5,627 results match your criteria Biliary Stenting


[Mechanisms and prevention of biliary stent occlusion].

Khirurgiia (Mosk) 2020 (5):70-75

Botkin Municipal Clinical Hospital of the Moscow Healthcare Department, Moscow, Russia.

One of significant achievements of modern endoscopy is development of retrograde biliary stenting for obstructive jaundice. This method ensured widespread application of endoscopic decompression in the treatment of patients with malignant biliary obstruction as preparation before radical surgery and final palliative care. Endoscopic retrograde transpapillary stenting firmly took its place together with antegrade and percutaneous stenting. Read More

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http://dx.doi.org/10.17116/hirurgia202005170DOI Listing
January 2020

Self-expandable metallic stent placement above the papilla without endoscopic sphincterotomy in patients with distal malignant biliary obstruction.

Endosc Int Open 2020 Jun 25;8(6):E753-E760. Epub 2020 May 25.

Department of Hepatobiliary and Pancreatic Oncology, Osaka International Cancer Institute, Osaka, Japan.

The best method for endoscopic placement of self-expandable metallic stents (SEMS) for distal malignant biliary obstruction (MBO) has not yet been determined. The aim of this study was to evaluate how SEMS placement above the papilla and without endoscopic sphincterotomy (EST) impacts the time to recurrent biliary obstruction (RBO) in patients with distal MBO. We retrospectively reviewed data for 73 consecutive patients with unresectable distal MBO who underwent endoscopic SEMS placement for the first time at our institution between April 2014 and March 2016. Read More

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http://dx.doi.org/10.1055/a-1135-8437DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247892PMC

Use of washing cytology from removed self-expandable metal stents for biliary strictures: a novel cytology method.

Endosc Int Open 2020 Jun 25;8(6):E748-E752. Epub 2020 May 25.

Department of Gastroenterology and Hepatology, St. Marianna University, School of Medicine, Kawasaki, Japan.

Removability is one of the important features of biliary covered self-expandable metal stents (CSEMS). In this study, we evaluated the diagnostic ability of washing cytology of removed CSEMS. For 14 removed CSEMS that had been placed for the biliary strictures (12 malignant, 2 benign), the surface of CSEMS was washed with saline, and pathological examination of the washing liquid as cytology (CSEMS washing cytology) was performed. Read More

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http://dx.doi.org/10.1055/a-1144-2668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247891PMC

Application and Value of Endoscopic Ultrasonography Guided Biliary Interventional Therapy in Patients With Biliary Obstruction and Surgically Altered Anatomy.

Surg Laparosc Endosc Percutan Tech 2020 Jun 1. Epub 2020 Jun 1.

Department of Gastroenterology, Affiliated HangZhou First People's Hospital, Zhejiang University School of Medicine.

Aim: The aim of this study was to evaluate the efficacy and safety of endoscopic ultrasound-guided biliary drainage (EUS-BD) in patients with biliary obstruction and surgically altered anatomy.

Patients And Methods: This was a retrospective study. We collected data from 60 patients with biliary obstruction and surgically altered anatomies who undergone EUS-BD (group A, 33 cases) and percutaneous transhepatic biliary drainage (PTBD) (group B, 27 cases) after unsuccessful endoscopic retrograde cholangiopancreatography from January 2016 to January 2018. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000813DOI Listing

Long-term Outcome of the Rendezvous Technique in Patients With Severe Biliary Anastomotic Stricture That Cannot Cannulate After Liver Transplant.

Transplant Proc 2020 May 29. Epub 2020 May 29.

Department of Surgery-Transplantation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Background: Nearly all publications related to endoscopic treatment of biliary anastomotic stricture after liver transplant have reported cases that can be cannulated. However, very few publications discuss endoscopic treatment of biliary anastomotic stricture (BAS) in which the guide wire does not pass through the stricture site. The purpose of this article is to analyze the long-term outcome of the Rendezvous technique in severe strictures through which guide wires cannot cannulate. Read More

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http://dx.doi.org/10.1016/j.transproceed.2020.02.137DOI Listing

A newly designed biliary brachytherapy drainage catheter for patients with malignant biliary obstruction: A pilot study.

J Cancer Res Ther 2020 ;16(2):286-291

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

Aim: Self.expandable metallic stent (SEMS) placement has been considered as the preferred treatment to relieve jaundice in nonsurgical patients. However, 50% of stents become stenosed within 3. Read More

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http://dx.doi.org/10.4103/jcrt.JCRT_804_19DOI Listing
January 2020

The influence of fully covered metal stenting on the risk of post-endoscopic retrograde cholangiopancreatography pancreatitis - A large multicenter study.

