Gastrointestinal Intervention最新文献_第3页

Which is better for unresectable malignant hilar biliary obstruction: Side-by-side versus stent-in-stent? 哪种治疗不可切除的恶性肝门胆管梗阻更好：并排治疗还是支架内治疗？

Gastrointestinal Intervention Pub Date : 2018-07-31 DOI: 10.18528/GII180014

I. Naitoh, Tadahisa Inoue, K. Hayashi

{"title":"Which is better for unresectable malignant hilar biliary obstruction: Side-by-side versus stent-in-stent?","authors":"I. Naitoh, Tadahisa Inoue, K. Hayashi","doi":"10.18528/GII180014","DOIUrl":"https://doi.org/10.18528/GII180014","url":null,"abstract":"Biliary drainage is required for the management of unresectable malignant hilar biliary obstruction (UMHBO), and endoscopic transpapillary drain- age is the first-line therapy because it is less invasive. Self-expandable metallic stents (SEMSs) are superior to plastic stents because they have longer stent patency and are more cost-effective. Endoscopic bilateral SEMS placement is technically challenging compared to unilateral placement. However, recent developments in devices and techniques have facilitated bilateral SEMS placement. There are two methods for bilateral hilar SEMS placement for UMHBO: side-by-side (SBS) and stent-in-stent (SIS). Sequential SBS was commonly conducted for bilateral hilar SEMS placement. In a new and thinner delivery system that was developed for SEM placement, two SEMSs could be simultaneously inserted and deployed through the working channel. This new bilateral stenting method enabled us to accomplish simultaneous SBS placement, which increased the success rate of SBS. Insertion of the guidewire and delivery of the second SEMS through the mesh of the first SEMS is challenging in SIS. Newly designed or modified SEMSs that are suitable for SIS have been developed to overcome this challenge, and these SEMSs have facilitated SIS. Uncovered SEMS has been commonly used for hilar SEMS placement, but covered SEMS (CSEMS) is another option for hilar SEMS placement, because CSEMS prevents tumor ingrowth and allows for removal of the stent for re-intervention. Therefore, CSEMS can be used for bilateral SEMS placement in SBS. There are many methods and kinds of SEMS available for bilateral SEMS placement. However, due to lack of evidence, there is no consensus on whether SBS or SIS is optimal for bilateral hilar SEMS placement. In this review, we compared various outcomes between SBS and SIS from previous studies, to clarify which method is better for bilateral SEMS placement for UMHBO.","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":"47923116","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: 5

Lipiodol brain embolism through right inferior phrenic artery-pulmonary vein shunt after transcatheter arterial chemoembolization 经导管动脉化疗栓塞后经右膈下动脉-肺静脉分流的碘油脑栓塞

Gastrointestinal Intervention Pub Date : 2018-07-31 DOI: 10.18528/GII170003

E. H. Jang, E. Kim, Woo Sun Choi, D. Gwon

引用次数: 0

Large-sized iatrogenic colonic perforation during diagnostic colonoscopy 诊断性结肠镜检查时的大尺寸医源性结肠穿孔

Gastrointestinal Intervention Pub Date : 2018-07-31 DOI: 10.18528/GII180023

S. Shin, E. Park, Jae Jun Park

引用次数: 0

Percutaneous placement of self-expandable metallic stents in patients with obstructive jaundice due to hepatocellular carcinoma 肝细胞癌梗阻性黄疸患者经皮放置自膨胀金属支架

Gastrointestinal Intervention Pub Date : 2018-07-31 DOI: 10.18528/GII180021

H. Hong, Kyungmin Park

引用次数: 0

Surgical management of the cases with both biliary and duodenal obstruction 胆道及十二指肠双重梗阻的外科治疗

