Endoscopia最新文献

{"title":"Resultados del tratamiento endoscópico en fugas biliares. Experiencia del Centro Médico Nacional Siglo XXI IMSS","authors":"María de Lourdes Altamirano-Castañeda ,&nbsp;Juan Manuel Blancas-Valencia ,&nbsp;Ignacio Flores Colón ,&nbsp;Víctor Manuel Paz-Flores ,&nbsp;Gerardo Blanco-Velasco ,&nbsp;Óscar Víctor Hernández Mondragón","doi":"10.1016/j.endomx.2016.05.001","DOIUrl":"https://doi.org/10.1016/j.endomx.2016.05.001","url":null,"abstract":"<div><p>Injuries or bile leaks, among other causes, occur after open or laparoscopic cholecystectomy with an incidence of 0.1-1%. These bile leaks (Strasberg A-C) are treated by endoscopic retrograde cholangiopancreatography (ERCP). Sphincterotomy and placement of biliary stent decreases bile duct pressure to the duodenum, and promotes transpapillary bile flow, with a 70-90% response.</p></div><div><h3>Objetives</h3><p>To describe the characteristics of benign bile leaks treated by ERCP and their associated complications, as well as to evaluate the results of endoscopic treatment.</p></div><div><h3>Material and methods</h3><p>A descriptive, retrospective study was conducted by performing an analysis on ERCP reports from2011-2013, with a diagnosis of benign bile leakage.</p></div><div><h3>Results</h3><p>A total of 560 reports were reviewed, of which 82 (14.64%) underwent ERCP. The most common history was laparoscopic cholecystectomy in 62 (75.6%). A low biliary leakage (30.5%) and a high output (30.5%) was observed in 53 (64.6%) patients. The most common leakage site was cystic in 29.3%, and hepatobiliary stump in 20.7%. A sphincterotomy was performed on all of them, and a biliary stent was inserted in those with high output, with the leak being resolved in 95.1% of patients at 1 month, and in 100% at 6 months. Other complications related to biliary leakage were choledocholithiasis and benign biliary stenosis in 18 (22%) patients.</p></div><div><h3>Conclusions</h3><p>The endoscopic treatment using the sphincterotomy technique, or combined with biliary stent placement is effective in most patients with bile leaks.</p></div>","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"28 2","pages":"Pages 55-60"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2016.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72107796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fe de errores a: Enteroscopia mono vs. doble balón","authors":"Gerardo Blanco-Velasco,&nbsp;Juan Manuel Blancas-Valencia,&nbsp;Víctor Paz-Flores,&nbsp;Roberto Ramos González,&nbsp;Víctor Efrén Gallardo Cabrera,&nbsp;Beatriz Castañeda-Romero,&nbsp;Oscar Hernández-Mondragón","doi":"10.1016/j.endomx.2016.02.001","DOIUrl":"https://doi.org/10.1016/j.endomx.2016.02.001","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"28 2","pages":"Page 94"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2016.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72069599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraductal papillary mucinous neoplasia and pancreatic cancer: A rare but real association","authors":"Cristina Gómez-Gutiérrez ,&nbsp;Carlos Chan ,&nbsp;Fredy Chable-Montero ,&nbsp;Fernando Cano ,&nbsp;Carlos Isao Felix-Saguchi ,&nbsp;Félix Ignacio Téllez-Ávila","doi":"10.1016/j.endomx.2016.01.003","DOIUrl":"https://doi.org/10.1016/j.endomx.2016.01.003","url":null,"abstract":"<div><p>The management of patients with an incidentally detected pancreatic cyst is a significant clinical challenge. More than 80% are detected as incidental findings on CT scan or MRI. A case is presented of a 41-year-old patient with an asymptomatic pancreatic cyst which was detected during a check-up.</p></div>","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"28 2","pages":"Pages 67-70"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2016.