{"title":"Evaluation of exclusive internal endoscopic drainage for complex biloma with transluminal and transpapillary stenting.","authors":"Jun Sakamoto, Takeshi Ogura, Saori Ueno, Atsushi Okuda, Nobu Nishioka, Akitoshi Hakoda, Yuki Uba, Mitsuki Tomita, Nobuhiro Hattori, Junichi Nakamura, Kimi Bessho, Hiroki Nishikawa","doi":"10.1055/a-2261-3137","DOIUrl":"10.1055/a-2261-3137","url":null,"abstract":"<p><p><b>Background and study aims</b> Biloma is treated endoscopically with endoscopic retrograde cholangiography (ERCP) or endoscopi ultrasound-guided transluminal biloma drainage (EUS-TBD). However, almost all previous studies have used both internal and external drainage. External drainage has the disadvantages of poor cosmetic appearance and self-tube removal. The aim of the present study was to evaluate the internal endoscopic drainage for complex biloma after hepatobiliary surgery with an ERCP- or EUS-guided approach, without external drainage. <b>Patients and methods</b> This retrospective study included consecutive patients who had bilomas. A 7F plastic stent was deployed from the biloma to the duodenum in the ERCP group and the metal stent was deployed from the biloma to the stomach in the EUS-TBD group. <b>Results</b> Forty-seven patients were enrolled. The technical success rate was similar between the groups (ERCP 94% vs EUS-TBD 100%, <i>P</i> =0.371); however, mean procedure time was significantly shorter in the EUS-TBD group (16.9 minutes) than in the ERCP group (26.6 minutes) ( <i>P</i> =0.009). The clinical success rate was 87% (25 of 32 patients) in the ERCP group and 84% (11 of 13 patients) in the EUS-TBD group ( <i>P</i> =0.482). The duration of median hospital stay was significantly shorter in the EUS-TBD group (22 days) than in the ERCP group (46 days) ( <i>P</i> =0.038). There was no significant difference in procedure-associated adverse events between the groups. <b>Conclusions</b> In conclusion, ERCP and EUS-TBD are complementary techniques, each with its own merits in specific clinical scenarios. If both techniques can be performed, EUS-TBD should be considered because of the short times for the procedure, hospital stay. and biloma resolution.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"12 2","pages":"E262-E268"},"PeriodicalIF":2.6,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989666","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":"Emergency digital cholangioscopy-assisted electrohydraulic lithotripsy for basket impaction with an entrapped bile duct stone.","authors":"Akane Hara, Kosuke Minaga, Yasuo Otsuka, Hidekazu Tanaka, Mamoru Takenaka, Masatoshi Kudo","doi":"10.1055/a-2246-6568","DOIUrl":"10.1055/a-2246-6568","url":null,"abstract":"","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"12 2","pages":"E271-E273"},"PeriodicalIF":2.6,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989665","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 stent-removing thread sticking adjacent to the duodenoscope elevator identified using the double-scope technique.","authors":"Tesshin Ban, Yoshimasa Kubota, Takuya Takahama, Shun Sasoh, Takashi Joh","doi":"10.1055/a-2238-1054","DOIUrl":"10.1055/a-2238-1054","url":null,"abstract":"","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"12 2","pages":"E269-E270"},"PeriodicalIF":2.6,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989663","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":"Association of short-course antimicrobial therapy and bacterial resistance in acute cholangitis: Retrospective cohort study.","authors":"Sakue Masuda, Ryuhei Jinushi, Yoshinori Imamura, Jun Kubota, Karen Kimura, Kento Shionoya, Makomo Makazu, Ryo Sato, Makoto Kako, Masahiro Kobayashi, Haruki Uojima, Kazuya Koizumi","doi":"10.1055/a-2230-8229","DOIUrl":"10.1055/a-2230-8229","url":null,"abstract":"<p><p><b>Background and study aims</b> Although the number of resistant bacteria tends to increase with prolonged antimicrobial therapy, no studies have examined the relationship between the duration of antimicrobial therapy and increase in the number of resistant bacteria in acute cholangitis. We hypothesized that the short-term administration of antimicrobial agents in acute cholangitis would suppress bacterial resistance. <b>Patients and methods</b> This was a single-center, retrospective, observational study of patients with acute cholangitis admitted between January 2018 and June 2020 who met the following criteria: successful biliary drainage, positive blood or bile cultures, bacteria identified from cultures sensitive to antimicrobials, and subsequent cholangitis recurrence by January 2022. The patients were divided into two groups: those whose causative organisms at the time of recurrence became resistant to the antimicrobial agents used at the time of initial admission (resistant group) and those who remained susceptible (susceptible group). Multivariate analysis was used to examine risk factors associated with the development of resistant pathogens. Multivariate analysis investigated antibiotics used with the length of 3 days or shorter after endoscopic retrograde cholangiopancreatography (ERCP) and previously reported risk factors for the development of bacterial resistance. <b>Results</b> In total, 89 eligible patients were included in this study. There were no significant differences in patient background or ERCP findings between the groups. The use of antibiotics, completed within 3 days after ERCP, was associated with a lower risk of developing bacterial resistance (odds ratio, 0.17; 95% confidence interval, 0.04-0.65; <i>P</i> =0.01). <b>Conclusions</b> In acute cholangitis, the administration of antimicrobials within 3 days of ERCP may suppress the development of resistant bacteria.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"12 2","pages":"E307-E316"},"PeriodicalIF":2.6,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989664","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}
