5,171 results match your criteria Biliary Stenting


Impact of metal and plastic stents on endoscopic ultrasound-guided aspiration cytology and core histology of head of pancreas masses.

Endoscopy 2019 Jan 17. Epub 2019 Jan 17.

HPB Medicine, Freeman Hospital, Newcastle-upon-Tyne, United Kingdom.

Background:  Stents are frequently placed in patients with biliary obstruction due to a mass in the head of the pancreas. The impact of plastic or self-expandable metal stents (SEMSs) on endoscopic ultrasound (EUS)-guided tissue sampling is unclear. This study aimed to assess, using strict pathological criteria, whether stents impair fine-needle aspiration (FNA) or fine-needle biopsy (FNB). Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0824-6982
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http://dx.doi.org/10.1055/a-0824-6982DOI Listing
January 2019
1 Read

Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Updated August 2018.

Endoscopy 2019 Jan 17. Epub 2019 Jan 17.

Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, The Netherlands.

ESGE suggests endoscopic therapy and/or extracorporeal shockwave lithotripsy (ESWL) as the first-line therapy for painful uncomplicated chronic pancreatitis (CP) with an obstructed main pancreatic duct (MPD) in the head/body of the pancreas. The clinical response should be evaluated at 6 - 8 weeks; if it appears unsatisfactory, the patient's case should be discussed again in a multidisciplinary team and surgical options should be considered.Weak recommendation, low quality evidence. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0822-0832
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http://dx.doi.org/10.1055/a-0822-0832DOI Listing
January 2019
2 Reads

A novel self-expanding biflanged metal stent vs tubular metal stent for EUS-guided transmural drainage of pancreatic pseudocyst: A retrospective, cohort study.

Medicine (Baltimore) 2019 Jan;98(3):e14179

Department of Gastroenterology, Changhai Hospital, Second Military Medical University.

Although endoscopic ultrasound (EUS)-guided transmural drainage of pancreatic fluid collections with metal stents is generally preferred over plastic stents, its superiority among different types of metal stents has not yet been well studied. We conducted this study to compare clinical outcomes and complications of a novel self-expanding biflanged metal stent (BFMS) and a traditional-shaped tubular metal stent (TMS) in treating pancreatic pseudocyst (PPC).This was a retrospective analysis on consecutive patients with PPC underwent EUS-guided transmural drainage with either TMS or BFMS in a single tertiary center with expertise in management of complex biliary and pancreatic problems. Read More

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http://dx.doi.org/10.1097/MD.0000000000014179DOI Listing
January 2019
1 Read

Endoscopic biliary self-expandable metallic stent in malignant biliary obstruction with or without sphincterotomy: systematic review and meta-analysis.

Endosc Int Open 2019 Jan 3;7(1):E26-E35. Epub 2019 Jan 3.

Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, Bologna, Italy.

 To assess the rate of adverse events and the technical success rate of biliary stenting with or without EBS.   A literature search up to February 2017 was performed. Studies assessing adverse events (AEs) and technical success rates of stenting with or without EBS were considered. Read More

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http://dx.doi.org/10.1055/a-0752-9956DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327725PMC
January 2019
2 Reads

Usefulness of a Cannula with a Flexible Tip (Swing Tip) for Managing Severe Biliary Stricture.

Can J Gastroenterol Hepatol 2018 12;2018:7125714. Epub 2018 Dec 12.

Department of Gastroenterology, Okayama University Hospital, Okayama, Japan.

Background And Aims: Biliary stenting for the treatment of biliary stricture is the most common indication of ERCP, but the procedure is sometimes unsuccessful because of severe strictures. The Swing Tip is useful for passing through severe strictures because it has a manually operable tip. The efficacy of using a Swing Tip was retrospectively evaluated. Read More

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http://dx.doi.org/10.1155/2018/7125714DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311258PMC
December 2018

[Endoscopic and surgical treatment of chronic pancreatitis].

Internist (Berl) 2019 Jan 11. Epub 2019 Jan 11.

Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377 München, Deutschland.

With an increasing number of hospital admissions, an average of 16-to 20 days in hospital per year, 34% of patients constantly taking pain medication, 57% in need of enzyme supplementation, and 29% with diabetes mellitus, chronic pancreatitis is a debilitating disease of high socio-economic relevance. In total, 33% of all patients suffering from chronic pancreatitis can no longer practice their original profession. The number of unemployed chronic pancreatitis patients due to prolonged stays in hospital or continued alcohol abuse is known to be as high as 40%. Read More

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http://dx.doi.org/10.1007/s00108-018-0546-7DOI Listing
January 2019
1 Read

Safety of Percutaneous Transhepatic Biliary Stenting in Patients with Obstructive Jaundice.

J Coll Physicians Surg Pak 2019 Jan;29(1):24-28

Department of Radiology, Norfolk and Norwich University Hospital, Colney Ln, Norwich NR4 7UY, UK.