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72107794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eficacia de la insuflación con dióxido de carbono en enteroscopia de un solo balón para determinar profundidad de intubación y dolor posprocedimiento en pacientes referidos para evaluación del intestino delgado","authors":"J. Landaeta, Carla Días, Maria J. Rodriguez, C. Urdaneta, Rosalba Casanova, O. González","doi":"10.1016/J.ENDOMX.2016.06.008","DOIUrl":"https://doi.org/10.1016/J.ENDOMX.2016.06.008","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"61 1","pages":"61-66"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76755037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fe de errores a: Enteroscopia mono vs. doble balón","authors":"G. Blanco-Velasco, J. M. Blancas-Valencia, V. Paz-Flores, R. R. González, V. E. Cabrera, B. Castañeda-Romero, Ó. V. Hernández-Mondragón","doi":"10.1016/J.ENDOMX.2016.02.001","DOIUrl":"https://doi.org/10.1016/J.ENDOMX.2016.02.001","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"30 1","pages":"94"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84981880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinación de tasa de adenomas desapercibidos en pacientes con riesgo promedio de cáncer colorrectal con preparación intestinal inadecuada","authors":"Mariana Zamora Morales,&nbsp;Ángel Mario Zárate Guzmán,&nbsp;Víctor Antonio García Guerrero,&nbsp;Adalberto Corral Medina,&nbsp;Rosario Valdés Lias","doi":"10.1016/j.endomx.2016.05.002","DOIUrl":"https://doi.org/10.1016/j.endomx.2016.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Colonoscopy is the procedure of choice for the screening in average-risk colorectal cancer patients. Inadequate bowel preparation for a colonoscopy could result in not seeing lesions. These patients require a repeat procedure with a more complete colonic cleansing. The missed adenomas rate is one of the main risk factors in interval colonic cancer, and is one of the reasons why the procedure should be repeated.</p></div><div><h3>Objective</h3><p>To determine the missed adenomas rate in average-risk colorectal cancer patients with inadequate colonic cleansing by comparing two preparation groups in a second colonoscopy.</p></div><div><h3>Methods</h3><p>A prospective, experimental, analytical, longitudinal and comparative design study was conducted on the second colonoscopy of two patient groups: An early preparation group (24<!--> <!-->hours), and late preparation group (after 24<!--> <!-->hours). Colonic cleansing, ileal and caecal intubation, polyps detected and resected in first and second colonoscopy were evaluated.</p></div><div><h3>Results</h3><p>A total of 52 patients were included, 21 (40.4%) with early preparation and 31 (59.6%) late preparation. Using the Boston scale, the mean preparation for the first colonoscopy was 4.37<!--> <!-->±<!--> <!-->0.81, and a mean of 8.24<!--> <!-->±<!--> <!-->0.83 in the second, and it was 6.81<!--> <!-->±<!--> <!-->0.91 in the late preparation (<em>p</em>=.0001). Polyp detection in the first colonoscopy was 5.76%, which increased to 30.7% in the second colonoscopy.</p></div><div><h3>Conclusions</h3><p>Missed adenomas detection rate increased from 5.76% on first colonoscopy to 30.7% on the second. There was no difference between the preparation groups for polyp detection. An early preparation improves quality indicators in bowel cleansing, based on the Boston Scale, and ileal intubation.</p></div>","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"28 2","pages":"Pages 49-54"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2016.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72107797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subcapsular hepatic hematoma: An unusual, but potentially life-threating post-ERCP complication. Case report and literature review","authors":"Armando García Tamez ,&nbsp;Jorge Alejandro López Cossio ,&nbsp;Guillermo Hernández Hernández ,&nbsp;María Saraí González Huezo ,&nbsp;Ana Alicia Rosales Solís ,&nbsp;Enrique Corona Esquivel","doi":"10.1016/j.endomx.2016.04.001","DOIUrl":"https://doi.org/10.1016/j.endomx.2016.04.001","url":null,"abstract":"<div><p>Endoscopic retrograde cholangiopancreatography is a very common therapeutic procedure for a variety of biliary and pancreatic duct diseases. Procedure related complications are more frequent than in other endoscopic procedures. The most common reported complications are pancreatitis, bleeding, perforation, and infection. Subcapsular hepatic hematoma secondary to endoscopic retrograde cholangiopancreatography is a rare complication, but is potentially life-threating. The case is presented of a 25 year old patient with choledocholithiasis and cholelithiasis, who developed a subcapsular hepatic hematoma. The patient presented with an acute rupture of Glisson's capsule, which was successfully managed with surgical treatment. A review of the literature is presented, which consists of 30 cases.