5,214 results match your criteria Biliary Stenting


Endoscopic dissection of refractory pancreatic duct stricture via accessory pancreatic duct approach for concurrent treatment of anomalous pancreaticobiliary junction in aging patients.

Clin Interv Aging 2019 12;14:557-563. Epub 2019 Mar 12.

Department of Gastroenterology and Hepatology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, Sichuan Province 610072, China,

Background: Although endoscopic management of pancreatic strictures by dilation and stenting is well established, some high-grade strictures are refractory to conventional methods. Here, we report a novel technique via accessory pancreatic duct (APD) approach to simultaneously release chronic pancreatitis-associated pancreatic stricture and correct anomalous pancreaticobiliary junction (APBJ). Due to APBJ and stricture of proximal main pancreatic duct, the APD turned out to be compensatory expansion. Read More

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http://dx.doi.org/10.2147/CIA.S191055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419590PMC

Liver Transplant After Normothermic Regional Perfusion From Controlled Donors After Circulatory Death: The Norwegian Experience.

Transplant Proc 2019 Mar 28;51(2):475-478. Epub 2019 Jan 28.

Department of Transplantation Medicine, Division of Surgery, Inflammatory Medicine and Transplantation, Oslo University Hospital, Oslo, Norway; Faculty of Medicine, University of Oslo, Oslo, Norway.

Background: In order to meet the increasing demand for donor organs, the concept of donation after circulatory death (DCD) was reintroduced in Norway, first as a pilot study, followed by the use of DCD as institutional practice. We report the current Norwegian experience with liver transplant after DCD.

Methods: After acceptance from next of kin, life support was withdrawn from patients with devastating brain injury and cardiac arrest observed. Read More

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http://dx.doi.org/10.1016/j.transproceed.2019.01.066DOI Listing

Benign biliary strictures: prevalence, impact, and management strategies.

Clin Exp Gastroenterol 2019 18;12:83-92. Epub 2019 Feb 18.

Department of Gastroenterology and Hepatology, Fiona Stanley Hospital, Murdoch, Perth, WA 6150, Australia,

Benign biliary strictures (BBSs) may form from chronic inflammatory pancreaticobiliary pathologies, postoperative bile-duct injury, or at biliary anastomoses following liver transplantation. Treatment aims to relieve symptoms of biliary obstruction, maintain long-term drainage, and preserve liver function. Endoscopic therapy, including stricture dilatation and stenting, is effective in most cases and the first-line treatment of BBS. Read More

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http://dx.doi.org/10.2147/CEG.S165016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385742PMC
February 2019
1 Read

Palliative therapy in pancreatic cancer-interventional treatment with stents.

Transl Gastroenterol Hepatol 2019 31;4. Epub 2019 Jan 31.

Department of Upper Abdominal Diseases at Karolinska University Hospital, and Clinical Science, Intervention and Technology (CLINTEC), Karolinska University Hospital, Stockholm, Sweden.

Interventional treatment with stents in pancreatic cancer is a topic that developed during recent years and new fields of palliative stent therapy have evolved. The increasing life expectancy of patients with unresectable pancreatic cancer increases the need for clinical and cost effective therapeutic interventions. Current literature, guidelines, practice and evidence were reviewed. Read More

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http://dx.doi.org/10.21037/tgh.2019.01.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378246PMC
January 2019

Gastric adenocarcinoma causing biliary obstruction without ductal dilatation: a case report.

J Med Case Rep 2019 Mar 9;13(1):72. Epub 2019 Mar 9.

Alfred Hospital, 55 Commercial Rd, Melbourne, VIC, 3004, Australia.

Introduction: Gastric adenocarcinoma is a known complication of partial gastrectomy. Jaundice from gastric adenocarcinoma usually occurs in the setting of hepatic nodal or parenchymal metastasis. This case demonstrates an unusual level of biliary obstruction from gastric adenocarcinoma. Read More

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https://jmedicalcasereports.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s13256-019-1972-4DOI Listing
March 2019
1 Read

Endoscopic Retrograde Cholangiopancreatography-Guided Ablation for Cholangiocarcinoma.

Gastrointest Endosc Clin N Am 2019 Apr 2;29(2):351-367. Epub 2019 Feb 2.

