Gastrointestinal Intervention最新文献

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Clinical assessment and treatment algorithm for lower gastrointestinal bleeding 下消化道出血的临床评价及治疗方法
Gastrointestinal Intervention Pub Date : 2018-10-31 DOI: 10.18528/GII180024
S. Park
{"title":"Clinical assessment and treatment algorithm for lower gastrointestinal bleeding","authors":"S. Park","doi":"10.18528/GII180024","DOIUrl":"https://doi.org/10.18528/GII180024","url":null,"abstract":"Lower gastrointestinal bleeding (LGIB) is diagnosed in 20% to 30% of all patients presenting with major gastrointestinal (GI) bleeding. Although most patients with acute LGIB stop bleeding spontaneously and have favorable outcomes, morbidity and mortality ranges from 2% to 4%, and is higher in older patients and those with comorbid medical conditions. Common etiologies of LGIB are diverticular bleeding, ischemic colitis, angioectasia bleeding and hemorrhoid. Patients presenting with acute severe hematochezia should undergo a focused evaluation simultaneous with hemodynamic resuscitation. An upper GI bleeding source must be excluded in patients with hematochezia and hemodynamic instability. Colonoscopy following a colon preparation is the initial test of choice in most patients presenting with acute hematochezia and hemodynamic stability. Copyright © 2018, Society of Gastrointestinal Intervention.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43370077","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
Outcomes and complications of embolization for gastrointestinal bleeding 胃肠道出血栓塞治疗的结果和并发症
Gastrointestinal Intervention Pub Date : 2018-10-31 DOI: 10.18528/GII180019
In Joon Lee
{"title":"Outcomes and complications of embolization for gastrointestinal bleeding","authors":"In Joon Lee","doi":"10.18528/GII180019","DOIUrl":"https://doi.org/10.18528/GII180019","url":null,"abstract":"Gastrointestinal bleeding is a common medical emergency with significant morbidity and mortality. Although endoscopic treatment was recommended as the first-line approach, it is often limited in real clinical practice. Over the past few decades, transcatheter arterial embolization has become a major treatment modality for the management of gastrointestinal bleeding that is refractory to endoscopic management. This review aims to describe the outcomes and complications of transcatheter arterial embolization for gastrointestinal bleeding. Copyright © 2018, Society of Gastrointestinal Intervention.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45748906","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: 4
Greetings from the Guest Editor 来自客座编辑的问候
Gastrointestinal Intervention Pub Date : 2018-10-31 DOI: 10.18528/GII18002
J. Shin
{"title":"Greetings from the Guest Editor","authors":"J. Shin","doi":"10.18528/GII18002","DOIUrl":"https://doi.org/10.18528/GII18002","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46201799","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
Transjugular intrahepatic portosystemic shunt creation for portal hypertension in patients with hepatocellular carcinoma: A systematic review 经颈静脉肝内门体分流术治疗肝细胞癌患者门静脉高压的系统评价
Gastrointestinal Intervention Pub Date : 2018-10-31 DOI: 10.18528/GII180026
He Zhao, J. Tsauo, Xiaowu Zhang, T. Gong, Jinggui Li, Xiao Li
{"title":"Transjugular intrahepatic portosystemic shunt creation for portal hypertension in patients with hepatocellular carcinoma: A systematic review","authors":"He Zhao, J. Tsauo, Xiaowu Zhang, T. Gong, Jinggui Li, Xiao Li","doi":"10.18528/GII180026","DOIUrl":"https://doi.org/10.18528/GII180026","url":null,"abstract":"Background: To evaluate the safety and efficacy of transjugular intrahepatic portosystemic shunt (TIPS) creation for the management of portal hy- pertension in patients with hepatocellular carcinoma (HCC). Methods: A literature search of the MEDLINE/PubMed and Embase databases was conducted. All articles reporting the outcomes of TIPS creation for variceal bleeding and refractory ascites and hepatic hydrothorax in patients with HCC were included. Exclusion criteria were non-English language, sample size < 5, data not extractable, and data reported in another article. Results: A total of 280 patients (mean age, 48 – 58; male gender, 66%) from five articles were included. TIPS creation was performed for variceal bleeding in 79% and refractory ascites and/or hepatic hydrothorax in 