Objective: To determine the safety of percutaneous transhepatic biliary stenting (PTBS) in patients with obstructive jaundice.

Study Design: A case series.

Place And Duration Of Study: Department of Radiology, The Aga Khan University Hospital Karachi, Pakistan, from February 2012 to April 2013. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.01.24DOI Listing
January 2019

Rupture of Pseudoaneurysm after Biliary Metallic Stent Placement.

Intern Med 2019 Jan 10. Epub 2019 Jan 10.

Division of Endoscopy, Shizuoka Cancer Center, Japan.

Rupture of a pseudoaneurysm (PA) has been reported as a rare but serious adverse event associated with endoscopic biliary stenting. We herein report 2 cases of severe biliary bleeding from a PA that developed 10-14 days after placement of a self-expandable metallic stent (SEMS) for biliary malignancy. The first patient was successfully embolized with endovascular coiling. Read More

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https://www.jstage.jst.go.jp/article/internalmedicine/advpub
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http://dx.doi.org/10.2169/internalmedicine.1862-18DOI Listing
January 2019
1 Read

Endoscopic Management of Combined Biliary and Duodenal Obstruction.

Clin Endosc 2019 Jan 10. Epub 2019 Jan 10.

Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.

Combined obstruction of the bile duct and duodenum is a common occurrence in periampullary malignancies. The obstruction of gastric outlet or duodenum can follow, occur simultaneously, or precede biliary obstruction. The prognosis in patients with combined obstruction is particularly poor. Read More

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http://www.e-ce.org/journal/view.php?doi=10.5946/ce.2018.102
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http://dx.doi.org/10.5946/ce.2018.102DOI Listing
January 2019
2 Reads

What is the Best Option Between Primary Diverting Stoma or Endoscopic Stent as a Bridge to Surgery with a Curative Intent for Obstructed Left Colon Cancer? Results from a Propensity Score Analysis of the French Surgical Association Multicenter Cohort of 518 Patients.

Ann Surg Oncol 2019 Jan 8. Epub 2019 Jan 8.

Sorbonne University, Assistance Publique Hôpitaux de Paris, Department of Digestive and Hepato-Pancreato-Biliary Surgery, Pitié-Salpêtrière University Hospital, Paris, France.

Background: Endoscopic stent (ES) as a bridge to surgery in obstructed left colon cancer (OLCC) is controversial. Our goal was to compare the operative and oncological results of primary diverting colostomy (PDC) and ES for the curative treatment of OLCC.

Methods: Between 2000 and 2015, patients who underwent PDC or ES in a curative intent for OLCC at member centers of the French Surgical Association were included. Read More

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http://link.springer.com/10.1245/s10434-018-07139-0
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http://dx.doi.org/10.1245/s10434-018-07139-0DOI Listing
January 2019
4 Reads

Albumin-Bilirubin Grade as a Novel Predictor of Survival in Advanced Extrahepatic Cholangiocarcinoma.

Gastroenterol Res Pract 2018 2;2018:8902146. Epub 2018 Dec 2.

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Bengbu Medical College, 233000 Bengbu, Anhui, China.

Aim: Child-Pugh (CP) grade has been used to assess liver function and postoperative outcomes in biliary tract neoplasms. The aim of this study was to preliminarily explore the prognostic significance of an alternative model of liver function, called albumin-bilirubin (ALBI) grade, in patients with extrahepatic cholangiocarcinoma (EHC).

Methods: A total of 109 advanced EHC patients, who received percutaneous transhepatic biliary stenting combined with iodine-125 seed implantation from January 2012 to April 2017 in our department, were enrolled. Read More

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https://www.hindawi.com/journals/grp/2018/8902146/
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http://dx.doi.org/10.1155/2018/8902146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304808PMC
December 2018
2 Reads

"Primary bacterial culture of bile and pancreatic juice in tumor related jaundice (TROJ) - is ascending cholangitis always our fault?"

Scand J Gastroenterol 2019 Jan 8:1-6. Epub 2019 Jan 8.

c Microbiology Unit , Łódź Medical University 1st Clinical Hospital in Łódź , Łódź , Poland.

Introduction: TROJ (tumor-related obstructive jaundice) is one of the most common indications for endoscopic retrograde choleopancreatography (ERCP) with endoscopic biliary stenting. Despite the effectiveness of this procedure, especially in palliative patients, it is not without flaws. Ascending bacterial cholangitis, a common stenting complication, occurs in about 0. Read More

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http://dx.doi.org/10.1080/00365521.2018.1542454DOI Listing
January 2019

Modified non-flared fully covered self-expandable metal stent versus plastic stent for preoperative biliary drainage in patients with resectable malignant biliary obstruction.

J Gastroenterol Hepatol 2019 Jan 7. Epub 2019 Jan 7.

Digestive Disease Center and Research Institute, Department of Internal Medicine, Soon Chun Hyang University School of Medicine, Bucheon, Cheonan and Seoul, Korea.

