iGIEPub Date : 2024-03-01DOI: 10.1016/j.igie.2023.11.008
Jack Mlabasati MD , Gregory Grimaldi MD , Arvind J. Trindade MD
{"title":"A fatal adverse event of a lumen-apposing metal stent placement for a benign luminal stricture","authors":"Jack Mlabasati MD , Gregory Grimaldi MD , Arvind J. Trindade MD","doi":"10.1016/j.igie.2023.11.008","DOIUrl":"https://doi.org/10.1016/j.igie.2023.11.008","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 1","pages":"Page 28"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708623001383/pdfft?md5=88d6c5e8dd4fca0375e40d44311b02d8&pid=1-s2.0-S2949708623001383-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290572","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":"A gastroenterologist’s enigma: unraveling an unusual case of melena and recurrent infective endocarditis","authors":"Asaf Levartovsky MD , Emad Sakhnini MD , Marianne M. Amitai MD","doi":"10.1016/j.igie.2024.01.003","DOIUrl":"10.1016/j.igie.2024.01.003","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 1","pages":"Pages 43-44"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000037/pdfft?md5=d9a4b9042304ec13cedbc856182425ca&pid=1-s2.0-S2949708624000037-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540414","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}
iGIEPub Date : 2024-03-01DOI: 10.1016/j.igie.2024.01.007
Sidney J. Winawer MD
{"title":"Thoughts during my last colonoscopy","authors":"Sidney J. Winawer MD","doi":"10.1016/j.igie.2024.01.007","DOIUrl":"10.1016/j.igie.2024.01.007","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 1","pages":"Pages 126-131"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000074/pdfft?md5=aa1c57f6aa9b9f2b91da3b7bef4c1faf&pid=1-s2.0-S2949708624000074-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540568","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":"Non-reassuring findings in adjacent independent pancreatic cysts","authors":"Daniel Conceição MD , Sandra Faias PhD , Isabel Duarte MD , Ricardo Fonseca MD , António Figueiredo MD , Luís Bicho MD","doi":"10.1016/j.igie.2023.11.001","DOIUrl":"10.1016/j.igie.2023.11.001","url":null,"abstract":"<div><p>The higher number of imaging examinations (CT and magnetic resonance imaging) being performed and their improved definition are increasing the number of incidental diagnoses of pancreatic cystic lesions. It is therefore necessary to differentiate benign cysts from those with a potential for malignancy that may require surveillance or further treatment. To do so, lesions that present risk stigmata (worrisome features) must be stratified, integrating the findings with the patient age, comorbidities, and performance status. We describe a case of difficult interpretation of the risk stigmata because there were 2 adjacent independent cysts of distinct nature. We emphasize the role of EUS with FNA as crucial for decision-making at the multidisciplinary meeting.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 1","pages":"Pages 20-24"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708623001310/pdfft?md5=d465df4b5a8b4ed47ba4afb1e7083af1&pid=1-s2.0-S2949708623001310-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135515998","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":"A comprehensive analysis of reported adverse events with biliary self-expandable metal stents: an FDA MAUDE database study","authors":"Hassam Ali MD , Vishali Moond MD , Fouad Jaber MD , Pratik Patel MD , Manesh Kumar Gangwani MD , Dushyant Singh Dahiya MD , Muhammad Khalaf MD , Shiza Sarfraz MD , Talha Akhtar MD , Douglas G. Adler MD, FASGE","doi":"10.1016/j.igie.2024.01.006","DOIUrl":"10.1016/j.igie.2024.01.006","url":null,"abstract":"<div><h3>Background and Aims</h3><p>Endoscopic biliary stent placement is commonly used for multiple indications. This study investigated reported adverse events associated with Boston Scientific WallFlex, Cook Evolution, and Gore Viabil biliary stents.</p></div><div><h3>Methods</h3><p>The MAUDE (Manufacturer and User Facility Device Experience) database of the U.S. Food and Drug Administration was queried for stent-related reports between March 2013 and April 2023.</p></div><div><h3>Results</h3><p>Boston Scientific WallFlex stents had 964 device-related events, including 123 patient adverse events, and Cook Evolution stents had 99 device-related events with 21 patient adverse events. Gore Viabil stents exhibited 33 device-related events, including 13 patient adverse events. Of all reported Boston Scientific WallFlex stent cases, 20.3% were infection-related problems, and 25.5% were material/component issues. For Cook Evolution stents, 24% were bleeding/hemorrhage and 33% were breakage as major adverse events. For Gore Viabil stents, 23% were bleeding-related problems, and 36% were structural integrity issues. Comparing fully covered versus uncovered/partially covered Boston Scientific WallFlex stents, the former had more device detachment/migration. Uncovered/partially covered stents had higher rates of activation/positioning/separation issues and device obstruction/blockage.</p></div><div><h3>Conclusions</h3><p>This study provides insights into the potential adverse events and device failures associated with commonly used biliary stents. Further research is needed to confirm these findings and investigate the underlying causes of these adverse events and device failures.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 1","pages":"Pages 110-115.e2"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000062/pdfft?md5=a67f9c832c96bd4693a1b77f4cf9f973&pid=1-s2.0-S2949708624000062-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456550","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}
