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Gastrointestinal Intervention最新文献

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Combined use of a two-channel endoscope and a flexible tip catheter for difficult biliary cannulation 双通道内窥镜与柔性尖端导尿管联合应用于困难的胆道插管
Gastrointestinal Intervention Pub Date : 2018-04-30 DOI: 10.18528/GII160024
M. Kuwatani, Y. Kubota, Shuhei Kawahata, Kimitoshi Kubo, K. Kawakubo, H. Kawakami, N. Sakamoto
{"title":"Combined use of a two-channel endoscope and a flexible tip catheter for difficult biliary cannulation","authors":"M. Kuwatani, Y. Kubota, Shuhei Kawahata, Kimitoshi Kubo, K. Kawakubo, H. Kawakami, N. Sakamoto","doi":"10.18528/GII160024","DOIUrl":"https://doi.org/10.18528/GII160024","url":null,"abstract":"A 69-year-old woman with jaundice was referred to our hospital. After a final diagnosis of pancreatic cancer with liver metastasis, we performed transpapillary biliary drainage with a covered self-expandable metal stent (SEMS). Three months later, we also placed an uncovered duodenal stent for duodenal stricture in a side-to-end fashion. Another month later, for biliary SEMS obstruction, we attempted a transpapillary approach. A duo- denoscope was advanced and a guidewire was passed through the mesh of the duodenal stent into the bile duct with a flexible tip catheter, but the catheter was not. Thus, we exchanged the duodenoscope for a forward-viewing two-channel endoscope and used the left working channel with a flexible tip catheter. By adjusting the axis, we finally succeeded biliary cannulation and accomplished balloon cleaning for recanalization of the SEMS. This is the first case with successful biliary cannulation by combined use of a two-channel endoscope and a flexible tip catheter.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"7 1","pages":"34-35"},"PeriodicalIF":0.0,"publicationDate":"2018-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46600681","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
Intraductal migration of necrotic hepatocellular carcinoma: A possible cause of obstructive cholangitis after chemoembolization 坏死性肝细胞癌导管内转移：化疗栓塞后梗阻性胆管炎的可能原因
Gastrointestinal Intervention Pub Date : 2018-04-30 DOI: 10.18528/GII160030
H. Park, J. Shin
{"title":"Intraductal migration of necrotic hepatocellular carcinoma: A possible cause of obstructive cholangitis after chemoembolization","authors":"H. Park, J. Shin","doi":"10.18528/GII160030","DOIUrl":"https://doi.org/10.18528/GII160030","url":null,"abstract":"Acute obstructive cholangitis due to the migration of necrotized tumor fragment(s) has been rarely reported after transarterial chemoembolization (TACE). We report an unusual case of it, which was demonstrated by computed tomography (CT) and endoscopic retrograde cholangiography. We suggest that in the setting of acute biliary obstruction after TACE with a CT-demonstrated new intraductal soft tissue lesion with or without a radi- opaque portion, along with no or less visualization of a previous tumor located inside or near the duct, the possibility of intraductal migration of a necrotic tumor fragment should be considered. Both clinicians and radiologists should become familiar with this condition because it may be ignored or misinterpreted as biliary calculi.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"7 1","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2018-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49124636","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
Portal vein embolization prior to hepatectomy: Techniques, outcomes and novel therapeutic approaches 肝切除术前门静脉栓塞：技术、结果和新的治疗方法
Gastrointestinal Intervention Pub Date : 2018-04-30 DOI: 10.18528/GII180010
Matthew L. Hung, J. McWilliams
{"title":"Portal vein embolization prior to hepatectomy: Techniques, outcomes and novel therapeutic approaches","authors":"Matthew L. Hung, J. McWilliams","doi":"10.18528/GII180010","DOIUrl":"https://doi.org/10.18528/GII180010","url":null,"abstract":"would not benefit from PVE. Although two-stage hepatectomy has extended surgical candidacy to patients with bilobar disease, 13 diffuse multifocal disease remains a contraindication to PVE. PVE is unnecessary in the case of complete lobar portal vein thrombosis, as flow is already diverted. 