13,357 results match your criteria endoscopic dilation


Endoscopic retrograde cholangiopancreatography and intraductal ultrasonography in the diagnosis of autoimmune pancreatitis and IgG4-related sclerosing cholangitis.

J Med Ultrason (2001) 2021 Jul 31. Epub 2021 Jul 31.

Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.

Endoscopic retrograde cholangiopancreatography is used to evaluate the narrowing of the main pancreatic duct in autoimmune pancreatitis (AIP) and biliary stricture in IgG4-related sclerosing cholangitis (IgG4-SC). Intraductal ultrasonography enables detailed visualization of the thickening of the bile duct wall in IgG4-SC. Pancreatic cancer, cholangiocarcinoma, and primary sclerosing cholangitis are important mimicking conditions of AIP and IgG4-SC. Read More

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The Difficult Path to Correct Diagnosis of Hepatolithiasis: A Case Report.

Acta Medica (Hradec Kralove) 2021 ;64(2):125-128

Department of Surgery and Transplant Unit, Comenius University in Bratislava, Jessenius Medical Faculty in Martin, University Hospital Martin, Slovak Republic.

Hepatolithiasis is a benign disease, where stones are localized proximal to the confluence of hepatic ducts. The clinical picture may differ depending on whether the stones cause complete, partial, or intermittent biliary obstruction. The course can vary from asymptomatic to fatal, thus, early diagnosis and treatment is critical for a good prognosis. Read More

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January 2021

Efficacy of endoscopic large balloon dilation extended for 2 minutes in bile duct stone removal: A multicenter retrospective study.

J Hepatobiliary Pancreat Sci 2021 Jul 30. Epub 2021 Jul 30.

Department of Gastroenterology and Hepatology, St. Marianna University, School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki, 216-8511, Japan.

Background/purpose: There is no evidence regarding the optimal balloon dilation time during endoscopic papillary large balloon dilation (EPLBD). The study aim was to evaluate the efficacy of 2-min extended balloon dilation for EPLBD.

Methods: 205 patients who underwent EPLBD during endoscopic retrograde cholangiopancreatography (ERCP) for bile duct stones at three tertiary centers were included in the analysis. Read More

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Innovation of endoscopic management in difficult common bile duct stone in the era of laparoscopic surgery.

World J Gastrointest Endosc 2021 Jul;13(7):198-209

Digestive Disease and GI Oncology Center, Medistra Hospital, Jakarta 12950, DKI, Indonesia.

Common bile duct (CBD) stone is a common biliary problem, which often requires endoscopic approach as the initial treatment option. Roughly, 7%-12% of the subjects who experience cholecystectomy were subsequently referred to biliary endoscopist for further management. In general, there are three classifications of difficult CBD stone, which are based on the characteristics of the stone (larger than 15 mm, barrel or square-shaped stones, and hard consistency), accessibility to papilla related to anatomical variations, and other clinical conditions or comorbidities of the patients. Read More

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Subclinical Needle Tract Seeding by Endoscopic Ultrasound-Guided Fine-Needle Aspiration for Pancreatic Cancer.

Case Rep Oncol 2021 May-Aug;14(2):977-982. Epub 2021 Jun 21.

Department of Surgery, Kishiwada Tokushukai Hospital, Kishiwada, Japan.

A 77-year-old woman with epigastralgia was referred to our hospital. Abdominal computed tomography showed a hypointense mass in the pancreatic tail. Abdominal and endoscopic ultrasonography (EUS) showed a hypo-echoic mass, 25 × 25 mm in size, with pancreatic duct dilatation. Read More

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Efficacy of double-balloon enteroscopy-assisted endoscopic balloon dilatation combined with stent deployment for hepaticojejunostomy anastomotic stricture.

Dig Endosc 2021 Jul 29. Epub 2021 Jul 29.

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

Background: Hepaticojejunostomy anastomotic stricture (HJAS) is a significant complication of biliary reconstruction surgery. Endoscopic management of HJAS using double-balloon enteroscopy has expanded; however, retrospective reports in this setting are limited. This study aimed to evaluate the efficacy of endoscopic balloon dilatation combined with stent deployment for HJAS. Read More

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Step-by-step technique for the endoscopic treatment of ureteral stricture.

BJU Int 2021 Jul 29. Epub 2021 Jul 29.

Department of Urology, Institute of Urology, Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, Sichuan, P.R. China.

Objective: To outline our step-by-step technique for the endoscopic treatment in ureteral stricture.

Materials And Methods: Between January 2019 and June 2020, 25 patients with ureteral strictures underwent ureteral bypass and were included in this study. Ureteral bypass includes three key steps. Read More

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Endoscopic ultrasonography-guided hepaticogastrostomy using a novel laser-cut type partially covered self-expandable metal stent (with video).

Dig Endosc 2021 Jul 28. Epub 2021 Jul 28.