26% of patients. Technical and clinical success was achieved in 99% and 64% of patients, respectively. Clinical failure occurred in 36% of patients due to rebleeding or recurrent bleeding (n = 77) or no resolution or improvement of refractory ascites and hepatic hydrothorax (n = 24). One percent of patient had major complications, including accelerated liver failure (n = 1) and multi-organ failure resulting from hemorrhagic shock (n = 1), all of which resulted in early (i.e., within 30 days) death. Hepatic encephalopathy occurred in 40% of patients after TIPS creation. Lung metastasis was found 1% of patient 5 months (n = 1) and 72 months (n = 1) after TIPS creation. Conclusion: TIPS creation seems to be safe and effective for the management of portal hypertension in patients with HCC.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47713101","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: 6
New endoscopic techniques in treating gastrointestinal bleeding 内镜治疗消化道出血的新技术
Gastrointestinal Intervention Pub Date : 2018-10-31 DOI: 10.18528/GII180025
Y. Cho
{"title":"New endoscopic techniques in treating gastrointestinal bleeding","authors":"Y. Cho","doi":"10.18528/GII180025","DOIUrl":"https://doi.org/10.18528/GII180025","url":null,"abstract":"Gastrointestinal (GI) bleeding is a common disorder encountered in an emergency department or primary clinical setting. The therapeutic basis for GI bleeding is endoscopic hemostasis. To date, epinephrine injection, through-the-scope clips, monopolar or biopolar coagulation, and band ligation have been established for GI bleeding. Despite the advances in endoscopic techniques, we often experience re-bleeding associated with significant in- hospital mortality in GI bleeding. New devices that complement the disadvantages of these conventional endoscopic techniques have recently been introduced. For example, over-the-scope clip, which has wider and stronger pressure than conventional mechanical devices, can ligate a wide range of surrounding mucous membranes and has been reported to be effective in severe lesions of fibrosis. In addition, hemostatic powders achieved successful hemostasis as primary or rescue therapy in several cases of GI bleeding. Successful application of these new techniques requires appropriate patient selection and understanding of the device and further research is expected in the future. Copyright","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47529323","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: 2
Anastomotic stricture after liver transplantation: It is not Achilles’ heel anymore! 肝移植术后吻合口狭窄:不再是阿喀琉斯之踵!
Gastrointestinal Intervention Pub Date : 2018-07-31 DOI: 10.18528/GII180012
S. Jang, D. Lee
{"title":"Anastomotic stricture after liver transplantation: It is not Achilles’ heel anymore!","authors":"S. Jang, D. Lee","doi":"10.18528/GII180012","DOIUrl":"https://doi.org/10.18528/GII180012","url":null,"abstract":"Biliary-tract complications, such as biliary strictures, anastomotic leaks, choledocholithiasis, and biliary casts, can occur after liver transplantation (LT). Of these complications, biliary strictures are regarded as an Achilles’ heel. Recently, treatment of anastomotic biliary stricture (ABS) has transitioned from conventional surgical revision to a nonsurgical treatment modality. Endoscopic serial balloon dilatation and/or multiple plastic stent replace- ments are highly effective and are now regarded as the first-line treatments. However, if the patient has undergone anastomosis by means of a hepaticojejunostomy, percutaneous treatment is performed. With recent technological advances and the rendezvous method, the clinical success rates of endoscopic and percutaneous ABS treatments have increased, but these methods fail in some patients who have total obstruction of anastomotic stricture. For these patients, magnetic compression anastomosis (MCA) has been suggested as an alternative method. Animal and human studies have demonstrated the safety and efficacy of MCA, and advancements in these nonsurgical methods have increased the clinical success rate of ABS. This review focuses on ABSs that develop after LT and discusses the clinical results of various nonsurgical methods and future directions. Copyright","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49565063","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