14 Other relative contraindications include Hepatectomy plays a pivotal role in the management of primary and secondary malignancies of the liver, and offers a curative option for the patient. Postoperative liver failure is a severe complication of liver resection, particularly for patients with underlying liver disease. Portal vein embolization (PVE) is a well-established preoperative technique that redirects blood flow to the anticipated remaining liver after resection in an effort to improve the functional hepatic reserve. PVE has improved the safety of hepatectomy and has extended surgical candidacy to patients who previously would have been ineligible for resection because of insufficient remnant liver volume. This article reviews the following aspects of PVE; indications, contra- indications, liver volumetry, approaches, embolization agents, recent outcomes data, and areas of active research including adjunctive therapies and temporary PVE.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"7 1","pages":"2-8"},"PeriodicalIF":0.0,"publicationDate":"2018-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48461299","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
A new and improved transjugular intrahepatic portosystemic shunt (TIPS) stent graft: Controlled expansion 一种新型改良经颈静脉肝内门体分流(TIPS)支架:控制扩张
Gastrointestinal Intervention Pub Date : 2018-04-30 DOI: 10.18528/GII180007
H. Trieu, E. Lee
{"title":"A new and improved transjugular intrahepatic portosystemic shunt (TIPS) stent graft: Controlled expansion","authors":"H. Trieu, E. Lee","doi":"10.18528/GII180007","DOIUrl":"https://doi.org/10.18528/GII180007","url":null,"abstract":"Initial underdilation of transjugular intrahepatic portosystemic shunt (TIPS) stents has been a widely proposed and commonly practiced technique to balance portal hypertension relief and the adverse effects associated with excess shunting, especially hepatic encephalopathy. However, this technique has been scrutinized by a number of studies which have shown that underdilated TIPS stents tend to passively expand with time. The recently launched GORE® VIATORR® TIPS Endoprosthesis with Controlled Expansion (VIATORR CX®) may address this problem with its novel diameter control capabilities. This article reviews literature concerning passive expansion of initially underdilated TIPS stents and explores preliminary data investigating the use and efficacy of the VIATORR CX® endoprosthesis. Copyright © 2018, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"7 1","pages":"18-20"},"PeriodicalIF":0.0,"publicationDate":"2018-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45423311","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
Percutaneous transhepatic hepatic venous stenting after extracorporeal hepatic resection and autotransplantation: A case report 体外肝切除和自体肝移植后经皮肝静脉支架置入术1例
Gastrointestinal Intervention Pub Date : 2017-10-31 DOI: 10.18528/GII160015
Jung Hwan Park, U. Jeon, K. Choo, Tae Un Kim, C. Chu, J. Ryu
{"title":"Percutaneous transhepatic hepatic venous stenting after extracorporeal hepatic resection and autotransplantation: A case report","authors":"Jung Hwan Park, U. Jeon, K. Choo, Tae Un Kim, C. Chu, J. Ryu","doi":"10.18528/GII160015","DOIUrl":"https://doi.org/10.18528/GII160015","url":null,"abstract":"We report a case of percutaneous transhepatic stent placement for the treatment of hepatic venous outflow obstruction after extracorporeal hepatic resection and autotransplantation. A 63-year-old woman with a large mass in the liver was asymptomatic with no hepatic virus infection. Because the tumor was unresectable by conventional means, we used extracorporeal hepatic resection and autotransplantation for operation. Two days after surgery, hepatic venous outflow obstruction of the right and right inferior hepatic veins was suspected on computed tomography. After failure of the transjugular approach, hepatic venous stenting was performed successfully via the percutaneoustranshepatic approach. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"176-179"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43289482","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
A successful rendezvous endoscopic ultrasonography-guided gallbladder drainage in malignant cystic duct obstruction 超声内镜引导下胆囊引流成功治疗恶性胆囊管梗阻
Gastrointestinal Intervention Pub Date : 2017-10-31 DOI: 10.18528/GII160023
H. Kim, Jong-chan Lee, Jaihwan Kim, Jin-Hyeok Hwang