2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.

Endoscopic ultrasonography (EUS)-guided hepaticogastrostomy (HGS) is of clinical benefit in patients with failed endoscopic retrograde cholangiopancreatography (ERCP). However, some endoscopists are concerned about the potential risk of adverse events. Bile peritonitis due to bile leakage through the fistula is one of the possible adverse events following EUS-HGS. Read More

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Readmission and reoperation after laryngeal dilation in children: NSQIP-P analysis.

Int J Pediatr Otorhinolaryngol 2021 Jul 12;149:110838. Epub 2021 Jul 12.

Department of Otolaryngology - Head and Neck Surgery, Jacobs School of Medicine & Biomedical Sciences at the University at Buffalo, Buffalo, NY, USA. Electronic address:

Objective: To identify specific comorbidities and their relationship to complications in children who underwent laryngeal dilation, specifically comparing children with tracheostomy versus no tracheostomy as well as differences in outcomes between age groups.

Methods: Retrospective study analyzing data collected in the American College of Surgeons National Surgical Improvement - Pediatric Database (2015-2018). Patients were selected using Current Procedural Terminology code 31528. Read More

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Ectopic opening of the common bile duct into the duodenal bulb with recurrent choledocholithiasis: A case report.

World J Clin Cases 2021 Jul;9(19):5332-5338

The Fourth Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou 730000, Gansu Province, China.

Background: Ectopic opening of the common bile duct is a condition with low incidence. Patients with an ectopic common bile duct opening have a high incidence of common bile duct stones and acute cholangitis. Patients with atypical symptoms and imaging findings are easily misdiagnosed; moreover, it is difficult to retrieve stones by endoscopic retrograde cholangiopancreatography, and common bile duct stones are prone to postsurgical recurrence. Read More

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Endoscopic Management of Bowel Obstruction.

Authors:
David E Beck

Clin Colon Rectal Surg 2021 Jul 15;34(4):262-268. Epub 2021 Apr 15.

Department of Surgery, Colon and Rectal Surgery, Vanderbilt University, Nashville, Tennessee.

The traditional morbidity and mortality associated with traditional management has stimulated exploration of endoscopic approaches. Success depends on patient selection, the location and etiology of obstruction, patient status, and the capability of the endoscopist. This article discusses techniques of intralumenal dilation and stent placement and results from systematic reviews. Read More

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Crohn's Disease Obstructions.

Authors:
Molly M Ford

Clin Colon Rectal Surg 2021 Jul 20;34(4):227-232. Epub 2021 Jul 20.

Department of General Surgery, Colon & Rectal Surgery, Nashville, Tennessee.

Obstruction from stricturing Crohn's disease remains one of the most common reasons for intervention. Acute inflammation is often responsive to medications, but chronic fibrosis is unlikely to respond and will generally go on to require additional treatment. Newer methods, such as endoscopic balloon dilation, are gaining grounds in strictures that are amenable, but with high recurrence and strictures that may not be endoscopically accessible, surgery still plays a key role in the treatment of obstructing Crohn's disease. Read More

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Endoscopic neo-anastomosis by Rendez-vous technique for the treatment of complete occlusion of bilioenteric anastomoses and distal bile ducts (case series).

Z Gastroenterol 2021 Jul 23. Epub 2021 Jul 23.

Gastroenterologie, Asklepios Klinik Altona, Hamburg, Germany.

Background And Aims: The complete occlusion of bilioenteric anastomoses is a rare and challenging clinical condition. Repeated surgery is burdened with technical difficulties and significant morbidity. We report the first series of completely occluded bilioenteric anastomoses resp. Read More

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Endoscopic treatment of intraluminal ureteral suture with holmium laser.

Arch Ital Urol Androl 2021 Jun 29;93(2):248-249. Epub 2021 Jun 29.

Department of Urology, University Clinic Hospital of Valencia, Facultat de Medicina i Odontologia, Universitat de València, Valencia.

Although reconstructive surgery is the most accepted treatment for ureteral injury, there are reports of cases where endourologic treatment led to correct resolution of the problem. We present the case of a female patient aged 72-year-old who was previously underwent sacralcolpopexy because of anterior vaginal compartment prolapse. The patient underwent surgery to remove the mesh, due to the pain she had had since it was placed. Read More

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Endoscopic revision of gastric bypass using plication technique: an adjustable approach.

VideoGIE 2021 Jul 28;6(7):311-315. Epub 2021 May 28.

Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Video 1This video case presentation highlights a 65-year-old woman with weight regain after Roux-en-Y gastric bypass and a dilated gastrojejunal anastomosis who presented for endoscopic revision of her gastric bypass involving a plication technique, followed by gastrojejunal anastomosis stenosis dilation. Read More

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Recommendations of the spanish group on crohn's disease and ulcerative colitis (geteccu) on the treatment of strictures in crohn's disease.