J Gastroenterol Hepatol 2020 May 30. Epub 2020 May 30.

Department of Endoscopy, Eastern Hepatobiliary Hospital, Second Military Medical University, Yangpu District, Shanghai, China.

Background And Aims: Fully covered self-expandable metal stents (FCSEMSs) have been increasingly used in the management of benign or malignant biliary disorders. However, the risk of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) with transpapillary placement of the FCSEMS remains controversial. This study therefore aimed to investigate the risk of PEP in patients who received FCSEMS implantation. Read More

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http://dx.doi.org/10.1111/jgh.15122DOI Listing

Endoscopic ultrasound-guided bilateral biliary drainage through the mesh of the metal stents using a balloon occlusion method.

Dig Endosc 2020 May 28. Epub 2020 May 28.

Department of Gastroenterology and Hepatology, School of Medicine, St. Marianna University, Kanagawa, Japan.

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http://dx.doi.org/10.1111/den.13701DOI Listing

Risk factors for cholecystitis after stent placement in patients with distal malignant biliary obstruction.

J Hepatobiliary Pancreat Sci 2020 May 27. Epub 2020 May 27.

Department of Gastroenterology, Seirei Hamamatsu General Hospital, Shizuoka, Japan.

Background/purpose: Limited data are available for acute cholecystitis after Self-Expandable Metallic Stent (SEMS) placement in patients with malignant distal biliary obstruction. We aimed to identify risk factors for cholecystitis.

Methods: This was a retrospective, single-center study of 280 patients (336 stents) who received endoscopic SEMS placement between May 2005 and April 2016. Read More

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http://dx.doi.org/10.1002/jhbp.767DOI Listing

Large-diameter plastic biliary stents for unresectable distal malignant biliary strictures: Rehashing the same or rekindling more interest?

Authors:
Mihir S Wagh

Endoscopy 2020 Jun 27;52(6):433-434. Epub 2020 May 27.

Division of Gastroenterology, University of Colorado, Denver, Colorado, USA.

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http://dx.doi.org/10.1055/a-1163-8659DOI Listing

EUS-guided biliary drainage in patients with distal malignant biliary obstruction requires fewer interventions and has a lower cost compared to ERCP biliary drainage.

Surg Endosc 2020 May 26. Epub 2020 May 26.

Department of Gastrointestinal Endoscopy, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Vasco de Quiroga #15. Tlalpan, CP 14000, Mexico, Mexico.

Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) biliary drainage is considered the reference standard in patients with biliary obstruction, but it is not free of complications. EUS-guided biliary drainage (EUS-BD) is considered an alternative in patients with failed ERCP; however, data are scarce as to whether EUS-BD could be considered a first option.

Objective: The aim of our study was to compare the need for reintervention and cost between ERCP biliary drainage vs. Read More

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http://dx.doi.org/10.1007/s00464-020-07667-5DOI Listing

A case of triple digestive tract reconstruction in chronic pancreatitis complicated with bile ductal stenosis, duodenal stenosis, and portal vein stenosis: a case report.

Surg Case Rep 2020 May 26;6(1):116. Epub 2020 May 26.

Department of Gastroenterological Surgery, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.

Background: Although endoscopic interventions for chronic pancreatitis are highly developed, surgery for severe complicated cases such as the coexistence of bile duct, duodenum, and portal vein stenosis is a challenging issue for surgeons. In such instances, pancreaticoduodenectomy could lead to massive intraoperative bleeding due to severe collateral veins. A surgical drainage procedure, instead of pancreatic resection, may be a reasonable and safer option in such cases, but the literature on a surgical drainage technique to resolve all obstructions of the pancreatic duct, bile duct, and duodenum at once is limited. Read More

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http://dx.doi.org/10.1186/s40792-020-00872-3DOI Listing

Advances in stent therapy for malignant biliary obstruction.

Abdom Radiol (NY) 2020 May 26. Epub 2020 May 26.

Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China.

Malignant biliary obstruction (MBO), result of pancreatobiliary diseases is a challenging condition. Most patients with MBO are inoperable at the time of diagnosis, and the disease is poorly controlled using external-beam radiotherapy and chemotherapy. Biliary stent therapy emerged as a promising strategy for alleviating MBO and prolonging life. Read More

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http://dx.doi.org/10.1007/s00261-020-02593-5DOI Listing

Removal of proximally migrated biliary stents by using single-operator cholangioscopy.