Rishad Khan, Sunil Samnani, Marcus Vaska, Samir C Grover, Catharine M Walsh, Jeffrey Mosko, Michael J Bourke, Steven J Heitman, Nauzer Forbes
{"title":"Correction: Effectiveness and safety of thin vs. thick cold snare polypectomy of small colorectal polyps: Systematic review and meta-analysis.","authors":"Rishad Khan, Sunil Samnani, Marcus Vaska, Samir C Grover, Catharine M Walsh, Jeffrey Mosko, Michael J Bourke, Steven J Heitman, Nauzer Forbes","doi":"10.1055/a-2269-9521","DOIUrl":"https://doi.org/10.1055/a-2269-9521","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/a-2221-7792.].</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"12 2","pages":"2"},"PeriodicalIF":2.2,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497248","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":"Insulated tip/needle-knife endoscopic stricturotomy is safe and effective for treatment of non-traversable anorectal strictures.","authors":"Koby Herman, Ravi P Kiran, Bo Shen","doi":"10.1055/a-2230-7372","DOIUrl":"10.1055/a-2230-7372","url":null,"abstract":"<p><p><b>Background and study aims</b> The treatment of anorectal strictures is particularly challenging and historically focused on surgical resection and/or diversion. There are a number of endoscopic options, but repeat interventions are common. The use of the needle knife stricturotomy technique as an alternative to surgery in the treatment of a variety of strictures has been described, but its use for the treatment of severe anorectal and anopouch strictures has not been studied. <b>Patients and methods</b> Our Inflammatory Bowel Disease department's records were queried to identify patients with endoscopic non-traversable anorectal/anopouch strictures. Consecutive patients that underwent insulated tip/needle-knife endoscopic stricturotomy treatment were included. Primary outcome was immediate traversability of the treated stricture by the endoscope. Other outcomes included need for reintervention, 30-day post-procedure events, and follow-up period events. <b>Results</b> All strictures were immediately successfully traversed following endoscopic stricturotomy treatment. The mean time to endoscopic reintervention was 5.3 months, with the majority of these patients undergoing repeat stricturotomy. Over a mean follow-up period of 12.8 months, two patients (8%) required surgical intervention (resection with coloanal anastomosis with a colostomy and complete proctectomy) for refractory stricture disease following initial endoscopic stricturotomy. Seven patients (29%) in our study have not required any further reintervention throughout the study period. There were no 30-day post-procedure adverse events and no adverse post-procedure events. <b>Conclusions</b> Endoscopic stricturotomy is safe and effective in treating severe anorectal/anopouch strictures.</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"12 2","pages":"E231-E236"},"PeriodicalIF":2.6,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10869208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139740731","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}
Christiana Graf, Monika Reden, Tobias Blasberg, Mate Knabe, Andrea May, Christian Ell, Edris Wedi, Nils Wetzstein, Florian Michael, Stefan Zeuzem, Jörg Bojunga, Mireen Friedrich-Rust
{"title":"Correction: Is a higher frequency of esophageal dilations more effective in treating benign esophageal strictures? Retrospective, multicenter study.","authors":"Christiana Graf, Monika Reden, Tobias Blasberg, Mate Knabe, Andrea May, Christian Ell, Edris Wedi, Nils Wetzstein, Florian Michael, Stefan Zeuzem, Jörg Bojunga, Mireen Friedrich-Rust","doi":"10.1055/a-2256-4239","DOIUrl":"https://doi.org/10.1055/a-2256-4239","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/a-2117-8197.].</p>","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"12 2","pages":"1"},"PeriodicalIF":2.6,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139671518","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":"Choose the best alternative wisely for biliary interventions after failed ERCP!","authors":"Horst Neuhaus","doi":"10.1055/a-2230-8540","DOIUrl":"10.1055/a-2230-8540","url":null,"abstract":"","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"12 1","pages":"E176-E178"},"PeriodicalIF":2.2,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10827475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139641883","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}
Marco Pennazio, Emanuele Rondonotti, Pablo Cortegoso Valdivia
{"title":"Device-assisted enteroscopy and the need for surgery in Peutz-Jeghers syndrome: the long and winding road.","authors":"Marco Pennazio, Emanuele Rondonotti, Pablo Cortegoso Valdivia","doi":"10.1055/a-2197-3953","DOIUrl":"10.1055/a-2197-3953","url":null,"abstract":"","PeriodicalId":11671,"journal":{"name":"Endoscopy International Open","volume":"12 1","pages":"E125-E127"},"PeriodicalIF":2.2,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10827476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139641884","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}