Division of Gastroenterology and Hepatology, University of Virginia, PO Box 800708, Charlottesville, VA 22908, USA. Electronic address:

Most patients with perihilar cholangiocarcinoma present with surgically unresectable disease owing to the insidious nature of this malignancy. Relief of malignant perihilar biliary obstruction is a key aspect of cholangiocarcinoma. Although palliative stenting using uncovered metal stents has been advocated in patients with unresectable malignant perihilar biliary strictures, several endoscopic retrograde cholangiopancreatography-guided ablative modalities have emerged. Read More

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http://dx.doi.org/10.1016/j.giec.2018.11.006DOI Listing
April 2019
2 Reads

Stenting for Benign and Malignant Biliary Strictures.

Gastrointest Endosc Clin N Am 2019 Apr 23;29(2):215-235. Epub 2019 Jan 23.

Interventional Endoscopy, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, Campus Box 8124, St Louis, MO 63110, USA. Electronic address:

Benign and malignant biliary strictures are common indications for endoscopic retrograde cholangiopancreatography. Diagnosis involves high-quality cross-sectional imaging and cholangiography with various endoscopic sampling techniques. Treatment options include placement of plastic biliary stents and self-expanding metal stents, which differ in patency duration and cost effectiveness. Read More

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http://dx.doi.org/10.1016/j.giec.2018.12.001DOI Listing

Success and safety of endoscopic treatments for concomitant biliary and duodenal malignant stenosis: A review of the literature.

World J Gastrointest Surg 2019 Feb;11(2):53-61

Humanitas Huniversity, Hunimed, Pieve Emanuele, Milano 20090, Italy.

Synchronous biliary and duodenal malignant obstruction is a challenging endoscopic scenario in patients affected with ampullary, peri-ampullary, and pancreatic head neoplasia. Surgical bypass is no longer the gold-standard therapy for these patients, as simultaneous endoscopic biliary and duodenal stenting is currently a feasible and widely used technique, with a high technical success in expert hands. In recent years, endoscopic ultrasonography (EUS) has evolved from a diagnostic to a therapeutic procedure, and is now increasingly used to guide biliary drainage, especially in cases of failed endoscopic retrograde cholangiopancreatography (ERCP). Read More

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http://dx.doi.org/10.4240/wjgs.v11.i2.53DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397798PMC
February 2019

Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones.

Ann Gastroenterol 2019 Mar-Apr;32(2):199-204. Epub 2019 Jan 25.

Department of Gastroenterology, Venizelion General Hospital, Heraklion, Crete.

Background: Recently, the introduction of the novel digital SpyGlass™ DS Direct Visualization system (Boston Scientific Corp., Natick, MA, USA) has signaled the transition into the era of digital single-operator cholangioscopy (D-SOC). We sought to compare the clinical utility between fiberoptic single-operator cholangioscopy (F-SOC) and D-SOC in a tertiary-care referral center in Greece. Read More

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http://dx.doi.org/10.20524/aog.2019.0358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394257PMC
January 2019

Prognostic factors in patients with advanced extrahepatic cholangiocarcinoma: A single center experience.

Medicine (Baltimore) 2019 Feb;98(8):e14556

Department of Medical Oncology, Acibadem University School of Medicine, Istanbul, Turkey.

Extrahepatic cholangiocarcinoma (ECC) is an aggressive malignancy causing a lot of fatalities and comorbidities. Endoscopic biliary stenting (EBS) is mostly needed for ECC. In this study, we aimed to investigate the prognostic factors for the overall survival (OS) and the factors predicting the patients eligible for chemotherapy after EBS in ECC. Read More

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http://dx.doi.org/10.1097/MD.0000000000014556DOI Listing
February 2019
3 Reads

Efficacy of Different Endoscopic Stents in the Management of Postoperative Biliary Strictures: A Systematic Review and Meta-analysis.

J Clin Gastroenterol 2019 Feb 22. Epub 2019 Feb 22.

Departments of Gastroenterology and Hepatology.

Background: Endoscopic stents are the first-line treatment in the management of benign biliary stricture (BBS) which include multiple plastic stents (MPSs), fully covered self-expandable metal stents (FCSEMS) including the conventional and modified ones (FCSEMS-C and FCSEMS-M) and biodegradable stents. However, different stents have their distinct advantages and disadvantages. We aim to conduct this systematic review to compare the efficacy of different stents in the management of BBS. Read More

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http://dx.doi.org/10.1097/MCG.0000000000001193DOI Listing
February 2019
2 Reads

[Percutaneous biliary and gallbladder interventions].