VideoGIE 2020 May 13;5(5):213-216. Epub 2020 Feb 13.

Gastroenterology and Hepatology, King Fahad Medical City, Riyadh, Saudi Arabia.

Background And Aims: Migration is a late adverse event of biliary stent placement. It occurs in 1% to 20% of cases and is associated with a diverse array of adverse events. In this article, we report our take on endoscopic extraction of proximally migrated biliary stents by the use of single-operator cholangioscopy. Read More

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http://dx.doi.org/10.1016/j.vgie.2020.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221218PMC

Giant stentolith: A rare complication of long-dwelling biliary endoprosthesis.

Arab J Gastroenterol 2020 May 15. Epub 2020 May 15.

Department of Surgical Gastroenterology, King George's Medical University, Lucknow, UP, India.

Endoscopic biliary stenting is performed for various indications in routine clinical practice. Plastic stents are indicated primarily for short-term biliary decompression and require removal or exchange after 12-16 weeks. However, patients who become asymptomatic after the procedure may not return for scheduled stent removal and subsequently present with severe complications. Read More

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http://dx.doi.org/10.1016/j.ajg.2020.04.008DOI Listing

Fifteen-Year Single-Center Experience of Biliary Complications in Liver Trauma Patients: Changes in the Management of Posttraumatic Bile Leak.

Eur J Pediatr Surg 2020 May 18. Epub 2020 May 18.

Birmingham Children's Hospital, The Liver Unit, Birmingham, United Kingdom.

Introduction:  Management of posttraumatic bile leak has evolved over time in our unit, from endoscopic retrograde cholangiopancreatography (ERCP) stenting to intraperitoneal drainage (IPD) alone as first-line treatment for intraperitoneal bile leak.

Materials And Methods:  Retrospective review of liver trauma patients from 2002 to 2017. Demographics, time and mode of diagnosis of bile leak, management, and outcome were analyzed of the box plot. Read More

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http://dx.doi.org/10.1055/s-0040-1710391DOI Listing
May 2020
0.975 Impact Factor

Recurrence of Obstructive Symptoms and Quality of Life after Insertion of Non-Cover Metal Stent Inside the Biliary Duct in Patients with Pancreatic Cancer.

Maedica (Buchar) 2020 Mar;15(1):71-75

Tehran University Internal Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Quality of disease is improved in patients with pancreatic cancer via endoscopic placement of a biliary stent. Since the role of non-cover metal stent inside the biliary duct is not definitely clear, the aim of this study was to evaluate the recurrence of obstructive symptoms and quality of life after insertion of non-cover metal stent inside the biliary duct in patients with pancreatic cancer. This retrospective descriptive-analytical study was conducted on 81 patients with pancreatic cancer who were referred to Mortaz and Shahaid Sadoughi Hospital. Read More

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http://dx.doi.org/10.26574/maedica.2020.15.1.71DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221268PMC

Surgical outcomes of colonic stents as a bridge to surgery versus emergency surgery for malignant colorectal obstruction: A systematic review and meta-analysis of high quality prospective and randomised controlled trials.

Eur J Surg Oncol 2020 May 7. Epub 2020 May 7.

The University of Queensland Diamantina Institute, The University of Queensland, Woolloongabba, QLD, 4102, Australia; Gallipoli Medical Research Institute, Greenslopes Private Hospital, Brisbane, QLD, Australia; Department of Biliary-Pancreatic Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. Electronic address:

Self-expanding metallic stent placement as a bridge to surgery has been reported as an alternative to emergency surgery for acute malignant colorectal obstruction. However, results from clinical trials and previous meta-analyses are conflicting. We carried out a meta-analysis to compare the surgical and oncological outcomes between emergency surgery and self-expanding metallic stents for malignant large bowel obstruction. Read More

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http://dx.doi.org/10.1016/j.ejso.2020.04.052DOI Listing

Fully covered self-expanding metal stents for benign biliary stricture after orthotopic liver transplant: 5-year outcomes.

Gastrointest Endosc 2020 May 14. Epub 2020 May 14.

Department of Gastroenterology and Hepato-pancreatology, Hôpital Erasme, Université Libre de Bruxelles, Belgium.

Background And Aims: Minimally invasive treatments of anastomotic benign biliary stricture (BBS) after orthotopic liver transplantation (OLT) include endoscopic placement of multiple plastic stents or fully covered self-expandable metal stents (FCSEMSs). No multi-year efficacy data are available on FCSEMS treatment after OLT.