Background: Fully covered self-expandable metal stents (FCSEMS) may be better than plastic stents (PS) for preoperative biliary drainage (PBD) to relieve cholangitis or jaundice for resectable malignant biliary obstruction (MBO). However, modification of current FCSEMS designed originally for nonresectable MBO is needed to be a proper stent for PBD. The aim of this study was to evaluate the possible superiority of non-flared modified FCSEMS (M-FCSEMS) with 12 mm diameter and waist of central portion over PS in patients with resectable MBO. Read More

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http://doi.wiley.com/10.1111/jgh.14600
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http://dx.doi.org/10.1111/jgh.14600DOI Listing
January 2019
2 Reads

Biliary endoscopic sphincterotomy: Techniques and complications.

World J Clin Cases 2018 Dec;6(16):1073-1086

Department of Gastroenterology, Hacettepe University, School of Medicine, Ankara 41000, Turkey.

Biliary endoscopic sphincterotomy (EST) refers to the cutting of the biliary sphincter and intraduodenal segment of the common bile duct following selective cannulation, using a high frequency current applied with a special knife, sphincterotome, inserted into the papilla. EST is either used solely for the treatment of diseases of the papilla of Vater, such as sphincter of Oddi dysfunction or to facilitate subsequent therapeutic biliary interventions, such as stone extraction, stenting, . It is a prerequisite for biliary interventions, thus every practitioner who performs endoscopic retrograde cholangiopancreatography needs to know different techniques and the clinical and anatomic parameters related to the efficacy and safety of the procedure. Read More

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http://dx.doi.org/10.12998/wjcc.v6.i16.1073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306628PMC
December 2018

A Novel High-Visibility Radiopaque Tantalum Marker for Biliary Self-Expandable Metal Stents.

Gut Liver 2018 Dec 24. Epub 2018 Dec 24.

Utah-Inha DDS and Advanced Therapeutics Research Center, BRC Research Complex, Incheon, Korea.

Background/aim: Radiopaque metal markers are required to improve X-ray absorption by self-expandable metal stents (SEMSs) to enable precise stent placement. A new tantalum radiopaque marker was recently developed using an ultrasonic spray technique. The aim of the present study was to evaluate the safety and visibility of tantalum markers. Read More

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http://dx.doi.org/10.5009/gnl18330DOI Listing
December 2018

Unusual re-intervention via a fistula for the ampullary penetration of a plastic stent in malignant distal biliary obstruction.

Dig Endosc 2018 Dec 27. Epub 2018 Dec 27.

Department of Gastroenterology and Hepatology, Hokkaido University, Faculty of Medicine and Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo, 060-8638, Japan.

Endoscopic biliary stenting is a well-established procedure for malignant distal biliary obstruction. A plastic stent (PS) is frequently used because of its low cost and ease of deployment; however, it may occasionally get dislocated. We herein report a case with unique dislocation of PS and describe the deployment of a new PS via the fistula. Read More

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http://doi.wiley.com/10.1111/den.13332
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http://dx.doi.org/10.1111/den.13332DOI Listing
December 2018
2 Reads

Self-expanding metal stent procedure for afferent loop syndrome with ascending cholangitis caused by remnant gastric cancer: A case report.

Medicine (Baltimore) 2018 Dec;97(50):e13072

Department of Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju.

Rationale: Self-expanding metal stent placement is a useful procedure for intestinal obstruction. Afferent loop syndrome after gastrectomy is an uncommon complication of gastroenterostomy reconstruction. Ascending cholangitis caused by afferent loop syndrome is a potential, but rare, complication. Read More

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http://dx.doi.org/10.1097/MD.0000000000013072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320138PMC
December 2018
2 Reads

Metal Biliary Stents in Benign Disease.

Clin Gastroenterol Hepatol 2018 Dec 14. Epub 2018 Dec 14.

Division of Gastroenterology, Hepatology and Nutrition, Section of Interventional and Advanced Endoscopy, Department of Medicine, University of Minnesota, MMC 36, 420 Delaware St SE, Minneapolis, MN 55455. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S15423565183138
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http://dx.doi.org/10.1016/j.cgh.2018.12.010DOI Listing
December 2018
4 Reads
7.896 Impact Factor

Contemporary analysis of complications associated with biliary stents during neoadjuvant therapy for pancreatic adenocarcinoma.

HPB (Oxford) 2018 Dec 3. Epub 2018 Dec 3.

Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address:

Background: With the increasing use of biliary stents for neoadjuvant therapy (NT) for pancreatic adenocarcinoma (PDAC), the risk of post-pancreaticoduodenectomy (PD) infection remains relevant. This study documents the contemporary incidence of stent-related complications (SRC) during NT and to analyze their impact on surgical infections.

Methods: Consecutive patients from a single institution (2011-15) with resected PDAC treated with biliary decompression, NT, and PD were analyzed. Read More

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http://dx.doi.org/10.1016/j.hpb.2018.10.009DOI Listing
December 2018
1 Read

[Comparative analysis of side-by-side antegrade stenting and Y-biliary stenting for malignant biliary stricture].

