Video Journal and Encyclopedia of GI Endoscopy最新文献_第4页

Endoscopic Removal of an Esophageal Stent After Diffuse Hyperplastic Tissue Ingrowth 弥漫性增生性组织向内生长后食管支架的内镜移除

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/j.vjgien.2013.04.001

Ivo Boškoski, Andrea Tringali, Pietro Familiari, Vincenzo Bove, Vincenzo Perri, Guido Costamagna

引用次数: 2

Endoscopic Tri-Modal Imaging (ETMI) With Optical Magnification in the Detection of Barrett's Early Neoplasia 光学放大的内镜三模态成像(ETMI)检测Barrett早期肿瘤

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/j.vjgien.2013.10.002

Sarmed S. Sami , Philip Kaye , Krish Ragunath

引用次数: 4

Endoscopic Submucosal Tunnel Dissection for Esophageal Granular Cell Tumor Resection 食管颗粒细胞瘤内镜下粘膜下隧道夹层切除术

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/j.vjgien.2013.05.004

Francisco Baldaque-Silva , Margarida Marques , Joanne Lopes , Guilherme Macedo

{"title":"Endoscopic Submucosal Tunnel Dissection for Esophageal Granular Cell Tumor Resection","authors":"Francisco Baldaque-Silva , Margarida Marques , Joanne Lopes , Guilherme Macedo","doi":"10.1016/j.vjgien.2013.05.004","DOIUrl":"https://doi.org/10.1016/j.vjgien.2013.05.004","url":null,"abstract":"<div><p>Endoscopic submucosal tunnel dissection (ESTD) was recently described for the resection of upper gastrointestinal submucosal tumors, namely leiomyomas, GISTs and aberrant pancreas. Granular cell tumors (GCT) are usually benign, but should be removed when symptomatic, significantly increase in size or have atypical histological or ultrasonographic features.</p><p>We aim to describe the role of ESTD for the resection of an esophageal GCT. A 51 year-old patient was referred to us due to the presence of an esophageal submucosal lesion with increased size in the follow-up. Deep biopsy specimens were positive for granular cell tumor. Suboptimal submucosal lifting precluded conventional endoscopic submucosal dissection (ESD). In this context an ESTD was performed. First, a submucosal tunnel was created starting 5 cm above the tumor. Afterwards, the GCT was carefully dissected from the overlying submucosa and muscularis propria using TT knife and IT knife2. The ESTD procedure was possible and en bloc resection achieved, being the 25 mm long lesion retrieved. The mucosal orifices were closed using conventional clips. The patient started oral diet 1 day after ESTD and was discharged at day 4 without any complications. In this first report of ESTD for esophageal GCT resection, this technique shown to be feasible, reliable and safe, enabling complete resection, even in this case with poor submucosal lifting.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":"1 3","pages":"Pages 654-657"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2013.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91761646","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}

引用次数: 0

Blue Laser Imaging Provides Excellent Endoscopic Images of Upper Gastrointestinal Lesions 蓝色激光成像为上消化道病变提供了良好的内镜图像

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/j.vjgien.2014.01.001

Hiroyuki Osawa, Hironori Yamamoto, Yoshimasa Miura, Wataru Sasao, Yuji Ino, Hiroyuki Satoh, Kiichi Satoh, Kentaro Sugano

{"title":"Blue Laser Imaging Provides Excellent Endoscopic Images of Upper Gastrointestinal Lesions","authors":"Hiroyuki Osawa, Hironori Yamamoto, Yoshimasa Miura, Wataru Sasao, Yuji Ino, Hiroyuki Satoh, Kiichi Satoh, Kentaro Sugano","doi":"10.1016/j.vjgien.2014.01.001","DOIUrl":"10.1016/j.vjgien.2014.01.001","url":null,"abstract":"<div><h3>Background/aim</h3><p>Image enhanced endoscopy including narrow band imaging, flexible spectral imaging color enhancement and i-scan is useful for detailed examination of upper gastrointestinal lesions. We aimed to clarify the usefulness of blue laser imaging (BLI) method, a new endoscopic system, to image upper gastrointestinal lesions.</p></div><div><h3>Procedure</h3><p>We observed upper gastrointestinal lesions including early gastric cancer and early esophageal cancer using white light images and subsequently BLI bright images and BLI images.</p></div><div><h3>Results</h3><p>In gastric cancer, irregular microvessels on the tumor surface are clearly identified for both differentiated and undifferentiated lesions with high magnification, similar to those using narrow band imaging. In addition, irregular surface patterns are seen in differentiated lesions by enhanced white circles, which form white zones on the tumor surface. Finding these circles allow us to rule out undifferentiated lesions. Another advantage is to enhance gastric intestinal metaplasia as green-colored mucosa in both distant and close-up views, leading to higher color contrast with brown gastric cancers. This leads to early detection of gastric cancers and shows a demarcation line between the cancer and areas of metaplasia. In squamous cell carcinoma of the esophagus, BLI produces a higher color contrast between brown lesions with intraepithelial papillary capillary loops and the surrounding area without magnification. The extent of Barrett׳s esophagus is easily shown as a high color contrast with the brown gastric mucosa.</p></div><div><h3>Conclusions</h3><p>Blue laser imaging produces excellent images useful for detection and detailed examination of upper gastrointestinal lesions.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":"1 3","pages":"Pages 607-610"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2014.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84942391","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}