Methods: We prospectively studied long-term efficacy and safety of FCSEMS treatment in adults 18 years and older with past OLT, cholangiographically confirmed BBS, and an indication for ERCP with stent placement. Read More

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http://dx.doi.org/10.1016/j.gie.2020.04.078DOI Listing

Endoscopic ultrasound-guided anastomosis: Is it ready for prime time?

J Gastroenterol Hepatol 2020 May 16. Epub 2020 May 16.

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.

Significant advancements in endoscopic ultrasound (EUS)-guided drainage procedures and EUS-guided anastomosis have recently been described. The described procedures include EUS-guided drainage of pancreatic fluid collections, biliary drainage, pancreatic duct drainage, gallbladder drainage, and gastroenterostomy. These procedures have been made possible with novel devices that can reduce the difficulties of the procedures and potentially reducing the risk of adverse events. Read More

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http://dx.doi.org/10.1111/jgh.15099DOI Listing

Endoscopic ultrasound (EUS) and the management of pancreatic cancer.

BMJ Open Gastroenterol 2020 May;7(1)

Department of Medicine, Section Digestive Diseases, Yale University School of Medicine, New Haven, Connecticut, USA.

Pancreatic cancer is one of the leading causes of cancer-related mortality in western countries. Early diagnosis of pancreatic cancers plays a key role in the management by identification of patients who are surgical candidates. The advancement in the radiological imaging and interventional endoscopy (including endoscopic ultrasound (EUS), endoscopic retrograde cholangiopancreatography and endoscopic enteral stenting techniques) has a significant impact in the diagnostic evaluation, staging and treatment of pancreatic cancer. Read More

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http://dx.doi.org/10.1136/bmjgast-2020-000408DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232396PMC

Endoscopic retrograde cholangiography via a permanent access loop.

Turk J Gastroenterol 2020 Apr;31(4):318-323

Department of Gastroenterology, Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey.

Background/aims: The aim of this study was to investigate the indications, technical and clinical success, and complications of the endoscopic retrograde cholangiography (ERC) via a permanent access loop (PAL).

Materials And Methods: Twenty patients who underwent ERC through PAL between 2009 and 2017 were included in this study. The technical success was described as achieving access to the bile ducts through PAL and the clinical success was described as the clinical and laboratory improvement of the patients after the procedure. Read More

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http://dx.doi.org/10.5152/tjg.2020.19229DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236647PMC

The Role of Portoenterostomy with Aggressive Hilar Dissection in Biliary Tract Tumors: Report of Case Series and Review of the Literature.

Indian J Surg 2020 May 12:1-7. Epub 2020 May 12.

3Department of Pathology, Atatürk Research and Education Hospital, İzmir Katip Celebi University, İzmir, Turkey.

Hepaticojejunostomy is a challenging and complex procedure to be done with confidence in conditions that contain a large number of segmental bile ducts. Portoenterostomy can be defined as the joining of multiple bile ducts into a single cavity using segmenter bile duct ends, stents, and surrounding connective tissues. During surgery, in cases with advanced stage biliary tract tumors that cannot be performed hepatectomy, after aggressive dissections to provide a negative surgical margin, a large number of segmental bile ducts can be revealed and needs to ensure the continuity of bile flow. Read More

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http://dx.doi.org/10.1007/s12262-020-02259-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222060PMC

Prognostic and predictive factors for Taiwanese patients with advanced biliary tract cancer undergoing frontline chemotherapy with gemcitabine and cisplatin: a real-world experience.

BMC Cancer 2020 May 14;20(1):422. Epub 2020 May 14.

Division of Haematology-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, 5, Fu-Hsing Street, Kwei-Shan, Taoyuan, Taiwan.

Background: Chemotherapy with gemcitabine and cisplatin has been the standard of care in first-line chemotherapy for advanced biliary tract cancer (BTC) since the trial ABC-02 was published in 2010. We aimed to investigate the prognostic and predictive factors of this regimen in a cohort of Taiwanese patients with advanced BTC.

Methods: A total of 118 patients with histologically confirmed BTC treated at Chang Gung Memorial Hospital at Linkou from 2012 to 2017 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1186/s12885-020-06914-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7227306PMC

Percutaneous Biliary Metallic Stent Insertion in Patients with Malignant Duodenobiliary Obstruction: Outcomes and Factors Influencing Biliary Stent Patency.