TOKYO criteria: Standardized reporting system for endoscopic biliary stent placement 东京标准:内镜下胆道支架置入的标准化报告系统
Gastrointestinal Intervention Pub Date : 2018-07-31 DOI: 10.18528/GII180016
T. Hamada, Y. Nakai, H. Isayama
{"title":"TOKYO criteria: Standardized reporting system for endoscopic biliary stent placement","authors":"T. Hamada, Y. Nakai, H. Isayama","doi":"10.18528/GII180016","DOIUrl":"https://doi.org/10.18528/GII180016","url":null,"abstract":"Placement of a plastic or metal stent via endoscopic retrograde cholangiopancreatography (ERCP) currently serves as the first-line procedure for obstructive jaundice and acute cholangitis. Dysfunction of the biliary stent causes recurrence of symptoms and often requires reinterventions and hospitalizations. Therefore, duration of stent patency is commonly used as the primary endpoint in clinical studies of biliary stents. However, owing to considerable heterogeneity between studies in reporting of biliary stent patency, it has been difficult to compare and integrate results of indepen-dent studies. There has been between-study heterogeneity in definitions of stent patency, statistics reported for survival curves of stent patency, and methods to treat censored cases. In addition to stent occlusion, stent migration is a major cause of recurrent biliary obstruction after covered metal stent placement, which further complicates the reporting of stent patency. Reporting of functional success and adverse events has been also inconsis- tent between the studies. From the perspective of evidence-based medicine, the variations in the definitions of outcome variables potentially hinder robust meta-analyses. To overcome the issues due to the lack of outcome reporting guidelines on the topic, the TOKYO criteria 2014 for reporting outcomes associated with endoscopic transpapillary placement of biliary stents have been proposed. Due to their comprehensiveness, the TOKYO criteria can be readily utilized to evaluate various types of biliary stent placement using ERCP, irrespective of types of stents and location of biliary stricture. In this article, we review the TOKYO criteria as a standardized reporting system for endoscopically-placed biliary stents. We also discuss potential controversial issues in the application of the TOKYO criteria. Given that endoscopic ultrasound-guided biliary drainage is increasingly uti- lized for cases with failed ERCP or altered gastrointestinal anatomy, we further propose a potential application of the TOKYO criteria to reporting of outcomes of this procedure.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46662056","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: 9
The vanishing stent: Repeated fracture and dissolution of nitinol gastric stents in a long term cancer survivor 消失的支架:一名长期癌症幸存者的镍钛诺胃支架反复断裂和溶解
Gastrointestinal Intervention Pub Date : 2018-07-31 DOI: 10.18528/GII170010
C. Lunt, Pavan Najaran, Derek E. Edwards, J. Bell, D. Mullan, H. Laasch
{"title":"The vanishing stent: Repeated fracture and dissolution of nitinol gastric stents in a long term cancer survivor","authors":"C. Lunt, Pavan Najaran, Derek E. Edwards, J. Bell, D. Mullan, H. Laasch","doi":"10.18528/GII170010","DOIUrl":"https://doi.org/10.18528/GII170010","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45744742","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
Usefulness of stent placement above the papilla, so-called, ‘inside stent’ 将支架放置在乳头上方的有用性,即所谓的“支架内”
Gastrointestinal Intervention Pub Date : 2018-07-31 DOI: 10.18528/GII180013
Tanyaporn Chantarojanasiri, H. Kogure, T. Hamada, Y. Nakai, H. Isayama
{"title":"Usefulness of stent placement above the papilla, so-called, ‘inside stent’","authors":"Tanyaporn Chantarojanasiri, H. Kogure, T. Hamada, Y. Nakai, H. Isayama","doi":"10.18528/GII180013","DOIUrl":"https://doi.org/10.18528/GII180013","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41616933","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
Greetings from the Guest Editor 客座编辑的问候
Gastrointestinal Intervention Pub Date : 2018-07-31 DOI: 10.18528/GII18001
H. Isayama
{"title":"Greetings from the Guest Editor","authors":"H. Isayama","doi":"10.18528/GII18001","DOIUrl":"https://doi.org/10.18528/GII18001","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45718666","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
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