Khirurgiia (Mosk) 2018 (11):20-23

Botkin Municipal Clinical Hospital, Moscow, Russia.

In the time period from 2009 to 2017 in Botkin Hospital (Moscow) bilateral biliary stenting was performed in 43 patients with malignant common hepatic duct stricture. Patients were divided into 2 statistically homogeneous groups: 'side-by-side' stenting in 28 patients and percutaneous 'Y'-biliary stent placement in 15 patients. The causes of malignant obstruction were as follows: in the 1 group 13 (46. Read More

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http://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-n-i-p
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http://dx.doi.org/10.17116/hirurgia201811120DOI Listing
January 2018
6 Reads

EUS-guided antegrade metal stenting with hepaticoenterostomy using a dedicated plastic stent with a review of the literature (with video).

Endosc Ultrasound 2018 Nov-Dec;7(6):404-412

Third Department of Surgery, Tokyo Medical University, Tokyo, Japan.

Background And Objectives: Recently, a novel EUS-guided biliary drainage (EUS-BD) technique consisting of EUS-guided antegrade stenting and EUS-guided hepaticoenterostomy (EUS-AS+HES) using two conventional metal stents (MS) has been reported to decrease adverse events and maintain longer stent patency for malignant biliary obstruction (MBO). However, only a few limited reports have evaluated this technique. Finally, dedicated plastic stents (PSs) have been developed to perform EUS-HES safely. Read More

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http://dx.doi.org/10.4103/eus.eus_51_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289013PMC
December 2018

A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction.

Endosc Ultrasound 2018 Nov-Dec;7(6):356-365

Endoscopy Center, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.

Background And Objectives: EUS-guided biliary drainage (EUS-BD) was shown to be useful for malignant biliary obstruction (MBO). However, there is lack of consensus on how EUS-BD should be performed.

Methods: This was a worldwide multi-institutional survey among members of the International Society of EUS conducted in February 2018. Read More

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http://www.eusjournal.com/text.asp?2018/7/6/356/247020
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http://dx.doi.org/10.4103/eus.eus_53_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289007PMC
December 2018
12 Reads

Study of Percutaneous Stent Placement with Iodine-125 Seed Strand for Malignant Biliary Obstruction.

Cardiovasc Intervent Radiol 2018 Nov 30. Epub 2018 Nov 30.

Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Gulou District, Nanjing, 210029, China.

Purpose: To evaluate the effectiveness and safety of simultaneous placement of a self-expandable metallic stents (SEMS) and iodine-125 seed strand in the management of malignant obstructive jaundice (MOJ).

Materials And Methods: This study included 132 patients with MOJ treated from November 2015 to October 2017. Forty-five patients underwent insertion of SEMS with iodine-125 seed strands (Seeds group); the remaining 87 patients underwent SEMS placement alone (Control group). Read More

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http://dx.doi.org/10.1007/s00270-018-2117-7DOI Listing
November 2018
1 Read

Surgical management of laparoscopic cholecystectomy (LC) related major bile duct injuries; predictors of short-and long-term outcomes in a tertiary Egyptian center- a retrospective cohort study.

Ann Med Surg (Lond) 2018 Dec 16;36:219-230. Epub 2018 Nov 16.

Radioligy, National Liver Institute, Menoufia University, Shebein Elkoum, Egypt.

Objectives: Laparoscopic cholecystectomy - associated bile duct injury is a clinical problem with bad outcome. The study aimed to analyze the outcome of surgical management of these injuries.

Patients And Methods: We retrospectively analyzed 69 patients underwent surgical management of laparoscopic cholecystectomy related major bile duct injuries in the period from the beginning of 2013 to the beginning of 2018. Read More

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http://dx.doi.org/10.1016/j.amsu.2018.11.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251332PMC
December 2018
1 Read

Prolonged retention of prophylactic pancreatic stents is not associated with increased complications.

Pancreatology 2019 Jan 22;19(1):39-43. Epub 2018 Nov 22.

Medizinische Klinik 1, Schwerpunkt Gastroenterologie und Hepatologie, Universitätsklinikum Frankfurt, Goethe-Universität, Theodor-Stern-Kai 7, D-60590 Frankfurt/Main, Germany.

Objectives: The risk of post-ERCP pancreatitis (PEP) can be reduced effectively by the placement of a self dislodging pancreatic stent. The present study analyzed whether a prolonged interval until stent passage evaluation and removal of retained stents is associated with an increased risk for clinically relevant complications.

Methods: In the retrospective study 182 patients receiving a pancreatic stent for PEP prophylaxis were included and clinical data and complications until documented spontaneous stent dislodgement or removal were analyzed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14243903183075
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http://dx.doi.org/10.1016/j.pan.2018.11.011DOI Listing
January 2019
10 Reads

Endo-therapies for biliary duct-to-duct anastomotic stricture after liver transplantation: outcomes of a nationwide survey.

