUS, CAPES (Brazil), and gray literature. Information of the selected studies was extracted in sight of six outcomes: primarily regarding dysfunction, complication and re-intervention rates; and secondarily costs, survival, and patency time...
December 21, 2015: World Journal of Gastroenterology: WJG
Hirotoshi Ishiwatari, Hiroshi Kawakami, Hiroyuki Hisai, Kei Yane, Manabu Onodera, Kazunori Eto, Shin Haba, Toshinori Okuda, Hideyuki Ihara, Takehiro Kukitsu, Ryusuke Matsumoto, Keisuke Kitaoka, Tomoko Sonoda, Tsuyoshi Hayashi
BACKGROUND AND STUDY AIMS: Endoscopic bile duct stone (BDS) removal is a well-established treatment; however, the preference for basket or balloon catheters for extraction is operator-dependent. We therefore conducted a multicenter prospective randomized trial to compare catheter performance. PATIENTS AND METHODS: We enrolled patients with a BDS diameter ≤ 10 mm and common bile duct diameter ≤ 15 mm. Participants were randomly assigned to groups that were treated with basket or balloon catheters between October 2013 and September 2014...
April 2016: Endoscopy
Pritesh Mutha, Tilak Shah, Douglas Heuman, Alvin Zfass, Mitchell L Schubert
No abstract text is available yet for this article.
April 2016: Digestive Diseases and Sciences
James Buxbaum, Arthur Yan, Kelvin Yeh, Christianne Lane, Nancy Nguyen, Loren Laine
BACKGROUND & AIMS: Pancreatitis is the most common serious complication of endoscopic retrograde cholangiopancreatography (ERCP). We performed a pilot study to determine whether aggressive periprocedural hydration with lactated Ringer's solution reduces the incidence of pancreatitis after ERCP. METHODS: Patients who underwent first-time ERCP were randomly assigned to groups (2:1) that received aggressive hydration with lactated Ringer's solution (3 mL/kg/h during the procedure, a 20-mL/kg bolus after the procedure, and 3 mL/kg/h for 8 hours after the procedure, n = 39) or standard hydration with the same solution (1...
February 2014: Clinical Gastroenterology and Hepatology
Shin Hee Kim, Jong Ho Moon, Hyun Jong Choi, Dong Choon Kim, Tae Hoon Lee, Young Koog Cheon, Young Deok Cho, Sang-Heum Park, Sun-Joo Kim
BACKGROUND AND STUDY AIMS: After endoscopic papillectomy, pancreatic duct stenting is important in preventing pancreatitis, but duct cannulation can be difficult following conventional snare resection. Pancreatic duct wire-guided endoscopic snaring before resection can reduce the post-procedure stenting failure rate. We evaluated the usefulness of this approach. PATIENTS AND METHODS: Pancreatic duct wire-guided endoscopic papillectomy was performed in 72 patients with ampullary adenoma...
October 2013: Endoscopy
H I Påhlsson, K Groth, J Permert, F Swahn, M Löhr, L Enochsson, L Lundell, U Arnelo
BACKGROUND AND STUDY AIMS: The aim of this study was to investigate whether telemedicine can help to ensure high-quality endoscopic retrograde cholangiopancreatography (ERCP) in patients living in rural areas. The study was conducted by investigators from two centers: the Karolinska University Hospital, a high-volume center which provided the teleguided support, and the Visby District Hospital, a low-volume center. PATIENTS AND METHODS: From September 2010 to August 2011, 26 ERCP procedures performed at a district hospital were teleguided by an experienced endoscopist at the Karolinska University Hospital...
2013: Endoscopy
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