Video Journal and Encyclopedia of GI Endoscopy最新文献_第5页

Use of OTSC Device System for Closure of Fistulas in the Alimentary Tract – A Case Series OTSC装置系统在消化道瘘管闭合中的应用-一个病例系列

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 Epub Date: 2014-01-23 DOI: 10.1016/j.vjgien.2013.10.001

Truptesh H. Kothari, Gregory B. Haber

{"title":"Use of OTSC Device System for Closure of Fistulas in the Alimentary Tract – A Case Series","authors":"Truptesh H. Kothari, Gregory B. Haber","doi":"10.1016/j.vjgien.2013.10.001","DOIUrl":"10.1016/j.vjgien.2013.10.001","url":null,"abstract":"<div><h3>Objective</h3><p>We report our experience – a case series with the Over the Scope Clip (OTSC), Bear claw, a novel and new tool for the endoscopic entrapment of tissue for closure of fistula and perforations.</p></div><div><h3>Design</h3><p>Single-center.</p></div><div><h3>Setting</h3><p>Tertiary referral academic gastroenterology unit and center for advanced therapeutic endoscopy.</p></div><div><h3>Patient</h3><p></p><ul><li><span><p>Case I – referred for endoscopic treatment for the closure of gastrocutaneous fistula (GC).</p></span></li><li><span><p>Case II – referred for endoscopic treatment for the closure of colo-vaginal fistula.</p></span></li><li><span><p>Case III – referred for endoscopic treatment for the closure of GC fistula.</p></span></li></ul></div><div><h3>Intervention</h3><p>The OTSC system was mounted on the tip of the scope and passed down to the level of the fistula. The targeted site of the fistula was grasped with the tissue anchoring tripod and pulled into the cap with concomitant scope channel suction. Once the tissue was trapped in the cap, the Bear claw was deployed.</p></div><div><h3>Main outcome measurements</h3><p>NA.</p></div><div><h3>Results</h3><p>All patients recovered. No complication or recurrence noted. Case I showed successful results with closure of the fistula. Case II fistula was not closed due to the cavity beneath the fistula probably abscess formation – which prevented the healing of the fistula site despite of the closure with OTSC. Case III fistula did not close successfully due to the larger diameter of the fistula which was greater than 1 cm.</p></div><div><h3>Conclusion</h3><p>With several new devices being introduced, it is difficult to judge the implementation of one tool over the others. This device has shown promising results for fistula closure if used knowing the limitation of the product.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":"1 3","pages":"Pages 647-650"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2013.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88502358","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: 1

VJGIEN Sets a New Industry Standard in Video Journal Publication: Why Read If You Can Learn More by Watching in a Shorter Time? VJGIEN为视频期刊出版树立了新的行业标准:如果你能在更短的时间内学到更多，为什么还要阅读?

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 DOI: 10.1016/J.VJGIEN.2013.12.001

Shou-jiang Tang

引用次数: 0

Radiofrequency Ablation in Barrett's Esophagus 巴雷特食管的射频消融

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 Epub Date: 2013-12-20 DOI: 10.1016/j.vjgien.2013.03.001

Vani J.A. Konda, Uzma D. Siddiqui, Irving Waxman

引用次数: 8

Small Bowel Lymphangioma 小肠淋巴管瘤

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 Epub Date: 2013-12-21 DOI: 10.1016/j.vjgien.2013.03.002

Shou-jiang Tang , Feriyl Bhaijee

{"title":"Small Bowel Lymphangioma","authors":"Shou-jiang Tang , Feriyl Bhaijee","doi":"10.1016/j.vjgien.2013.03.002","DOIUrl":"https://doi.org/10.1016/j.vjgien.2013.03.002","url":null,"abstract":"<div><h3>Background</h3><p>Lymphangiomas are uncommon benign tumors found mainly in children. Intra-abdominal lymphangiomas are rare, mostly located in the mesentery. Small bowel lymphangiomas are very rare.</p></div><div><h3>Patient and methods</h3><p>A 38-year-old woman presented with recurrent melena and anemia. Bidirectional endoscopy was non-diagnostic. Balloon enteroscopy revealed a 1 cm actively oozing, soft, friable, polypoid lesion in the proximal-mid small bowel. The lesion was white-yellow with “strawberry” mucosal patterns. Endoscopic tattooing was performed and she underwent subsequent laparoscopic segmental small bowel resection.</p></div><div><h3>Results</h3><p>Histopathologic features were consistent with a cavernous lymphangioma. At last follow-up, the patient's gastrointestinal (GI) bleeding and anemia had resolved.</p></div><div><h3>Conclusions</h3><p>Small bowel lymphangiomas can cause gross or occult GI bleeding, anemia, abdominal pain, and/or obstruction. Endoscopists should be aware of this rare tumor and its unique endoscopic features. The optimal treatment is radical excision, since incomplete resection may lead to recurrence. Argon plasma coagulation or polypectomy have been used to achieve endoscopic ablation and palliation of GI bleeding.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":"1 3","pages":"Pages 663-665"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2013.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91725927","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: 7