Korean J Radiol 2020 Jun;21(6):695-706

Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Objective: To investigate the technical and clinical efficacy of the percutaneous insertion of a biliary metallic stent, and to identify the factors associated with biliary stent dysfunction in patients with malignant duodenobiliary obstruction.

Materials And Methods: The medical records of 70 patients (39 men and 31 women; mean age, 63 years; range, 38-90 years) who were treated for malignant duodenobiliary obstruction at our institution between April 2007 and December 2018, were retrospectively reviewed. Variables found significant by univariate log-rank analysis ( < 0. Read More

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http://dx.doi.org/10.3348/kjr.2019.0753DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231609PMC

Percutaneous Intraductal Microwave Ablation of Malignant Biliary Strictures: Initial Experience.

AJR Am J Roentgenol 2020 May 14:1-7. Epub 2020 May 14.

Department of Radiology, Okan University Hospital, Aydınlı Cad 2, İstanbul, Tuzla 34947, Turkey.

Metallic stenting of malignant biliary strictures is the preferred method of palliation, because most patients present when the condition is inoperable. Most metallic stents, however, are occluded 6-8 months after deployment. Intraductal radiofrequency ablation has been used in previous studies to improve stent patency. Read More

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http://dx.doi.org/10.2214/AJR.19.21897DOI Listing

Cost Analysis of Biliary Drainage Using Metal versus Plastic Stents in Hepatocellular Carcinoma Patients with Obstructive Jaundice.

Gastrointest Tumors 2020 Apr 1;7(1-2):1-10. Epub 2019 Nov 1.

Epidemiology and Preventive Medicine Department, National Liver Institute, Menoufia University, Shebin Al-Kom, Egypt.

Background: The optimal method of biliary drainage for biliary obstruction caused by hepatocellular carcinoma (HCC) is controversial, and the possible endoscopic application of plastic and metal stents is the least invasive procedure to improve patients' quality of life.

Aim: Our objective was to study cost evaluation based on a clinical efficacy of both procedures in a randomized trial comparing both approaches in patients with biliary obstruction caused by HCC.

Methods: The strategy of management was based on clinical effectiveness of biliary drainage with either metal or plastic stents in 90 patients over a 1-year follow-up period. Read More

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http://dx.doi.org/10.1159/000503862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206597PMC

Duodenal perforations secondary to a migrated biliary plastic stent successfully treated by endoscope: case-report and review of the literature.

BMC Gastroenterol 2020 May 12;20(1):149. Epub 2020 May 12.

Department of Biliary- Pancreatic Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 160, Pujian Road, Pudong New Area, Shanghai, 200127, China.

Background: Endoscopic retrograde biliary drainage (ERBD) is the most frequently performed procedure for treating benign or malignant biliary obstruction. Although duodenal perforations secondary to the biliary plastic stent are quite rare, they can be life-threatening. The treatment strategies for such perforations are diverse and continue to be debated. Read More

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http://dx.doi.org/10.1186/s12876-020-01294-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216602PMC

Production of ERCP training model using a 3D printing technique (with video).

BMC Gastroenterol 2020 May 11;20(1):145. Epub 2020 May 11.

Research Group for Endoscopic Instruments and Stents, Korean Society of Gastrointestinal Endoscopy, Seoul, Korea.

Background: ERCP training models are very different in terms of anatomical differences, ethical issues, storage problems, realistic tactile sensation, durability and portability. There is no easy way to select an optimized model for ERCP training. If the ERCP training model could be made as a soft silicone model using 3D printing technique, it would have numerous advantages over the models presented so far. Read More

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http://dx.doi.org/10.1186/s12876-020-01295-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216470PMC

Incidence and Significance of Biliary Stricture in Chronic Pancreatitis Patients Undergoing Extracorporeal Shock Wave Lithotripsy for Obstructing Pancreatic Duct Stones.

Gut Liver 2020 May 13. Epub 2020 May 13.

Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA, USA.

Background/aims: This study assessed the significance of biliary stricture in symptomatic chronic pancreatitis patients requiring extracorporeal shock wave lithotripsy (ESWL) and endoscopic retrograde cholangiopancreatography (ERCP) to remove obstructing pancreatic calculi.

Methods: A total of 97 patients underwent ESWL followed by ERCP to remove pancreatic calculi between October 2014 and October 2017 at Virginia Mason Medical Center. Significant biliary stricture (SBS) was defined as a stricture with upstream dilation on computed tomography scan or magnetic resonance cholangiopancreatography scans accompanied by cholestasis and/or cholangitis. Read More

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http://dx.doi.org/10.5009/gnl19380DOI Listing

[Pancreatobiliary Fistula with Jaundice-A Case Report].