Liver Int 2018 Nov 30. Epub 2018 Nov 30.

Gastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Background: The most appropriate endo-therapeutic approach to biliary anastomotic strictures is yet to be defined.

Aim: To retrospectively report on the endo-therapy of duct-to-duct anastomotic strictures during 2013 in Italy.

Methods: Data were collected from 16 Endoscopy Units at the Italian Liver Transplantation Centers (BASALT study group). Read More

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http://dx.doi.org/10.1111/liv.14010DOI Listing
November 2018
6 Reads

Endoscopic retrograde cholangiopancreatography in cirrhosis - a systematic review and meta-analysis focused on adverse events.

World J Gastrointest Endosc 2018 Nov;10(11):354-366

Division of Gastroenterology and Hepatology, University of Utah School of Medicine, Huntsman Cancer Center, Salt Lake City, UT 84132, United States.

Aim: To investigate indications and outcomes of endoscopic retrograde cholangiopancreatography (ERCP) in cirrhotics, especially adverse events. Patients with cirrhosis undergoing ERCP are believed to have increased risk. However, there is a paucity of literature describing the indications and outcomes of ERCP procedures in patients with cirrhosis, especially focusing on adverse events. Read More

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http://dx.doi.org/10.4253/wjge.v10.i11.354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247096PMC
November 2018
9 Reads

Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval.

Radiol Case Rep 2019 Feb 20;14(2):246-250. Epub 2018 Nov 20.

Department of Diagnostic and Interventional Imaging, University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA.

Endoscopic retrieval of embedded, proximally migrated, or fractured plastic biliary stents may be technically challenging and sometimes unsuccessful. Percutaneous transhepatic techniques have previously been described to assist in such challenging cases. Here in, we describe a difficult case in which all commonly described endoscopic and percutaneous techniques failed to retrieve a proximally migrated, fractured, and looped plastic biliary stent. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.10.034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250801PMC
February 2019
1 Read

Encapsulation Approaches for In-Stent Wireless Magnetoelastic Sensors.

IEEE Trans Biomed Eng 2018 Nov 20. Epub 2018 Nov 20.

Wireless magnetoelastic sensors offer significant potential for measuring the accumulation of biomass within stents - enabling early detection prior to stent occlusion - but the encapsulation of these sensors remains a critical challenge. The encapsulation must allow the sensors to navigate the curvature and accommodate the contact forces imparted during and after the implantation procedure, while also leaving the sensor open to mechanical interaction with the biomass during the extended period of deployment. This paper is focused on the encapsulation of ribbon-like magnetoelastic sensors (12. Read More

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http://dx.doi.org/10.1109/TBME.2018.2882415DOI Listing
November 2018

Unusual endoscopic treatment of recurrent cough and pneumonia.

Gut 2018 Nov 21. Epub 2018 Nov 21.

Department of Medicine II, Faculty of Medicine, Medical Center University of Freiburg, University of Freiburg, Freiburg, Germany.

CLINICAL PRESENTATION: A 51-year-old male patient presented to our emergency department with fever, aggravating coughing and orthopnoea. Clinical evaluation revealed pneumonia in the right lower lobe of the lung and due to typical radiological hallmarks, aspiration pneumonia was suspected. During the last months, he had suffered from several pneumonias. Read More

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http://dx.doi.org/10.1136/gutjnl-2018-317682DOI Listing
November 2018
4 Reads

Suspended over length biliary stents versus conventional plastic biliary stents for the treatment of biliary stricture: A retrospective single-center study.

Medicine (Baltimore) 2018 Nov;97(47):e13312

Department of Gastroenterology and Hepatology, Peking University Third Hospital, Haidian District, Beijing, China.

To compare patency between suspended over length biliary stents (SOBSs; made from nasobiliary tube) and conventional plastic biliary stents (CPBSs).We retrospectively analyzed 61 patients with extrahepatic biliary stricture who underwent SOBS placement (intrahepatic bile duct) and 74 patients who underwent CPBS placement. Stent patency and complications were compared. Read More

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http://dx.doi.org/10.1097/MD.0000000000013312DOI Listing
November 2018
6 Reads

Metal, magnet or transplant: options in primary sclerosing cholangitis with stricture.

Authors:
Jawad Ahmad

Hepatol Int 2018 Nov 14;12(6):510-519. Epub 2018 Nov 14.

Division of Liver Diseases, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.

Primary sclerosing cholangitis (PSC) is a chronic inflammatory disease of the biliary tree of unknown etiology leading to stricturing and dilation. There is currently no effective medical therapy for PSC and liver transplantation (LT) remains the ultimate treatment for severe disease defined as repeated episodes of cholangitis, decompensated biliary cirrhosis or in exceptional cases, cholangiocarcinoma (CCA). Patients often present with a "dominant" stricture and the therapeutic endoscopist plays an important role in management to improve biliary patency using a variety of techniques that involve sampling, balloon dilation and temporary stenting. Read More

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http://dx.doi.org/10.1007/s12072-018-9906-6DOI Listing
November 2018
2 Reads

Ischemic Cholangiopathy 11 Years after Liver Transplantation from Asymptomatic Chronic Hepatic Artery Thrombosis.