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 Epub Date: 2013-12-26 DOI: 10.1016/j.vjgien.2013.06.003

Gianfranco Donatelli , Bertrand Marie Vergeau , Parag Dhumane , Fabrizio Cereatti , Fausto Fiocca , Thierry Tuszynski , Bruno Meduri

{"title":"Endoscopic partial sphincterotomy coupled with large balloon papilla dilation – Single stage approach for management of extra-hepatic bile ducts macro-lithiasis","authors":"Gianfranco Donatelli , Bertrand Marie Vergeau , Parag Dhumane , Fabrizio Cereatti , Fausto Fiocca , Thierry Tuszynski , Bruno Meduri","doi":"10.1016/j.vjgien.2013.06.003","DOIUrl":"https://doi.org/10.1016/j.vjgien.2013.06.003","url":null,"abstract":"<div><p>Endoscopic papillary balloon dilation (EPBD) was introduced in the 80 s as an alternative for treatment of biliary lithiasis in order to minimize complications related to biliary endoscopic sphincterotomy (ES) and to preserve sphincter mechanism. However it could not gain wide acceptance because of high incidence of post procedural pancreatitis compared to ES alone. In 2003, endoscopic large balloon papillary dilation (ELPBD) coupled with ES, has been proposed as an alternative to lithotripsy for treatment of giant or difficult calculi of the common bile duct. Since then, several studies have evaluated the efficacy of such approach, however in the absence of clear instructions about indications, technique's standardization, morbidity rate and long-term results this procedure has not yet gained wide use. In this report we describe our technique of partial endoscopic sphincterotomy plus large papillary balloon dilation in the treatment of common bile duct and cystic duct macro-lithiasis. According to our clinical experience, we would like to focus on the technical points that have to be respected in order to reduce procedure's complications and to achieve successful clinical results</p><p>We conclude that endoscopic partial sphincterotomy plus large papillary balloon dilation seems a promising, effective and safe approach to treat giant extrahepatic biliary calculi, if performed after correct patient selection and under established guidelines.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":"1 3","pages":"Pages 636-639"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2013.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91725922","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

VJGIEN Sets a New Industry Standard in Video Journal Publication: Why Read If You Can Learn More by Watching in a Shorter Time? VJGIEN为视频期刊出版树立了新的行业标准:如果你能在更短的时间内学到更多，为什么还要阅读?

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 Epub Date: 2014-01-08 DOI: 10.1016/j.vjgien.2013.12.001

Shou-jiang Tang (Associate Editor)

引用次数: 0

Gastric Xanthelasma, Xanthoma, and Xanthomatosis 胃黄斑瘤、黄斑瘤和黄斑病

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 Epub Date: 2013-12-24 DOI: 10.1016/j.vjgien.2013.03.003

Shou-jiang Tang , Ruonan Wu , Feriyl Bhaijee

{"title":"Gastric Xanthelasma, Xanthoma, and Xanthomatosis","authors":"Shou-jiang Tang , Ruonan Wu , Feriyl Bhaijee","doi":"10.1016/j.vjgien.2013.03.003","DOIUrl":"10.1016/j.vjgien.2013.03.003","url":null,"abstract":"<div><h3>Background</h3><p><em>Xanthelasma</em> is a yellowish deposit of cholesterol underneath the skin, usually on or around the eyelids, which is associated with hyperlipidemia. In the stomach, <em>xanthelasma</em> and <em>xanthoma</em> are used interchangeably, and referred to asymtomatic benign endoscopic findings, which are not associated with hyperlipidemia. Gastric xanthomatosis is rare.</p></div><div><h3>Patient and methods</h3><p>We present the endoscopic and histopathological features of gastric xanthomatosis in a 68-year-old man with a history of peptic ulcer disease and previous antrectomy.</p></div><div><h3>Results</h3><p>Gastric xanthelasma and xanthoma present as solitary white or yellow flat mucosal lesions with fern-like surface features. These discrete lesions are usually found in the antrum. Gastric xanthomatosis presents with multiple small white or yellow mucosal patches or nodules. Histopathologic features include large foamy histiocytes containing a mixture of lipids in the mucosa and submucosa.</p></div><div><h3>Conclusions</h3><p>Gastric xanthelasma, xanthoma, gastric xanthomatosis are benign incidental endoscopic findings and are not associated with hyperlipidemia.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":"1 3","pages":"Pages 625-627"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2013.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91473857","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

