Gastrointestinal Intervention最新文献_第10页

Systematic review of 12 years of thermal ablative therapies of non-resectable colorectal cancer liver metastases 12年热消融治疗不可切除结直肠癌肝转移的系统回顾

Gastrointestinal Intervention Pub Date : 2016-03-31 DOI: 10.18528/GII150007

Sameh Saif, Z. Ania, M. McInnes

{"title":"Systematic review of 12 years of thermal ablative therapies of non-resectable colorectal cancer liver metastases","authors":"Sameh Saif, Z. Ania, M. McInnes","doi":"10.18528/GII150007","DOIUrl":"https://doi.org/10.18528/GII150007","url":null,"abstract":"A B S T R A C T To compare the effectiveness and complications of various thermal ablative therapies through reviewing the available literature. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement was used to report this systematic review. Our PICO (patient group-intervention-comparator-outcomes) question: In patients with unresectable colorectal cancer liver metastasis (CRCLM), what are the comparative effectiveness and complication rates of the various thermal ablative therapies? All study designs published between 2000 and 2012 considered. Search results were screened in duplicate to determine eligible studies. A customized “risk of bias” assessment tool was utilized. Asymmetry of the funnel plot and heterogeneity were quantified. Representative forest plots of the 1, 3, and 5 years survival rates, major complication rates and local recurrence rates were performed. Data not amenable to pooling is presented in a qualitative and tabular manner. Thirty radiofrequency ablation (RFA), 11 cryoablation (CA), and 5 microwave ablation (MWA) studies were finally included in the qualitative synthesis. The number of patients included from all the studies was 3,107 patients; 2,021 in the RFA group, 988 in the CA, and 98 in the MWA. The forest plots confirm the significant heterogeneity of the included studies. Visual assessment of forest plots, as well as qualitative analysis of included papers suggested that between-studies heterogeneity was too great and thus, pooling through meta-analysis was not appropriate. RFA is the most commonly used ablative modality to treat unresectable CRCLM. Significant heterogeneity of the included studies was encountered precluding a meaningful meta-analysis. Future comparisons of local ablative therapies outcome necessitate prospective, randomized controlled studies.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"30 1","pages":"27-39"},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68271050","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}

引用次数: 1

Percutaneous transgastric stenting of proximal jejunal obstruction secondary to direct invasion of a pancreatic carcinoma 经皮经胃支架置入术治疗胰腺癌直接侵袭后继发空肠近端梗阻

Gastrointestinal Intervention Pub Date : 2016-03-31 DOI: 10.18528/GII150033

Timothy Joseph S. Orillaza, Jinoo Kim, J. Won

引用次数: 2

Evaluation of malignant intraductal papillary mucinous neoplasms of the pancreas on computed tomography and magnetic resonance imaging 胰腺导管内恶性乳头状黏液瘤的计算机断层和磁共振成像评价

Gastrointestinal Intervention Pub Date : 2016-03-31 DOI: 10.18528/GII150020

N. Seo, J. Byun

引用次数: 0

Multiple metallic stents placement for malignant hilar biliary obstruction: Perspective of a radiologist 多金属支架置入术治疗恶性肝门胆道梗阻:放射科医生的观点

Gastrointestinal Intervention Pub Date : 2016-03-31 DOI: 10.18528/GII150027

Yozo Sato, Y. Inaba, K. Hara, H. Yamaura, Mina Kato, S. Murata, Yui Onoda

{"title":"Multiple metallic stents placement for malignant hilar biliary obstruction: Perspective of a radiologist","authors":"Yozo Sato, Y. Inaba, K. Hara, H. Yamaura, Mina Kato, S. Murata, Yui Onoda","doi":"10.18528/GII150027","DOIUrl":"https://doi.org/10.18528/GII150027","url":null,"abstract":"In the palliative setting, the necessity of biliary drainage of both liver lobes for malignant hilar biliary obstruction remains controversial. However, bilateral biliary drainage is a reasonable option to prevent cholangitis of the undrained lobe and to preserve liver function during the course of chemotherapy. Bilateral biliary drainage can be accomplished by the percutaneous or endoscopic placement of multiple self-expandable metallic stents (SEMS). Although SEMS placement via bilateral (multiple) percutaneous routes is technically simple, multiple percutaneous transhepatic biliary drainage (PTBD) may lead to additional morbidity. SEMS placement via a single percutaneous route is a useful method; however, negotiation of a guidewire into the contralateral bile duct is occasionally impossible if the hilar angle between the right hepatic duct and left hepatic duct is acute. Percutaneous dual SEMS placement is generally performed using the stent-in-stent technique (T configuration or Y configuration) or the side-by- side technique. In addition, the crisscross technique has been reported as being a useful method for trisegmental drainage. The side-to-end technique is also useful for multiple SEMS placement. In the future, the combination of percutaneous intervention and endoscopic ultrasonography-guided procedures may be effective in the management of malignant hilar biliary obstruction. ablation","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"5 1","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68271877","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}