ACG Case Rep J 2018 24;5:e75. Epub 2018 Oct 24.

Division of Gastroenterology Department of Medicine, Indiana University School of Medicine, Indianapolis, IN.

Hepatic artery thrombosis is a concerning complication of orthotopic liver transplantation, and it most often occurs early in the posttransplant period. However, on rare occasions it can occur at a time remote from transplant. We present a case of ischemic cholangiopathy complicated by stricture and anastomotic bile leak from chronic hepatic artery thrombosis that occurred 11 years after the transplant. Read More

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http://dx.doi.org/10.14309/crj.2018.75DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202426PMC
October 2018

Percutaneous Patency Recovery and Biodegradable Stent Placement in a Totally Occluded Hepaticojejunostomy After Paediatric Living Donor Liver Transplantation.

Cardiovasc Intervent Radiol 2018 Nov 12. Epub 2018 Nov 12.

Image Guided Minimally Invasive Surgery Unit, Hospital Italiano de Buenos Aires, Juan D. Peron 4190, C1181ACH, Buenos Aires, Argentina.

Biliary complications after living donor liver transplantation (LDLT) cause severe morbidity and mortality, with biliary anastomotic stricture being the most common form of presentation. Surgical revision is risky, and it is avoided whenever possible. When a Roux-en-Y hepaticojejunostomy (RYHJ) is used for bilioenteric reconstruction, endoscopic approach is more difficult, if not impracticable. Read More

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http://link.springer.com/10.1007/s00270-018-2115-9
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http://dx.doi.org/10.1007/s00270-018-2115-9DOI Listing
November 2018
13 Reads

Hepatic artery pseudoaneurysm, bronchobiliary fistula in a patient with liver trauma.

BMC Surg 2018 Nov 12;18(1):97. Epub 2018 Nov 12.

Department of Surgery, National Academy of Medical Sciences, Kathmandu, Nepal.

Background: Bronchobiliary fistula and hepatic artery pseudoaneurysm are rare complications of hepatic trauma. There are isolated case reports for both pseudoaneurysm and bronchobiliary fistula following hepatic trauma but there aren't reports of both conditions developing in a single patient.

Case Presentation: This case describes an 18 year old hindu male who developed right hepatic artery pseudoaneurysm and bronchobiliary fistula following blunt abdominal trauma. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-018-0437-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233285PMC
November 2018
13 Reads

Comparison of Unilateral With Bilateral Metal Stenting for Malignant Hilar Biliary Obstruction.

Surg Laparosc Endosc Percutan Tech 2018 Nov 8. Epub 2018 Nov 8.

Department of Radiology, Ningbo First Hospital, Ningbo, Zhejiang.

Purpose: The main purpose of this study was to compare the clinical effectiveness between unilateral and bilateral metal stenting for malignant hilar biliary obstruction (MHBO).

Methods: From January 2012 to October 2017, consecutive patients with MHBO underwent unilateral or bilateral stent insertion at our center. Technical and clinical success, stent patency, and survival were compared between these 2 groups. Read More

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http://Insights.ovid.com/crossref?an=00129689-900000000-9945
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http://dx.doi.org/10.1097/SLE.0000000000000594DOI Listing
November 2018
3 Reads

Endoscopic Management of Pancreatic Cancer.

Surg Oncol Clin N Am 2019 Jan 23;28(1):147-159. Epub 2018 Oct 23.

Department of Gastroenterology and Hepatology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

The role of endoscopy in the care of patients with pancreatic cancer continues to evolve. The early diagnosis of pancreatic cancer has been difficult. Endoscopic ultrasound examination should be used to examine pancreatic lesions because it can characterize lesions and sample tissue. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10553207183067
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http://dx.doi.org/10.1016/j.soc.2018.07.002DOI Listing
January 2019
9 Reads

Efficacy of a paclitaxel-eluting biliary metal stent with sodium caprate in malignant biliary obstruction: a prospective randomized comparative study.

Endoscopy 2018 Nov 9. Epub 2018 Nov 9.

Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.

Backgrounds:  The placement of a self-expandable metal stent (SEMS) is widely used in patients with unresectable malignant biliary obstructions, but SEMSs are susceptible to occlusion by tumor ingrowth or overgrowth. The efficacy and safety of a novel paclitaxel-eluting biliary metal stent incorporating sodium caprate (MSCPM-III) were compared prospectively with those of a covered metal stent (CMS) in patients with malignant biliary obstructions.