Radiologe 2019 Feb 26. Epub 2019 Feb 26.

Institut und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Carl-Gustav-Carus, TU Dresden, Fetscherstraße 74, Haus 27, 01307, Dresden, Deutschland.

Clinical Issue: Percutaneous transhepatic biliary and gall bladder interventions play an important role in the diagnosis and therapy of biliary tract diseases.

Performance: With technical success rates up to 99% as well as complications rates up to a maximum of 26% they showed good results. Indications were opacification of the biliary tree as well as treatment of biliary system pathologies, such as drainage and stents. Read More

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http://dx.doi.org/10.1007/s00117-019-0506-9DOI Listing
February 2019
1 Read

Third-generation cephalosporin for antimicrobial prophylaxis in pancreatoduodenectomy in patients with internal preoperative biliary drainage.

Surgery 2019 Mar 26;165(3):559-564. Epub 2018 Oct 26.

Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center, Japan.

Background: The aim of the present study was to investigate whether the incidence of surgical site infection after pancreatoduodenectomy decreased after changing the prophylactic antibiotic to a third-generation cephalosporin in patients with unknown preoperative bile culture results after biliary drainage.

Methods: In a retrospective study of 138 pancreatoduodenectomy patients who underwent endoscopic biliary stenting and for whom recent preoperative bile culture results were unavailable, cefazolin sodium hydrate was administered as perioperative prophylactic antibiotic therapy from 2010 to 2014 (n = 69); whereas ceftriaxone was administered from 2014 to 2017 (n = 69) based on the results of institutional culture surveillance. The incidence of surgical site infection was compared between the two groups and the risk factor of surgical site infection was also evaluated. Read More

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http://dx.doi.org/10.1016/j.surg.2018.09.011DOI Listing

Antireflux covered metal stent for nonresectable distal malignant biliary obstruction: a multicenter randomized controlled trial.

Dig Endosc 2019 Feb 25. Epub 2019 Feb 25.

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Background And Aim: An antireflux metal stent (ARMS) for nonresectable distal malignant biliary obstruction may prevent recurrent biliary obstruction (RBO) due to the duodenobiliary reflux and prolong time to RBO (TRBO). The superiority of the ARMS over conventional covered self-expandable metal stents (SEMSs) has not been fully examined.

Methods: We conducted a multicenter randomized controlled trial to examine whether TRBO of an ARMS with a funnel-shaped valve was longer than that of a covered SEMS in SEMS-naïve patients. Read More

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http://dx.doi.org/10.1111/den.13381DOI Listing
February 2019

Risk Factors for the Development of Stent-Associated Cholangitis Following Endoscopic Biliary Stent Placement.

Dig Dis Sci 2019 Feb 20. Epub 2019 Feb 20.

Gastroenterology and Hepatology Unit, University of Vermont Medical Center, Smith 251, 111 Colchester Avenue, Burlington, VT, 05401, USA.

Background And Aim: To elucidate the overall risk and risk factors for developing cholangitis following biliary stent placement by endoscopic retrograde cholangiopancreatography (ERCP) and to determine the clinical outcomes of these individuals.

Methods: We performed a retrospective review of 796 patients who had undergone 1127 ERCPs with biliary stent placement between 2007 and 2015 at a single tertiary care center. There were 91 episodes of stent-associated cholangitis (SAC) during the study period. Read More

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http://dx.doi.org/10.1007/s10620-019-05533-6DOI Listing
February 2019
2 Reads

Palliative endoscopic drainage of malignant stenosis of biliary confluence: Efficiency of multiple drainage approach to drain a maximum of liver segments.

United European Gastroenterol J 2019 Feb 27;7(1):52-59. Epub 2018 Sep 27.

Endoscopy Unit, Paoli Calmettes Institute, Marseille, France.

Background And Aim: More than 50% of the liver should be drained in case of unresectable hilar liver stenosis; however, it remains unclear if the use of several types of drainage (endoscopic retrograde cholangiography and pancreatography, percutaneous-biliary drainage, endoscopic ultrasound biliary drainage (EUS-BD)), allowing better drainage, has an impact on survival. The aim of our study was to evaluate the percentage of liver drained and its correlation on survival whatever the drainage technique used.

Patients And Methods: This study was a retrospective analysis of a prospective registry of patients with malignant drainage stenosis of the hilum. Read More

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http://dx.doi.org/10.1177/2050640618803812DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374838PMC
February 2019
1 Read

Radiofrequency and malignant biliary strictures: An update.