Gastroenterol Hepatol 2021 Jul 15. Epub 2021 Jul 15.

Departamento de Gastroenterología, Hospital Universitario de Santiago "CHUS", Spain.

Despite pharmacological advances, strictures in Crohn's Disease (CD) continues to be an important problem that leads in a high percentage of patients to undergo endoscopic and/or surgical treatments. There are currently no clinical scores or diagnostic tools that allow predicting which patients will develop this complication, and when a stricture is diagnosed, it is usually already well established and clinically relevant. The current role of pharmacological treatment is limited to treat inflammation and once there is significant fibrosis, the only therapeutic options are endoscopic and/or surgical. Read More

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Utility of dedicated bougie dilator for 0.018-inch guidewires during EUS-guided biliary drainage: Multi-center retrospective study.

J Hepatobiliary Pancreat Sci 2021 Jul 17. Epub 2021 Jul 17.

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.

During endoscopic ultrasound-guided biliary drainage (EUS-BD), a combination of 19-gauge needles and 0.025-inch guidewires is generally used. However, 19-gauge needles have poor maneuverability because of their stiffness and rigidity and might have poor penetrability in non-dilated bile ducts because of their large bore. Read More

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Migration of a pancreatic duct stent into the peritoneal cavity during chemotherapy for pancreatic malignant lymphoma.

Clin J Gastroenterol 2021 Jul 16. Epub 2021 Jul 16.

Department of Gastroenterology, School of Medicine, Wakayama Medical University, 811 Kimiidera, Wakayama City, Wakayama, 641-0012, Japan.

A 68-year-old man with epigastric pain was admitted for acute pancreatitis and obstructive jaundice caused by Primary pancreatic malignant lymphoma. Computed tomography showed diffuse enlargement of the whole pancreas and dilation of the main pancreatic duct and bile duct. Endoscopic retrograde cholangiopancreatography was performed to decompress these dilated ducts. Read More

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[The evolution of methods of active irrigation of paranasal sinuses in rhinosinusitis. Part 1].

Vestn Otorinolaringol 2021 ;86(3):110-117

National Medical Research Center for Children's Health, Moscow, Russia.

Inflammation of the paranasal sinuses significantly reduces the quality of life of people and causes marked economic damage to society. The striking clinical picture of sinusitis has always forced doctors to study the disease, as evidenced by the first records of the anatomy and diseases of the paranasal sinuses by doctors in ancient Egypt more than 3.000 years BC. Read More

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Efficacy and Safety of Neostigmine and Decompressive Colonoscopy for Acute Colonic Pseudo-Obstruction: A Single-Center Analysis.

Gastroenterology Res 2021 Jun 19;14(3):157-164. Epub 2021 Jun 19.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Northwestern University-Feinberg School of Medicine, Chicago, IL, USA.

Background: Acute colonic pseudo-obstruction (ACPO) is characterized by acute colonic dilation in the absence of anatomical obstruction. Neostigmine is an acetylcholinesterase inhibitor recommended as first-line salvage therapy for uncomplicated ACPO. Decompressive colonoscopy is recommended if neostigmine is contraindicated or unsuccessful. Read More

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Managing Stricturing Crohn's Disease: Resect? Strictureplasty? Dilate?

J Laparoendosc Adv Surg Tech A 2021 Jul 15. Epub 2021 Jul 15.

Department of Surgery, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, New York, USA.

Crohn's disease (CD) is a pan-intestinal disease of the gastrointestinal tract characterized by inflammatory, penetrating, and fibrostenotic phenotypes. Fibrostenotic stricture formation, without inflammatory or penetrating disease, is a common complication in CD, primarily affecting the small intestine and leading to small bowel obstruction. Because there is no medical therapy that prevents or reverses stricturing disease, endoscopic and surgical treatments are the mainstays of treatment, indicated to palliate symptoms and treat the complications. Read More

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Small airway dilation measured by endoscopic optical coherence tomography correlates with chronic lung allograft dysfunction.

J Biomed Opt 2021 Jul;26(7)

British Columbia Cancer Research Institute, Department of Integrative Oncology, Imaging Unit, Vancou, Canada.

Significance: Chronic lung allograft dysfunction (CLAD) is the leading cause of death in transplant patients who survive past the first year post-transplant. Current diagnosis is based on sustained decline in lung function; there is a need for tools that can identify CLAD onset.

Aim: Endoscopic optical coherence tomography (OCT) can visualize structural changes in the small airways, which are of interest in CLAD progression. Read More

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Endoscopic Resection and Mucosal Reconstitution With Epidermal Grafting: A Pilot Study in Idiopathic Subglottic Stenosis.

Otolaryngol Head Neck Surg 2021 Jul 13:1945998211028163. Epub 2021 Jul 13.

Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.