Methods:  Patients with unresectable distal malignant biliary obstructions (n = 106) were prospectively enrolled in this study at multiple treatment centers. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0754-5763
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http://dx.doi.org/10.1055/a-0754-5763DOI Listing
November 2018
18 Reads
5.053 Impact Factor

Predictors of Recurrent Biliary Obstruction Following Percutaneous Uncovered Metal Stent Insertion in Patients with Distal Malignant Biliary Obstruction: An Analysis Using a Competing Risk Model.

Cardiovasc Intervent Radiol 2018 Nov 8. Epub 2018 Nov 8.

Department of Interventional Radiology, The First Affiliated Hospital with Nanjing Medical University, No. 300 Guangzhou Road, Nanjing, 210029, China.

Objective: To evaluate predictive factors of recurrent biliary obstruction (RBO) following percutaneous uncovered metal stent placement for unresectable distal malignant biliary obstruction (MBO) by using a competing risk model.

Materials And Methods: Between March 2012 and March 2016, 119 patients underwent percutaneous uncovered metal stent placement with distal MBO at our institution. Univariate and multivariate analyses were conducted to identify the prognostic factors for RBO using a competing risk model. Read More

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http://link.springer.com/10.1007/s00270-018-2107-9
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http://dx.doi.org/10.1007/s00270-018-2107-9DOI Listing
November 2018
8 Reads

Successful EUS-guided antegrade stenting for malignant severe biliary obstruction combined with a newly developed plastic stent.

Endosc Int Open 2018 Nov 7;6(11):E1336-E1339. Epub 2018 Nov 7.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan.

 We report the effectiveness of a newly developed plastic stent for preventing bile leakage after endoscopic ultrasonography (EUS)-guided antegrade stenting. This treatment was performed on a 59-year-old woman with malignant obstructive jaundice caused by peritoneal metastasis. First, we attempted transpapillary drainage using short-type single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography, but we could not achieve it. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0719-4861
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http://dx.doi.org/10.1055/a-0719-4861DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221811PMC
November 2018
9 Reads

Single-operator cholangioscopy for diagnosis of cholangioadenoma (bile duct adenoma) and its potential impact on surgical management.

Endosc Int Open 2018 Nov 7;6(11):E1312-E1316. Epub 2018 Nov 7.

Division of Gastroenterology, University of Alberta Hospital, Edmonton, Alberta, Canada.

 Cholangioadenoma is not recognized commonly and is often only diagnosed on surgical specimens. Direct per oral single-operator cholangioscopy (SOC) allows characterization of common bile duct (CBD) lesions through direct visualization and directed forceps biopsies with potential for impacting surgical management decisions. This is a retrospective review of all SOC cases diagnosed with cholangioadenoma. Read More

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http://dx.doi.org/10.1055/a-0743-5386DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221810PMC
November 2018
1 Read

Biliary and pancreatic lithotripsy devices.

VideoGIE 2018 Nov 26;3(11):329-338. Epub 2018 Sep 26.

Background And Aims: Lithotripsy is a procedure for fragmentation or destruction of stones to facilitate their removal or passage from the biliary or pancreatic ducts. Although most stones may be removed endoscopically using conventional techniques such as endoscopic sphincterotomy in combination with balloon or basket extraction, lithotripsy may be required for clearance of large, impacted, or irregularly shaped stones. Several modalities have been described, including intracorporeal techniques such as mechanical lithotripsy (ML), electrohydraulic lithotripsy (EHL), and laser lithotripsy, as well as extracorporeal shock-wave lithotripsy (ESWL). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24684481183013
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http://dx.doi.org/10.1016/j.vgie.2018.07.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205352PMC
November 2018
9 Reads

Current role of palliative interventions in advanced pancreatic cancer.

World J Gastrointest Surg 2018 Oct;10(7):75-83

Department of Surgical Oncology, Warren Alpert Medical School Brown University, Providence, RI 02906, United States.

Pancreatic adenocarcinoma is the third leading cause of cancer death in the United States. Unfortunately, at diagnosis, most patients are not candidates for curative resection. Surgical palliation, a procedure performed with the intention of relieving symptoms or improving quality of life, comes to the forefront of management. Read More

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http://www.wjgnet.com/1948-9366/full/v10/i7/75.htm
Publisher Site
http://dx.doi.org/10.4240/wjgs.v10.i7.75DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6212542PMC
October 2018
8 Reads

Biodegradable biliary stents preferable to plastic stent therapy in post-cholecystectomy bile leak and avoid second endoscopy.

Scand J Gastroenterol 2018 Nov 5:1-5. Epub 2018 Nov 5.

a Department of Gastroenterology and Alimentary Tract Surgery , Tampere University Hospital , Tampere , Finland.

Background: The treatment of post-cholecystectomy bile leak is endoscopic retrograde cholangiography (ERC) with plastic stent (PS) insertion combined with external drainage. Self-expanding biodegradable biliary stents (BDBS) have only recently become available.