World J Gastrointest Endosc 2019 Feb;11(2):95-102

Gastrointestinal Endoscopy Unit, Humanitas Mater Domini, Via Gerenzano 2, Castellanza 21053, Italy.

Malignant biliary strictures are usually linked to different types of tumors, mainly cholangiocarcinoma, pancreatic and hepatocellular carcinomas. Palliative measures are usually adopted in patients with nonresectable or borderline resectable biliary disease. Stent placement is a well-known and established treatment in patients with unresectable malignancy. Read More

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http://dx.doi.org/10.4253/wjge.v11.i2.95DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379741PMC
February 2019
1 Read

Research design can be improved to support double-guidewire technique.

Gastrointest Endosc 2019 03;89(3):654

Department of Gastroenterology, Gongli Hospital, The Second Military Medical University, Shanghai, China; Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, Shanghai, China.

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http://dx.doi.org/10.1016/j.gie.2018.10.032DOI Listing
March 2019
2 Reads

Response.

Gastrointest Endosc 2019 03;89(3):649-650

Department of Gastroenterology, Faculty of Medicine, Sakarya University, Sakarya, Turkey.

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http://dx.doi.org/10.1016/j.gie.2018.11.003DOI Listing

Pancreatic stent during biliary cannulation: How can we catch 2 hares?

Gastrointest Endosc 2019 03;89(3):648-649

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

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http://dx.doi.org/10.1016/j.gie.2018.09.018DOI Listing

Differentiating IgG4-related sclerosing cholangiopathy from cholangiocarcinoma using CT and MRI: experience from a tertiary referring center.

Abdom Radiol (NY) 2019 Feb 19. Epub 2019 Feb 19.

Department of Radiology, Mayo Clinic, Scottsdale, AZ, USA.

Purpose: To compare the cross-sectional imaging findings of immunoglobulin G4-related sclerosing cholangiopathy (IgG4-SC) and cholangiocarcinoma (CCA).

Methods: Retrospective search of radiology and pathology databases identified 24 patients with IgG4-SC and over 500 patients with CCA from January 2009 to December 2016. Patients with no pre-treatment imaging studies available on PACS, non-contrasted imaging only, presence of mass lesions, metastatic disease or biliary stents were excluded. Read More

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http://link.springer.com/10.1007/s00261-019-01944-1
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http://dx.doi.org/10.1007/s00261-019-01944-1DOI Listing
February 2019
4 Reads

Recalcitrant embedded biliary self-expanding metal stents: a novel technique for endoscopic extraction.

VideoGIE 2019 Feb 8;4(2):72-75. Epub 2019 Jan 8.

Surgical Gastroenterology Unit, Division of General Surgery, University of Cape Town Health Sciences Faculty and Groote Schuur Hospital, Cape Town, South Africa.

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http://dx.doi.org/10.1016/j.vgie.2018.09.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362311PMC
February 2019

Endoscopic management of biliary leaks: a systematic review with meta-analysis.

Endoscopy 2019 Feb 13. Epub 2019 Feb 13.

Department of Gastroenterology, Ghent University Hospital, Ghent, Belgium.

Background:  The first-line approach to the treatment of biliary leaks is endoscopic retrograde cholangiopancreatography. A variety of techniques can be used, including sphincterotomy, stenting, a combination of both techniques, or nasobiliary drainage. We performed a systematic review with meta-analysis to define the optimal strategy. Read More

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http://dx.doi.org/10.1055/a-0835-5940DOI Listing
February 2019

3D Printing for Bio-Synthetic Biliary Stents.

Bioengineering (Basel) 2019 Feb 9;6(1). Epub 2019 Feb 9.

Molecular and Cellular Physiology, Health Sciences Center, Louisiana State University, Shreveport, LA 71103, USA.

Three-dimensional (3D) printing is an additive manufacturing method that holds great potential in a variety of future patient-specific medical technologies. This project validated a novel crosslinked polyvinyl alcohol (XL-PVA) 3D printed stent infused with collagen, human placental mesenchymal stem cells (PMSCs), and cholangiocytes. The biofabrication method in the present study examined 3D printing and collagen injection molding for rapid prototyping of customized living biliary stents with clinical applications in the setting of malignant and benign bile duct obstructions. Read More

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http://dx.doi.org/10.3390/bioengineering6010016DOI Listing
February 2019
1 Read

The Feasibility of Conventional Forward-viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients With Altered Gastrointestinal Anatomy.