Gan To Kagaku Ryoho 2020 Jan;47(1):67-69

Dept. of Gastroenterology, Kasai Shoikai Hospital.

An 80-year-old woman was admitted to our hospital due to jaundice. CT and MRCP revealed that the common bile duct and main pancreatic duct were dilatated due to a cystic lesion in the pancreatic head. Moreover, ERCP revealed the presence of a pancreatobiliary fistula and mucus discharge from the enlarged papilla. Read More

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January 2020

[Removal of an Uncovered Metal Stent from the Common Bile Duct Six Years after Implantation in Chronic Calcifying Pancreatitis].

Z Gastroenterol 2020 May 7. Epub 2020 May 7.

Klinik f. Gastroenterologie und Hepatologie, Zentrum für Innere Medizin II, Hochschulklinikum Brandenburg an der Havel.

Standard therapy for benign stenoses of the biliary tract are coated metal stents or multi-stenting with plastic stents. Uncoated metal stents are not recommended because tissue ingrowth and overgrowth may render them impossible to remove with acceptable risk.We report a patient with chronic calcifying pancreatitis and cholestasis who, after unsuccessful multistenting with a total of 15 stent changes, was implanted with an uncoated metal stent in the common bile duct as second-line therapy. Read More

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http://dx.doi.org/10.1055/a-1157-9857DOI Listing

Conversion of percutaneous transhepatic biliary drainage to endoscopic ultrasonography-guided hepaticogastrostomy under balloon-targeted selective needle puncture.

Dig Endosc 2020 May 6. Epub 2020 May 6.

Department of Gastroenterology, Ajou University School of Medicine, Suwon, Republic of Korea.

Endoscopic ultrasonography (EUS)-guided hepaticogastrostomy is a rescue technique for internal drainage when percutaneous antegrade biliary stenting (PABS) fails after percutaneous transhepatic biliary drainage (PTBD). However, this may be difficult under bile duct decompression despite contrast injection through the PTBD catheter because the sonographic ring-down artifact caused by micro-air bubbles in the contrast may hinder the EUS delineation of the intrahepatic bile duct. Read More

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http://dx.doi.org/10.1111/den.13715DOI Listing

Ways to improve stenting in unresectable malignant distal biliary obstruction: stent design, intraductal placement, and protective role of an intact papilla?

Authors:
Tsuyoshi Mukai

Dig Endosc 2020 May 6. Epub 2020 May 6.

Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan.

Endoscopic biliary stenting is the most widely accepted procedure for the management of symptomatic biliary obstruction. In cases of unresectable malignant distal biliary obstruction (UMDBO), stent placement plays a key role in maintaining biliary flow and in improving prognosis and quality of life. Self-expandable metallic stents (SEMSs) have been used widely in patients with UMDBO because SEMSs give rise to longer stent patency than that of plastic stents (PSs). Read More

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http://dx.doi.org/10.1111/den.13714DOI Listing

Percutaneous endobiliary radiofrequency ablation and stents in management of hepatocellular carcinoma with bile duct tumor thrombus: Initial single-institution experience.

Asia Pac J Clin Oncol 2020 May 5. Epub 2020 May 5.

Department of Interventional Therapy, Cancer Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, School of Medicine, South China University of Technology, Guangzhou, 510080, China.

Aim: Hepatocellular carcinoma (HCC) with bile duct tumor thrombus (BDTT) is a rare condition, but it can lead to hepatic failure and is associated with poor prognosis. Treatment for HCC with BDTT remains a challenge. This study aimed to retrospectively evaluate the safety and feasibility of percutaneous endobiliary radiofrequency ablation (EB-RFA) and biliary metal stent placement as an alternative treatment for patients with HCC with BDTT. Read More

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http://dx.doi.org/10.1111/ajco.13330DOI Listing

Lateral duodenal wall perforation due to plastic biliary stent migration: a case series of endoscopic closure.

Endosc Int Open 2020 May 17;8(5):E573-E577. Epub 2020 Apr 17.

Université Libre de Bruxelles, Campus Erasme, Gastroenterology, Brussels, Belgium.