Objective: To describe technical aspects and surgical outcomes of endoscopic resection and mucosal reconstitution with epidermal grafting (ie, the Maddern procedure) in the treatment of idiopathic subglottic stenosis.

Study Design: Medical record abstraction.

Setting: Johns Hopkins Hospital. Read More

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[Laparoscopic substitution of the proximal ureter using buccal mucosa].

Urologiia 2021 Jun(3):13-19

Department of urology of North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.

Introduction: In patients with long ureteral strictures, bowel substitution of the ureter or kidney autotransplantation can be performed, which are technically demanding. For recurrent uretero-pelvic junction obstruction (UPJO) and proximal ureteral strictures, substitution of the ureter using buccal graft may be an alternative.

Aim: to study the results of laparoscopic ureteral substitution in patients with long proximal ureteral strictures using buccal graft. Read More

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Management of Cervical Ectopic Pregnancy with Small-Caliber Hysteroscopy.

JSLS 2021 Apr-Jun;25(2)

Department of Conservative Gynecology, Obstetrics and Gynecology Clinic Narodni Front, Belgrade, Serbia.

Background And Objectives: Cervical ectopic pregnancy is one of the rarest forms of ectopic pregnancy. We present a single center case series of 10 cases of cervical ectopic pregnancy, where 3 patients underwent small-caliber hysteroscopy as a single treatment method.

Methods: This was a retrospective study of women treated at our medical center with the diagnosis of cervical ectopic pregnancy from January 1, 2018 to December 31, 2020. Read More

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Outcomes of Bariatric Surgery: Patients with Body Mass Index 60 or Greater.

JSLS 2021 Apr-Jun;25(2)

Department of Surgery, NYU Langone Hospital-Long Island, Mineola, NY.

Introduction: Perioperative outcomes of bariatric surgery in patients with super super obesity (SSO) (BMI ≥ 60 kg/m) merit further investigation.

Methods: A retrospective review was conducted of patients with SSO who underwent surgery from Jun 2005 through Jun 2018 at a Metabolic and Bariatric Surgery Center of Excellence. Quantitative demographic data was summarized using descriptive statistics; categorical variables were compared using Fisher's exact test. Read More

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Evaluation of diagnostic yield of EUS among patients with asymptomatic common bile duct dilation: systematic review and meta-analysis.

Gastrointest Endosc 2021 Jul 7. Epub 2021 Jul 7.

Assistant Professor of Medicine, Weill Cornell Medical College.. Electronic address:

Background And Aims: Common bile duct (CBD) dilation is a frequent indication for endoscopic ultrasound (EUS). Among asymptomatic individuals, biliary dilation may not be clinically significant; however, EUS is often relied upon for the exclusion of benign and malignant pathology that might require further intervention. The yield of EUS evaluation for this indication is not well characterized and has significant implications for health resource utilization because asymptomatic biliary dilation is prevalent. Read More

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Endoscopic management of Cotton IV Subglottic Stenosis: How I do it (with video).

Authors:
M Canales-Medina

Eur Ann Otorhinolaryngol Head Neck Dis 2021 Jul 6. Epub 2021 Jul 6.

Department of Otolaryngology, Centro Médico Dalinde, Tuxpan 29. Int. 622-623. Roma sur., Mexico City, Mexico. Electronic address:

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Post-ESWL and post-ERCP pancreatitis in patients with chronic pancreatitis: Do they share the same risks?

J Hepatobiliary Pancreat Sci 2021 Jul 9. Epub 2021 Jul 9.

Department of Gastroenterology, Digestive Endoscopy Center, Changhai Hospital, Shanghai, China.

Background: Endoscopic intervention combined with extracorporeal shock wave lithotripsy (ESWL) is recommended as the first line therapy for large pancreatic stones, yet both can cause adverse events. The aim of the study was to identify the risk factors for post-procedural pancreatitis.

Methods: Consecutive patients with chronic pancreatitis and pancreatic stones treated with both ESWL and subsequent endoscopic retrograde cholangiopancreatography (ERCP) from October 2016 to December 2019 were prospectively enrolled. Read More

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Endoscopic management of high-grade biliary strictures complicating living donor liver transplantation using soehendra stent retrievers.

Scand J Gastroenterol 2021 Jul 9:1-6. Epub 2021 Jul 9.

Department of Gastroenterology, Amrita Institute of Medical Sciences, Kochi, India.

Background: Biliary strictures following living donor liver transplantation (LDLT) are usually managed by endoscopic retrograde cholangiography (ERC) with stricture dilation and stent placement. While current endoscopic techniques are successful in most cases, high-grade biliary strictures (HGBS) pose a challenge using currently employed techniques which have a low rate of technical success.

Aims: In this study, we have explored the safety and efficacy of Soehendra stent retrievers (SSR) for the dilation of HGBS complicating LDLT. Read More

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