iGIEPub Date : 2024-03-01DOI: 10.1016/j.igie.2024.02.001
Henry Kyunghoon Shin BA , Linda S. Lee MD
{"title":"Burning our way to a cure?","authors":"Henry Kyunghoon Shin BA , Linda S. Lee MD","doi":"10.1016/j.igie.2024.02.001","DOIUrl":"10.1016/j.igie.2024.02.001","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 1","pages":"Pages 120-125"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S294970862400013X/pdfft?md5=262a36058f2b473cb4e6bcb20e0c8a99&pid=1-s2.0-S294970862400013X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139890745","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}
iGIEPub Date : 2024-03-01DOI: 10.1016/j.igie.2023.10.010
Pavlos Kaimakliotis MBBS , Karim T. Osman MD , Danitza Z. Lukac MD , Ali Shaat MD , Lina M. Nienaa MD , Nikola Natov MD , Mena Bakhit MD , Ann Marie Joyce MD , Amir A. Qamar MD
{"title":"The rate of biliary adverse events in duct-to-duct living donor liver transplant compared with deceased donor liver transplant","authors":"Pavlos Kaimakliotis MBBS , Karim T. Osman MD , Danitza Z. Lukac MD , Ali Shaat MD , Lina M. Nienaa MD , Nikola Natov MD , Mena Bakhit MD , Ann Marie Joyce MD , Amir A. Qamar MD","doi":"10.1016/j.igie.2023.10.010","DOIUrl":"10.1016/j.igie.2023.10.010","url":null,"abstract":"<div><h3>Background and aims</h3><p>Living donor liver transplantation (LDLT) allows for decreased listing-to-transplant time in patients with end-stage liver disease but has been noted to be associated with higher rates of biliary adverse events. The aim of this study was to assess the adverse events of LDLT and compare them versus those of deceased donor liver transplantation (DDLT) patients.</p></div><div><h3>Methods</h3><p>We retrospectively reviewed patients having undergone duct-to-duct anastomosis LDLT at a single center from 2011 to 2020. Exclusion criteria included pediatric patients and LDLT with Roux-en-Y hepaticojejunostomy. Patients were then matched 1:1 with DDLT. Matching was performed by age, gender, etiology of liver disease, and Model for End-Stage Liver Disease score. Outcomes of interest included incidence of biliary strictures, bile leak, stricture recurrence rate, and the number of interventions required for stricture resolution.</p></div><div><h3>Results</h3><p>Fifty patients with LDLT were matched to 50 patients with DDLT. Bile leak occurred in 14 (38%) patients in the LDLT group versus 5 (10%) patients in the DDLT group (<em>P</em> = .001). Biliary strictures occurred in 14 (28%) versus 15 (30%) patients in the LDLT and DDLT groups, respectively (<em>P</em> = .68). There was no difference in the median (interquartile range) number of interventions required to resolve the strictures (3 [2-6] vs 4 [3-5]; <em>P</em> = .79]. Three patients in each group had recurrence of strictures after documented resolution. Mortality in both groups were similar (5 [10%] patients in the LDLT group vs 6 [12%] in the DDLT group; <em>P</em> = .75).</p></div><div><h3>Conclusions</h3><p>Patients who underwent LDLT were equally as likely to develop anastomotic strictures compared with DDLT. Duct-to-duct anastomosis LDLT should be frequently considered in patients with end-stage liver disease with favorable anatomy.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 1","pages":"Pages 53-57"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708623001292/pdfft?md5=7806006a6acf61b038e6b2909ce4d369&pid=1-s2.0-S2949708623001292-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135410393","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}
iGIEPub Date : 2024-03-01DOI: 10.1016/j.igie.2023.12.006
Thomas J. Williams MBBS , Manasi Hegde MD , Adrian M. Maher MD, MMed , Zaki Hamarneh MD , Shwan Karim MBBS, MSc
{"title":"Ureteric stricture of a solitary kidney secondary to retroperitoneal inflammation after EMR","authors":"Thomas J. Williams MBBS , Manasi Hegde MD , Adrian M. Maher MD, MMed , Zaki Hamarneh MD , Shwan Karim MBBS, MSc","doi":"10.1016/j.igie.2023.12.006","DOIUrl":"https://doi.org/10.1016/j.igie.2023.12.006","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 1","pages":"Pages 41-42"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708623001620/pdfft?md5=86ccc772cd25c9a8b2e9f2950ee2d2eb&pid=1-s2.0-S2949708623001620-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290325","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}