</p></div>","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"28 2","pages":"Pages 75-80"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2016.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72107800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manejo exitoso de perforación gástrica secundaria a plicatura de curvatura mayor laparoscópica con gastrostomía endoscópica percutánea con avance yeyunal y sellador de fibrina","authors":"Arturo Alón Sánchez-Valle, Alejandro Cruz-Zárate, Gabriela Rodríguez-Ruíz","doi":"10.1016/J.ENDOMX.2016.06.024","DOIUrl":"https://doi.org/10.1016/J.ENDOMX.2016.06.024","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"2 1","pages":"71-74"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90737291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eficacia de la insuflación con dióxido de carbono en enteroscopia de un solo balón para determinar profundidad de intubación y dolor posprocedimiento en pacientes referidos para evaluación del intestino delgado","authors":"Jorge L. Landaeta,&nbsp;Carla M. Dias,&nbsp;María J. Rodríguez,&nbsp;Clotty M. Urdaneta,&nbsp;Rosalba Casanova,&nbsp;Oscar González","doi":"10.1016/j.endomx.2016.06.008","DOIUrl":"https://doi.org/10.1016/j.endomx.2016.06.008","url":null,"abstract":"<div><h3>Introduction</h3><p>The intubation depth of the small bowel is limited by distention due to air insufflation during the procedure. Carbon dioxide (CO₂) is rapidly absorbed from the bowel lumen and prevents distention of abdomen.</p></div><div><h3>Objective</h3><p>A comparison was made between the effects of CO₂ and air insufflations on the intubation depth during single balloon enteroscopy (SBE), as well as post-procedure pain.</p></div><div><h3>Design</h3><p>Descriptive case series study and comparison of the results in a tertiary care hospital.</p></div><div><h3>Patients and methods</h3><p>A total of 147 SBE procedures were performed on 130 patients with suspected small bowel disease using CO₂ insufflation in 65 procedures, and air insufflation in 82. Enteroscopy was performed using an Olympus SIF 180-Q and a UCR CO₂ pump. Intubation depth was recorded using a validated form, and pos-procedure pain immediately after SBE and 12 hours later were evaluated.</p></div><div><h3>Results</h3><p>A total of 147 SBE procedures were performed on 130 patients with a mean small bowel intubation depth in the CO₂ group significantly larger than the air group (p=.008). An oral approach was used in 95 procedures, and anal in 52 procedureswith a mean intubation depth significantly larger in the CO₂ group (p=.035 and p=.004, respectively). Patient pain was significantly reduced in the CO₂ group.</p></div><div><h3>Limitations</h3><p>Descriptive study of two case series.</p></div><div><h3>Conclusion</h3><p>CO₂ insufflation significantly improves intubation depth in SBE and reduces abdominal pain.</p></div>","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"28 2","pages":"Pages 61-66"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endomx.2016.06.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72107795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraductal papillary mucinous neoplasia and pancreatic cancer: A rare but real association","authors":"Cristina Gómez-Gutiérrez, Carlos Chan, F. Chablé-Montero, F. Cano, Carlos Isao Felix-Saguchi, F. Téllez-Ávila","doi":"10.1016/J.ENDOMX.2016.01.003","DOIUrl":"https://doi.org/10.1016/J.ENDOMX.2016.01.003","url":null,"abstract":"","PeriodicalId":100465,"journal":{"name":"Endoscopia","volume":"65 1","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79773635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}