Gastrointestinal Intervention Pub Date : 2018-07-31 DOI: 10.18528/GII80015

Y. Miyasaka, T. Ohtsuka, V. V. Velasquez, Yasuhisa Mori, Kohei Nakata, Masafumi Nakamura

{"title":"Surgical management of the cases with both biliary and duodenal obstruction","authors":"Y. Miyasaka, T. Ohtsuka, V. V. Velasquez, Yasuhisa Mori, Kohei Nakata, Masafumi Nakamura","doi":"10.18528/GII80015","DOIUrl":"https://doi.org/10.18528/GII80015","url":null,"abstract":"Endoscopic management is presently the recommended first-line of treatment for biliary strictures. However, surgery still has an important role especially for biliary obstruction (BO) with duodenal obstruction. Even though endoscopic treatment for concurrent BO and gastric-outlet obstruction has been proposed, it is still not widespread. Duodenal obstruction is often associated with malignant BO which makes endoscopic treatment more challenging. Biliary and gastrointestinal double bypass with Roux-en-Y hepaticojejunostomy and gastrojejunostomy is the most common surgical intervention for malignant biliary and gastric-outlet obstruction. A variety of procedures of biliary bypass and gastrointestinal bypass have been reported. According to several studies, mortality rates range from 0% to 7%, while morbidity rates range from 3% to 50%. Higher morbidity was observed in symptomatic patients caused by the disease. Most common morbidity after double bypass was delayed gastric emptying. Recurrence of BO and gastric-outlet obstruction was less frequently seen after surgical bypass compared to after endoscopic treatment. Minimally invasive approach has been applied to double bypass. Studies showed that laparoscopic double bypass has a shorter hospital stay and reduced postoperative pain; however, due to its technical demand, it is still presently an uncommon procedure. Robotic bypass surgery may resolve this issue in the future. Further analyses of outcomes of both surgical and endoscopic treatments are necessary to establish better and suitable palliation options for concurrent biliary and duodenal obstruction caused by unresectable malignant tumors. Copyright © 2018, Society of Gastrointestinal Intervention.","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":"43704552","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

A review of recent experience with transjugular intrahepatic portosystemic shunt creation using intravascular ultrasound 血管内超声建立经颈静脉肝内门体分流术的近期经验回顾

Gastrointestinal Intervention Pub Date : 2018-04-30 DOI: 10.18528/GII180008

S. Kao, E. Lee

引用次数: 0

Percutaneous placement of H-configured triple biliary and enteral stents through a single access: A solution for complex bilio-enteric obstruction 单通道经皮放置H型三重胆道和肠内支架：一种治疗复杂胆道梗阻的解决方案

Gastrointestinal Intervention Pub Date : 2018-04-30 DOI: 10.18528/GII160029

Sunghun Park, A. Park

引用次数: 0

Portosystemic collateral pathways and interventions in portal hypertension 门体侧支通路与门脉高压的干预

Gastrointestinal Intervention Pub Date : 2018-04-30 DOI: 10.18528/GII180005

M. Bandali, A. Mirakhur

引用次数: 0

Transjugular intrahepatic portosystemic shunt trends in China: A brief review 中国经颈静脉肝内门体分流术的发展趋势

Gastrointestinal Intervention Pub Date : 2018-04-30 DOI: 10.18528/GII180009

Xiao JiangQiang, Zhuge Yuzheng

引用次数: 0

Infectious peritonitis after endoscopic ultrasound-guided biliary drainage in a patient with ascites 一例腹水患者经内镜超声引导胆道引流术后感染性腹膜炎

Gastrointestinal Intervention Pub Date : 2018-04-30 DOI: 10.18528/gii180006

Nozomi Okuno, K. Hara, N. Mizuno, Takamichi Kuwahara, Hiromichi Iwaya, M. Tajika, Tsutomu Tanaka, M. Ishihara, Y. Hirayama, S. Onishi, K. Toriyama, Ayako Ito, Naosuke Kuraoka, Shimpei Matsumoto, Masahiro Obata, M. Yasuda, Y. Kurita, Hiroki Tanaka, Y. Niwa

{"title":"Infectious peritonitis after endoscopic ultrasound-guided biliary drainage in a patient with ascites","authors":"Nozomi Okuno, K. Hara, N. Mizuno, Takamichi Kuwahara, Hiromichi Iwaya, M. Tajika, Tsutomu Tanaka, M. Ishihara, Y. Hirayama, S. Onishi, K. Toriyama, Ayako Ito, Naosuke Kuraoka, Shimpei Matsumoto, Masahiro Obata, M. Yasuda, Y. Kurita, Hiroki Tanaka, Y. Niwa","doi":"10.18528/gii180006","DOIUrl":"https://doi.org/10.18528/gii180006","url":null,"abstract":"Summary of Event: Bacterial, mycotic peritonitis and Candida fungemia developed in a patient with moderate ascites who had undergone endoscopic ultrasound-guided biliary drainage (EUS-BD). Antibiotics and antifungal agent were administered and ascites drainage was performed. Although the infection improved, the patient’s general condition gradually deteriorated due to aggravation of the primary cancer and he died. Teaching Point: This is the first report to describe infectious peritonitis after EUS-BD. Ascites carries the potential risk of severe complications. As such, in patients with ascites, endoscopic retrograde cholangiopancreatography (ERCP) is typically preferred over EUS-BD or percutaneous drainage to prevent bile leakage. However, ERCP may not be possible in some patients with tumor invasion of the duodenum or with surgically altered anatomy. Thus, in patients with ascites who require EUS-BD, we recommend inserting the drainage tube percutaneously and draining the ascites before and after the intervention in order to prevent severe infection. Copyright © 2018, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"7 1","pages":"40-43"},"PeriodicalIF":0.0,"publicationDate":"2018-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44111664","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