 Lateral duodenal wall perforation by a migrated stent is a potential complication of biliary stenting. By systematic database revision, we identified a series of six patients with lateral duodenal wall perforation caused by a displaced plastic biliary stent that were treated with over-the-scope clip (OTSC) between January 1, 2014 and March 31, 2019. In this series, most cases were related to stenting of benign strictures with single or double stenting and with the use of stents longer than 12 cm. Read More

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http://dx.doi.org/10.1055/a-1123-7782DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165006PMC

Management of biliary stricture in patients with IgG4-related sclerosing cholangitis.

PLoS One 2020 30;15(4):e0232089. Epub 2020 Apr 30.

Department of gastroenterology, Kanazawa University Hospital, Kanazawa, Japan.

Background: We aimed to determine the optimal approach with endoscopic biliary drainage (EBD) and corticosteroid (CS) for the treatment of IgG4-related sclerosing cholangitis (ISC).

Methods: To evaluate the safety of EBD for treatment of biliary stricture caused by ISC, we assessed the risk of stent dislodgement and sought to determine the most appropriate time for stent removal. We also assessed the safety of treatment with CS alone for patients with obstructive jaundice, and the rate of and risk factors for biliary tract complications. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0232089PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192452PMC

Double Stenting for Malignant Biliary and Duodenal Obstruction: A Systematic Review and Meta-Analysis.

Clin Transl Gastroenterol 2020 Apr;11(4):e00161

First Department of Medicine, University of Szeged, Szeged, Hungary.

Introduction: Data about the efficacy of palliative double stenting for malignant duodenal and biliary obstruction are limited.

Methods: A systematic literature search was performed to assess the feasibility and optimal method of double stenting for malignant duodenobiliary obstruction compared with surgical double bypass in terms of technical and clinical success, adverse events, reinterventions, and survival. Event rates with 95% confidence intervals were calculated. Read More

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http://dx.doi.org/10.14309/ctg.0000000000000161DOI Listing

A Prospective Multicenter Study of Partially Covered Metal Stents in Patients Receiving Neoadjuvant Chemotherapy for Resectable and Borderline Resectable Pancreatic Cancer: BTS-NAC Study.

Gut Liver 2020 Apr 29. Epub 2020 Apr 29.

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

Background/aims: ; The aim of this study was to evaluate the safety and efficacy of partially covered self-expandable metallic stents (PCSEMS) in patients undergoing neoadjuvant chemo(radio) therapy (NAC) for pancreatic cancer (PC).

Methods: This was a prospective multicenter study to evaluate the safety and efficacy of PCSEMS in patients receiving NAC for resectable and borderline resectable PC. The primary endpoint was the rate of recurrent biliary obstruction (RBO). Read More

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http://dx.doi.org/10.5009/gnl19302DOI Listing

Benign Biliary Strictures: A Systematic Review on Endoscopic Treatment Options.

Diagnostics (Basel) 2020 Apr 15;10(4). Epub 2020 Apr 15.

Interventional Endoscopy, Chris O Brien Lifehouse, Missenden Road, Camperdown 2050, Australia.

Benign biliary strictures can be difficult to manage. Untreated biliary strictures can lead to complications, such as chronic cholestasis, jaundice, recurrent sepsis, and secondary biliary cirrhosis, which can have severe ramifications. The management landscape is constantly evolving, with the development of modifiable self-expandable metal stents and biodegradable stents. Read More

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http://dx.doi.org/10.3390/diagnostics10040221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235774PMC

Correction: Factors associated with complete clearance of difficult common bile duct stones after temporary biliary stenting followed by a second ERCP: a multicenter, retrospective, cohort study.

Endoscopy 2020 Jun 22;52(6):C4. Epub 2020 Apr 22.

Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.

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http://dx.doi.org/10.1055/a-1160-0607DOI Listing

Fully covered self-expandable metal stents for benign biliary strictures: an effective alternative.

Authors:
Djuna L Cahen

Endoscopy 2020 May 22;52(5):334-335. Epub 2020 Apr 22.

Department of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands.

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http://dx.doi.org/10.1055/a-1137-4541DOI Listing

Endoscopic transpapillary stenting for the management of acute cholecystitis.

Langenbecks Arch Surg 2020 Mar 21;405(2):191-198. Epub 2020 Apr 21.

Department of Surgery, Swedish Medical Center - First Hill, 747 Broadway, Heath Tenth, Seattle, WA, 98122, USA.