Tumours in the Small Bowel 小肠肿瘤

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 Epub Date: 2013-12-21 DOI: 10.1016/j.vjgien.2013.08.001

N. Kurniawan , C. Rüther , I. Steinbrück , P. Baltes , F. Hagenmüller , M. Keuchel

{"title":"Tumours in the Small Bowel","authors":"N. Kurniawan , C. Rüther , I. Steinbrück , P. Baltes , F. Hagenmüller , M. Keuchel","doi":"10.1016/j.vjgien.2013.08.001","DOIUrl":"https://doi.org/10.1016/j.vjgien.2013.08.001","url":null,"abstract":"<div><p>Small bowel tumours are rare and originate from a wide variety of benign and malignant entities. Adenocarcinomas are the most frequent primary malignant small bowel tumours. Submucosal tumours like gastrointestinal stromal tumours (GIST) or neuroendocrine tumours (NET) may show a central umbilication, pathologic vessels, bridging folds or an ulceration of the overlying mucosa. These signs help to differentiate them from harmless bulges caused by impression from outside, e.g. from other intestinal loops. Sarcomas of the small bowel are rare neoplasias with mesenchymal origin, sometimes presenting as protruding masses. Benign tumours like lipoma, fibrolipoma, fibroma, myoma, and heterotopias typically present as submucosal masses. They cannot be differentiated endoscopically from those with malignant potential as GIST or NET. Neuroendocrine carcinomas may present with diffuse infiltration, which may resemble other malignant tumours. The endoscopic appearance of small bowel lymphomas has a great variation from mass lesions to diffuse infiltrative changes. Melanoma metastases are the most frequent metastases to the small bowel. They may be hard to distinguish from other tumours when originating from an amelanotic melanoma.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":"1 3","pages":"Pages 632-635"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2013.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91725923","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: 4

Pyogenic Granuloma of the Ampulla of Vater 壶腹化脓性肉芽肿

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 Epub Date: 2013-12-31 DOI: 10.1016/j.vjgien.2013.02.001

Shou-jiang Tang , Feriyl Bhaijee

{"title":"Pyogenic Granuloma of the Ampulla of Vater","authors":"Shou-jiang Tang , Feriyl Bhaijee","doi":"10.1016/j.vjgien.2013.02.001","DOIUrl":"10.1016/j.vjgien.2013.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Pyogenic granuloma (PG), also called lobular capillary hemangioma, is a benign vascular proliferation in skin or oral mucosa after local trauma or irritation. PG is rarely reported in the gastrointestinal (GI) tract.</p></div><div><h3>Patient and methods</h3><p>A sixty-three-year-old woman presented with recurrrent melena and anemia. 1 cm Erythematous semi-pedunculated polypoid lesion was seen on the ampulla of Vater. The mucosal patterns were not suggestive of adenoma or that of an invasive lesion. The polypoid lesion was completely removed en bloc using an endoscopic snare with coagulation current. Immediate post-polypectomy pulsatile bleeding developed and hemostasis was achieved with endoclip application without pre-injection.</p></div><div><h3>Results</h3><p>Pathology showed ampullary PG. To date, the patient has not developed further GI bleeding and her anemia resolved.</p></div><div><h3>Conclusions</h3><p>To the best of our knowledge, this is the first reported case of ampullary PG. In the medical literature, less than two dozen cases of PG are reported in the esophagus, stomach, small bowel, and colon. These patients usually present with gross or occult GI bleeding and anemia. GI PG can be curatively treated with endoscopic polypectomy or surgical resection.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":"1 3","pages":"Pages 622-624"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2013.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78199524","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: 2

Colonic lipoma 结肠脂肪瘤

Video Journal and Encyclopedia of GI Endoscopy Pub Date : 2014-01-01 Epub Date: 2013-12-21 DOI: 10.1016/j.vjgien.2013.06.004

Hsu-Heng Yen

引用次数: 0