引用次数: 31

Grading the Quality of Bowel Preparation 肠准备质量分级

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/j.vjgien.2013.05.001

Stijn J.B. Van Weyenberg

引用次数: 6

The Short-Access Mother–Baby-(SAMBA) Cholangioscopy System 短程母婴(SAMBA)胆道镜检查系统

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/j.vjgien.2013.05.003

Volker Meves , Christian Ell , Eckart Frimberger , Jürgen Pohl

引用次数: 0

Zollinger–Ellison Syndrome 卓——艾氏综合症

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/J.VJGIEN.2013.06.005

Shou-Jiang Tang, Ruonan Wu, F. Bhaijee

引用次数: 0

Endoscopic partial sphincterotomy coupled with large balloon papilla dilation – Single stage approach for management of extra-hepatic bile ducts macro-lithiasis 内镜下部分括约肌切开术联合大球囊乳头扩张-单期入路治疗肝外胆管大结石症

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/J.VJGIEN.2013.06.003

G. Donatelli, B. Vergeau, P. Dhumane, F. Cereatti, F. Fiocca, T. Tuszynski, B. Meduri

引用次数: 3

Esophageal Mucormycosis 食管毛霉菌病

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/j.vjgien.2013.05.002

Benjamin Boatright , Shou-jiang Tang , Zebedee J. Whatley IV , Ruonan Wu , Julio Cespedes , Feriyl Bhaijee

引用次数: 0

Endoscopic Therapy of Refractory Post-Papillotomy Bleeding With Electrocautery Forceps Coagulation Method Combined With Prophylactic Pancreatic Stenting 内镜下电钳凝固法联合预防性胰腺支架植入术治疗乳头切开术后难治性出血

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/j.vjgien.2013.06.002

Zsolt Dubravcsik , István Hritz , Roland Fejes , Attila Szepes , László Madácsy

{"title":"Endoscopic Therapy of Refractory Post-Papillotomy Bleeding With Electrocautery Forceps Coagulation Method Combined With Prophylactic Pancreatic Stenting","authors":"Zsolt Dubravcsik , István Hritz , Roland Fejes , Attila Szepes , László Madácsy","doi":"10.1016/j.vjgien.2013.06.002","DOIUrl":"10.1016/j.vjgien.2013.06.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The overall risk of clinically significant post-papillotomy bleeding is 1–4%, most of them manifest as a delayed hemorrhage 2–5 days after ERCP. Injection method with diluted epinephrine is the standard first line therapy of endoscopic hemostasis in these patients. In therapy resistant cases endoscopic hemocliping is effective, but optimal positioning of the hemoclips is difficult and sometimes impossible. Thermal coagulation method with coagulation forceps combined with prophylactic pancreatic duct stenting could be an alternative in these cases.</p></div><div><h3>Patients and methods</h3><p>We present 2 cases of recurrent post-papillotomy bleeding, both were detected in 1–6 days after the successful ERCP and EST. Standard endoscopic therapy with local injection of diluted epinephrine and/or application of hemoclips were ineffective. As a second line endoscopic therapy we used thermal coagulation of the bleeding vessels with coagulation forceps similarly to ESD. At the time of the thermal coagulation a 5F, 3–5 cm prophylactic pancreatic stent was applied to prevent pancreatitis.</p></div><div><h3>Results</h3><p>We achieved complete hemostasis in all patients without signs of further rebleeding or need for surgery. None of our patients developed post-procedure pancreatitis or perforation. Prophylactic pancreatic stents were safely removed after a few days.</p></div><div><h3>Conclusion</h3><p>We presented a new, effective and safe second line endoscopic hemostatic method in patients with therapy resistant post-papillotomy bleeding. Combination of prophylactic pancreatic stenting and thermal coagulation with coagulation forceps might be suggested as a rescue treatment in patients with severe post-papillotomy bleeding, resistant to standard endoscopic therapy.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":"1 3","pages":"Pages 628-631"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2013.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76240769","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}

引用次数: 3