Surg Laparosc Endosc Percutan Tech 2019 Feb 1. Epub 2019 Feb 1.

Department of General Surgery, Konak Hospital, Gebze, Kocaeli, Turkey.

Background: Endoscopic retrograde cholangiopancreatography (ERCP) has been commonly used for biliopancreatic diseases of patients with normal gastrointestinal (GI) anatomy with a success rate of >90%. However, this procedure may also be necessary in patients with altered GI anatomy such as Billroth II or Roux-en-Y reconstructions. Performing ERCP in these patients may pose extreme technical challenges, and increase the risk of complications. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000636DOI Listing
February 2019
2 Reads

Removal of intraductal migrated biliary fully covered self-expandable metal stents: the "SEMS in SEMS" technique.

Gastrointest Endosc 2019 Feb 1. Epub 2019 Feb 1.

Gastroenterology Department, Portuguese Oncology Institute of Porto, Porto, Portugal.

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http://dx.doi.org/10.1016/j.gie.2019.01.025DOI Listing
February 2019

Comparison of 8-mm and 10-mm Diameter Fully-Covered Self-Expandable Metal Stents: A Multicenter Prospective Study in Patients with Distal Malignant Biliary Obstruction.

Dig Endosc 2019 Feb 3. Epub 2019 Feb 3.

Department of Endoscopy, Nagoya University Hospital, Nagoya, Japan.

Objectives: The time to recurrent biliary obstruction (TRBO) of unresectable distal malignant biliary obstruction is generally thought to be longer when a self-expandable metal stent (SEMS) with a thicker inner diameter is used for drainage, but the dependence on the inner diameter using a fully covered SEMS (FCSEMS) is uncertain. The objective of this multicenter prospective study was to compare TRBO and adverse events, such as cholecystitis and pancreatitis, in treatment of patients with unresectable malignant biliary obstruction using 8-mm and 10-mm diameter FCSEMS.

Methods: Eighteen tertiary-care centers participated in the study. Read More

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http://dx.doi.org/10.1111/den.13366DOI Listing
February 2019
3 Reads

Role of digital single-operator cholangioscopy in the diagnosis and treatment of biliary disorders.

World J Gastrointest Endosc 2019 Jan;11(1):31-40

Department of Interventional Gastroenterology, Clinic of Gastroenterology, Acibadem City Clinic Tokuda Hopsital, Sofia 1407, Bulgaria.

Due to the need for improvement in the diagnosis and minimally invasive therapy of the bile duct disorders new technologies for cholangioscopy have been recently developed. Per-oral cholangioscopy has become an important diagnostic and therapeutic tool leading to avoidance of aggressive and unnecessary surgery in many clinical scenarios. This paper focuses on the newly developed SpyGlass DS technology, its advantages, and the technique of single-operator cholangioscopy (SOC), biliary indications and possible adverse events. Read More

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http://dx.doi.org/10.4253/wjge.v11.i1.31DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354115PMC
January 2019
3 Reads

Difficult biliary cannulation: Historical perspective, practical updates, and guide for the endoscopist.

World J Gastrointest Endosc 2019 Jan;11(1):5-21

Geffen School of Medicine at UCLA, Olive View-UCLA Medical Center, Sylmar, CA 91342, United States.

Despite improvements in endoscopic technologies and accessories, development of advanced endoscopy fellowship programs, and advances in ancillary imaging techniques, biliary cannulation in endoscopic retrograde cholangiopancreatography (ERCP) can still be unsuccessful in up to 20% of patients, even in referral centers. Once cannulation has been deemed to be difficult, the risk of post-ERCP pancreatitis and technical failure inherently increases. A number of factors, including endoscopist experience and patient anatomy, have been associated with difficult biliary cannulation, but predicting a case of difficult cannulation a priori is often not possible. Read More

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http://dx.doi.org/10.4253/wjge.v11.i1.5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354112PMC
January 2019
1 Read

[A Case of Retroperitoneal Metastasis of Breast Cancer with Effective Insertion of Plural Stents].

Gan To Kagaku Ryoho 2018 Dec;45(13):2220-2222

Dept. of Breast Endocrinological Surgery, Tokyo Women's Medical University Yachiyo Medical Center.