Aim: The aim was to compare success rate, adverse events and costs of BDBS with PS in the treatment of post-cholecystectomy cystic duct leak Materials and methods: Patients recruited prospectively for treatment with BDBS during the period 2014-2017 were compared to a control group treated with PS in a non-randomized setting. Read More

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https://www.tandfonline.com/doi/full/10.1080/00365521.2018.1
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http://dx.doi.org/10.1080/00365521.2018.1518480DOI Listing
November 2018
10 Reads

[Chinese guidelines for ERCP (2018)].

Authors:

Zhonghua Nei Ke Za Zhi 2018 Nov;57(11):772-801

Endoscopic retrograde cholangiopancreatography (ERCP) was reported for the first time in 1970s. Since then, ERCP has become an indispensable procedure in the diagnosis and management of a variety of biliary and pancreatic disorders. The main purpose of Chinese ERCP guideline is to precisely define the clinical indications of ERCP. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1426.2018.11.002DOI Listing
November 2018
8 Reads

Efficacy and safety evaluation of paclitaxel-loaded metal stents in patients with malignant biliary obstructions.

Eur J Surg Oncol 2018 Oct 25. Epub 2018 Oct 25.

Department of Interventional Oncology, Dahua Hospital, Xuhui District, Shanghai, PR China. Electronic address:

Paclitaxel-eluting covered metal stents (PECMSs) and metallic stents covered with a paclitaxel-incorporated membrane (MSCPMs) have been developed to increase stent patency by preventing tumor ingrowth. However, few studies have compared their efficacy and safety compared with conventional covered metal stents (CMSs). This study aimed to compare differences in efficacy and safety between PECMS/MSCPM and CMS by meta-analysis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07487983183193
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http://dx.doi.org/10.1016/j.ejso.2018.10.533DOI Listing
October 2018
5 Reads

Novel lumen-apposing metal stent for the drainage of pancreatic fluid collections: An Italian multicentre experience.

United European Gastroenterol J 2018 Nov 17;6(9):1363-1371. Epub 2018 Jun 17.

Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Vita-Salute San Raffaele University, Milan, Italy.

Background: Endoscopic ultrasound (EUS)-guided drainage is the procedure of choice for pancreatic fluid collection (PFC) management. Recently developed lumen-apposing fully covered self-expandable metal stents (LAMSs) may facilitate drainage, especially of necrotic and complex PFCs.

Objective: To evaluate the feasibility and efficacy of a newly developed LAMS (Nagi, Taiwong Medical Co. Read More

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http://dx.doi.org/10.1177/2050640618785078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206530PMC
November 2018
2 Reads

Management of anastomotic biliary stricture after liver transplantation: metal versus plastic stent.

Ann Gastroenterol 2018 Nov-Dec;31(6):728-734. Epub 2018 Jul 20.

Gastroenterology Unit, Department of Medical Sciences, University of Foggia, Italy (Antonio Facciorusso; Nicola Muscatiello).

Background: Post-transplant anastomotic biliary strictures remain refractory to endoscopic therapy in a considerable number of cases. The aim of this meta-analysis was to compare fully-covered self-expandable metal and plastic stents in the management of post-transplant biliary strictures.

Methods: A meta-analysis was performed using a random effects model; results were expressed as odds ratio (OR) and mean standardized difference. Read More

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http://dx.doi.org/10.20524/aog.2018.0297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191877PMC

Inflammation-based prognostic scores in patients with extrahepatic bile duct lesions treated by percutaneous transhepatic biliary stenting combined with I seeds intracavitary irradiation.

Clin Transl Oncol 2018 Oct 27. Epub 2018 Oct 27.

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Bengbu Medical College, 287 Changhuai Road, Bengbu, 233000, Anhui, China.

Purpose: This study aimed at investigating the efficacy of percutaneous transhepatic biliary stenting (PTBS) combined with I seeds intracavitary irradiation in the treatment of extrahepatic cholangiocarcinoma (EHC) and to preliminarily explore the prognostic values of inflammation-based scores in these patients.

Methods: A total of 113 clinically/pathologically diagnosed cases of EHC who received PTBS combined with I seeds implantation were retrospectively analyzed. The postoperative changes of clinical symptoms and serum levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), total serum bilirubin (TBIL), direct bilirubin (DBIL), and albumin (ALB) were observed. Read More

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http://link.springer.com/10.1007/s12094-018-1969-2
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http://dx.doi.org/10.1007/s12094-018-1969-2DOI Listing
October 2018
7 Reads

A rare complication in a liver transplant patient: Meckel diverticulum perforation due to biliary stent.

Int J Surg Case Rep 2018 4;53:35-38. Epub 2018 Oct 4.

Cukurova University, Department of General Surgery, Adana, Turkey.

Introduction: Meckel's diverticulum is the most common congenital lesion of the small intestine. The incidence varies between 0.5% and 2% Biliary stents can be used for the treatment of patients with bile duct complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183040
Publisher Site
http://dx.doi.org/10.1016/j.ijscr.2018.09.034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205066PMC
October 2018
7 Reads