Introduction: Cholecystectomy is the gold standard treatment of acute cholecystitis. Patients who are considered not to be candidates for cholecystectomy are commonly recommended to undergo percutaneous transhepatic gallbladder drainage (PTGBD) tube placement; however, external drainage is undesirable for many patients. Endoscopic transpapillary stent placement (ETSP) has been described as an alternative method for decompression of the gallbladder. Read More

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http://dx.doi.org/10.1007/s00423-020-01870-7DOI Listing

Post ERCP gastrointestinal hemorrhage: An unusual complication of migrated biliary stent.

J Family Med Prim Care 2020 Feb 28;9(2):1212-1214. Epub 2020 Feb 28.

Registrar, Tata Main Hospital, Jamshedpur, Jharkhand, India.

Endoscopic biliary stenting is an established modality of managing benign and malignant obstructive disorders of biliary tract. Complications associated with biliary stents though uncommon are on the rise. We report a case of migrated biliary plastic stent presenting as gastro-inetstinal hemorrhage, which was managed successfully by endoscopic technique avoiding any major surgery. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_1119_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113950PMC
February 2020

Utility of laser-cut covered self-expandable metal stents for unresectable malignant distal biliary obstruction: a single-center experience.

Endoscopy 2020 Apr 21. Epub 2020 Apr 21.

Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Background:  Few reports have evaluated the effectiveness of laser-cut, covered, self-expandable metal stents (LC-CSEMS) for unresectable malignant distal biliary obstruction (MDBO) and whether reintervention is feasible after placement. We describe our experience with LC-CSEMS placement for unresectable MDBO.

Methods:  Patients undergoing LC-CSEMS placement for unresectable MDBO from November 2014 to December 2018 were reviewed. Read More

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http://dx.doi.org/10.1055/a-1149-1700DOI Listing

Pancreatic fluid collections: Clinical manifestations, diagnostic evaluation and management.

Dis Mon 2020 Apr 17:100986. Epub 2020 Apr 17.

Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.

Pancreatic fluid collections (PFC), including pancreatic pseudocysts and walled-off pancreatic necrosis, are a known complication of severe acute pancreatitis. A majority of the PFCs remain asymptomatic and resolve spontaneously. However, some PFCs persist and can become symptomatic. Read More

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http://dx.doi.org/10.1016/j.disamonth.2020.100986DOI Listing
April 2020
0.535 Impact Factor

Early malfunction of a biliary self-expandable metal stent with an antireflux valve: A case report.

Medicine (Baltimore) 2020 04;99(16):e19750

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine.

Rationale: Biliary drainage is essential to resolve jaundice in patients with malignant biliary obstruction. Recently, a biliary self-expandable metal stent (SEMS) with an antireflux valve was developed to prevent enteric-biliary reflux. Its antireflux valve was made of expanded polytetrafluoroethylene (ePTFE), a biostable and biocompatible material. Read More

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http://dx.doi.org/10.1097/MD.0000000000019750DOI Listing

A "Kissing-Stents" Technique in the Management of Afferent Limb Syndrome With Concomitant Efferent Limb Obstruction in a Patient With Gastric Cancer and Billroth II Anatomy.

ACG Case Rep J 2020 Jan 7;7(1):e00266. Epub 2020 Jan 7.

Department of Medicine, Harvard Medical School, Boston, MA.

The "kissing-stents" technique has been used in endovascular interventions for the management of aortic and arterial stenosis at bifurcation sites. However, to our knowledge, the use of this technique to prevent stent migration in endoscopy has not been described to date. We present a 65-year-old man with metastatic gastric adenocarcinoma status post-Billroth II gastrojejunostomy complicated by simultaneous afferent and efferent limb syndrome with gastric outlet obstruction and biliary dilatation. Read More

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http://dx.doi.org/10.14309/crj.0000000000000266DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145159PMC
January 2020

Biodegradable biliary stents: is it time for a larger application in patients with benign biliary strictures?

Eur J Radiol 2020 Jun 15;127:108994. Epub 2020 Apr 15.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy; Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy.

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http://dx.doi.org/10.1016/j.ejrad.2020.108994DOI Listing

Solid organ donation after death from listeria encephalitis: A case report.

Transpl Infect Dis 2020 Jun 30;22(3):e13295. Epub 2020 Apr 30.

Department of Intensive Care Medicine, University hospitals Leuven, Leuven, Belgium.

Despite organ shortage, organs from donors with listeria infections have been discarded for transplantation. We present the first-reported case of liver transplantation following listeria encephalitis. The patient was admitted with progressing neurological symptoms after an episode of gastroenteritis. Read More

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http://dx.doi.org/10.1111/tid.13295DOI Listing