A 61-year-old woman was referred to our hospital because of epigastric pain during chemotherapy for breast cancer recurrence. She was diagnosed with left breast cancer and underwent mastectomy with axillary lymph node dissection 13 years previously. The postoperative pathological examination result was luminal invasive lobular carcinoma. Read More

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December 2018

Endoscopic Treatment of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations.

J Laparoendosc Adv Surg Tech A 2019 Mar 24;29(3):385-391. Epub 2019 Jan 24.

3 Department of Gastroenterology, The First People's Hospital of Yuhang District, Hangzhou, Zhejiang Province, China.

Background: Endoscopic retrograde cholangiopancreatography (ERCP)-related duodenal perforation is a rare complication associated with significant morbidity and mortality. This study evaluated endoscopic management experience and outcomes of ERCP-related duodenal perforations.

Materials And Methods: Between March 2005 and March 2017, a total of 19,468 ERCP procedures were performed in three endoscopy units of three hospitals in China. Read More

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https://www.liebertpub.com/doi/10.1089/lap.2018.0617
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http://dx.doi.org/10.1089/lap.2018.0617DOI Listing
March 2019
5 Reads

ERCP in Portugal: A Wide Survey on the Prevention of Post-ERCP Pancreatitis and Papillary Cannulation Techniques.

GE Port J Gastroenterol 2018 Dec 22;26(1):14-23. Epub 2018 Feb 22.

Gastroenterology Center, Hospital Cuf Infante Santo - Nova Medical School/Faculdade de Ciências Médicas da UNL, Lisbon, Portugal.

Background/aims: Recently the European Society of Gastrointestinal Endoscopy delivered guidelines on the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) and on the papillary cannulation and sphincterotomy techniques at endoscopic retrograde cholangiopancreatography (ERCP). There are no data concerning current practices in Portugal. The aim of this study was to capture practice patterns of Portuguese pancreaticobiliary endoscopists with special interest in the prevention of PEP and cannulation techniques. Read More

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http://dx.doi.org/10.1159/000487150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341342PMC
December 2018
1 Read

T-Tube Use After Laparoscopic Common Bile Duct Exploration.

JSLS 2019 Jan-Mar;23(1)

Department of General Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Background And Objectives: Laparoscopic common bile duct exploration (LCBDE) has been verified to be an effective technique in treating choledocholithiasis, and T-tube insertion has been widely performed after LCBDE. With growing doubts regarding the effectiveness and safety of T-tube drainage (TTD), it has been suggested to replace such with primary duct closure (PDC). This meta-analysis aimed to evaluate the short- and long-term effectiveness and safety of PDC compared with TTD after LCBDE. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333567PMC
March 2019
1 Read

Endoscopic Palliation for Biliary and Pancreatic Malignancies: Recent Advances.

Clin Endosc 2019 Jan 22. Epub 2019 Jan 22.

Asian Institute of Gastroenterology, Hyderabad, India.

Malignancies of the pancreatobiliary system are usually unresectable at the time of diagnosis. As a consequence, a majority of these cases are candidates for palliative care. With advances in chemotherapeutic agents and multidisciplinary care, the survival rate in pancreatobiliary malignancies has improved. Read More

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http://dx.doi.org/10.5946/ce.2019.003DOI Listing
January 2019
3 Reads

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
12 Reads

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

Endoscopy 2019 Feb 17;51(2):179-193. 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
February 2019
33 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370115PMC
January 2019
6 Reads
5.723 Impact Factor

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
8 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 Mar;60(3):235-246

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
March 2019
3 Reads

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
6 Reads

Endoscopic Management of Combined Biliary and Duodenal Obstruction.

Clin Endosc 2019 Jan 10;52(1):40-46. 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370931PMC
January 2019
6 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 Mar 8;26(3):756-764. 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
March 2019
8 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/
Publisher Site
http://dx.doi.org/10.1155/2018/8902146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304808PMC
December 2018
14 Reads

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

Scand J Gastroenterol 2018 Dec 8;53(12):1569-1574. 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
December 2018
1 Read

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, Bucheon, Korea.

Background And Aim: 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
10 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 2019 Feb 12. Epub 2019 Feb 12.

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

Background/aims: 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://www.gutnliver.org/journal/view.html?doi=10.5009/gnl18
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http://dx.doi.org/10.5009/gnl18330DOI Listing
February 2019
1 Read

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
3 Reads