引用次数: 0

Articulated percutaneous plastic biliary stents: How to do it 关节式经皮塑料胆道支架:如何做

Gastrointestinal Intervention Pub Date : 2016-03-31 DOI: 10.18528/GII150010

E. Jorge

引用次数: 0

Lidocaine spray on an endoscope immediately before insertion improves patient tolerance to endoscopy: A single center, clinical observational study 一项单中心临床观察研究:在内窥镜插入前立即喷施利多卡因可提高患者对内窥镜的耐受性

Gastrointestinal Intervention Pub Date : 2016-03-31 DOI: 10.18528/GII150029

B. Cha, B. Lee, J. Hwang, S. Lee, M. Park, S. Kang

{"title":"Lidocaine spray on an endoscope immediately before insertion improves patient tolerance to endoscopy: A single center, clinical observational study","authors":"B. Cha, B. Lee, J. Hwang, S. Lee, M. Park, S. Kang","doi":"10.18528/GII150029","DOIUrl":"https://doi.org/10.18528/GII150029","url":null,"abstract":"Background: Topical pharyngeal anesthesia reduces discomfort during upper gastrointestinal endoscopy (UGIE) but may not increase tolerance to the procedure. This case-control study was performed to assess whether lidocaine spray on the endoscope in addition to pharyngeal anesthesia improves patient tolerance to endoscopy we performed. Methods: Patients who underwent UGIE were assigned to either the case group where the endoscope was treated with 2 sprays of 10% lidocaine be fore insertion or the control group given only conventional pharyngeal anesthesia. And we compared the frequency of belching and retching during endoscopy. Results: Among 497 eligible patients, 262 were assigned to the case group and 235 to the control group. There were significant differences between the two groups in belching (odds ratio [OR] = 0.15, 95% confidence interval [CI] = 0.09–0.24, P < 0.01) and retching (OR = 0.22, 95% CI = 0.15–0.34, P = 0.01) during endoscopy using multivariate analysis. Younger patients (OR = 0.96, 95% CI = 0.94–0.98, P < 0.01) and female patients (OR = 2.16, 95% CI = 1.40–3.33, P = 0.01) had belching more frequently than older patients and male patients, respectively. Retching was more frequent in sedated patients (OR = 0.39, 95% CI = 0.25–0.61, P = 0.01) and those with gastro-esophageal reflux disease (OR = 1.48, 95% CI = 1.00–2.21, P = 0.06). Conclusion: Use of lidocaine spray on the endoscope improves patient tolerance during UGIE compared to only conventional pharyngeal anesthesia.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"5 1","pages":"67-71"},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68272088","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}

引用次数: 1

Endoscopic closure of iatrogenic perforation 内窥镜治疗医源性穿孔

Gastrointestinal Intervention Pub Date : 2016-03-31 DOI: 10.18528/GII150009

P. Angsuwatcharakon, R. Rerknimitr

引用次数: 1

Predictors of esophageal self-expandable metal stent migration: An academic center study 食管自膨胀金属支架移动的预测因素:一项学术中心研究

Gastrointestinal Intervention Pub Date : 2016-03-31 DOI: 10.18528/GII150018

S. Jang, M. Parsi, James Collins, J. Vargo

{"title":"Predictors of esophageal self-expandable metal stent migration: An academic center study","authors":"S. Jang, M. Parsi, James Collins, J. Vargo","doi":"10.18528/GII150018","DOIUrl":"https://doi.org/10.18528/GII150018","url":null,"abstract":"Background: Although safe and effective, a wide array of complications of esophageal stent placement continues to pose a significant challenge to clinicians in providing optimal care for their patients. Methods: To identify factors associated with migration of self-expandable metal stent (SEMS) used in treating malignant and benign disease of esophagus, a retrospective study analyzing 105 cases (85 patients) of esophageal SEMS placement between January 2013 and June 2015 was con -ducted. All cases were performed in a single tertiary referral center. The key outcomes of interest were SEMS migration rates based on indication, stent type, design, and endoscopic findings prior to SEMS placement. Technical success rate, other major adverse outcomes and subgroup analysis of interest were also performed. Results: Overall esophageal SEMS migration rate was 26.7%. Significantly higher rates of stent migration were associated with fully covered stent use (38.1% vs 9.5%, P = 0.001) and stent use in benign conditions (43.9% vs 15.6%, P = 0.002). Our multivariable analysis also showed statistically significant increased risk of migration for SEMS placement in distal esophagus ( P = 0.006). Conclusion: This study validated some of previously reported predictors of stent migration. In addition, stent use in benign esophageal disease was found to be a significant risk factor of SEMS migration. Large, prospective studies are necessary to further clarify modifiable risk factors to reduce the rate of SEMS migration.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"19 1","pages":"72-79"},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68271568","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}

引用次数: 3

Chemoembolization for hepatocellular carcinoma supplied by the right gastric artery 胃右动脉肝细胞癌的化疗栓塞治疗

Gastrointestinal Intervention Pub Date : 2015-12-24 DOI: 10.18528/GII150006

Jung Hwan Park, U. Jeon, Tae Un Kim, J. W. Lee, K. Choo, K. Yoon, M. Cho

引用次数: 1

Esophageal stents: Beyond the simple stricture 食管支架:超出单纯性狭窄

Gastrointestinal Intervention Pub Date : 2015-12-24 DOI: 10.18528/GII150021

D. Edwards, H. Laasch

引用次数: 2