{"title":"A successful rendezvous endoscopic ultrasonography-guided gallbladder drainage in malignant cystic duct obstruction","authors":"H. Kim, Jong-chan Lee, Jaihwan Kim, Jin-Hyeok Hwang","doi":"10.18528/GII160023","DOIUrl":"https://doi.org/10.18528/GII160023","url":null,"abstract":"Endoscopic ultrasonography-guided gallbladder drainage (EUS-GBD) has been developed as an alternative drainage method in patients with malignant cystic duct obstruction. However, the procedure of track dilation is difficult in case of severe gallbladder wall thickening with tumor involvement or inflammation. The rendezvous technique via external fistulous track is considered in failed attempts to dilate an internal track between the gallbladder and the stomach/duodenum using conventional approach of EUS-GBD. This report presents a 56-year-old man with pancreatic cancer with malignant cystic duct obstruction who underwent percutaneous transhepatic gallbladder drainage. The patient was successfully treated using rendezvous EUS-GBD technique after he failed the conventional EUS-GBD procedure of internal track dilation. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"180-182"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46857797","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
De novo hepatico-gastric stent placement for biliary stricture via percutaneous transhepatic biliary approach 经皮肝穿刺胆道入路肝胃支架置入治疗胆管狭窄
Gastrointestinal Intervention Pub Date : 2017-10-31 DOI: 10.18528/GII160027
A. Aggarwal, A. Park, J. West
{"title":"De novo hepatico-gastric stent placement for biliary stricture via percutaneous transhepatic biliary approach","authors":"A. Aggarwal, A. Park, J. West","doi":"10.18528/GII160027","DOIUrl":"https://doi.org/10.18528/GII160027","url":null,"abstract":"Biliary stricture formation is a known complication of hepatic surgery in cases of adult living donor liver transplant. In our case, successful percutaneous placement of a hepatico-gastric stent was performed for the drainage of an isolated bile duct after right liver transplant with Roux-en-Y biliary anastomosis in a 42-year-old male. The patient initially presented with cholangitis and a percutaneous transhepatic cholangiogram revealed an isolated stricture of the posterior bile duct. Multiple attempts at regaining continuity of the isolated bile duct with the jejunum were unsuccessful. Thus a tract was created via a percutaneous transhepatic and transluminal approach between the isolated duct and the stomach using a covered stent. The patient had no complications at 18-month follow-up. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"183-186"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43902859","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
Recent development of innovative resection methods for gastric neoplasms using hybrid natural orifice transluminal endoscopic surgery approach 采用混合自然开口腔内内镜手术方法的胃肿瘤创新切除方法的最新进展
Gastrointestinal Intervention Pub Date : 2017-10-31 DOI: 10.18528/GII170017
S. Lim
{"title":"Recent development of innovative resection methods for gastric neoplasms using hybrid natural orifice transluminal endoscopic surgery approach","authors":"S. Lim","doi":"10.18528/GII170017","DOIUrl":"https://doi.org/10.18528/GII170017","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"162-165"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47452515","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
Management of gastrointestinal tract perforations 胃肠道穿孔的处理
Gastrointestinal Intervention Pub Date : 2017-10-31 DOI: 10.18528/GII170016
Yunho Jung
{"title":"Management of gastrointestinal tract perforations","authors":"Yunho Jung","doi":"10.18528/GII170016","DOIUrl":"https://doi.org/10.18528/GII170016","url":null,"abstract":"Digestive endoscopy has evolved from primary diagnosis to extensive therapeutic approaches for the management of gastrointestinal diseases. Increased health awareness has encouraged more people to undergo endoscopic examinations. For these reasons, the absolute number of iatrogenic perforations is likely to increase. Because of the very low incidence of perforations, clinicians are not always prepared or experienced in cases of unexpectedly encountered perforations during diagnostic or therapeutic endoscopic procedures. In this study, the proper approach to handling perforations is discussed including selection of endoscopic devices, endoscopic closure procedures, and management of patients after a perforation occurs in the gastrointestinal tract. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"157-161"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46423295","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
Clinical outcomes of biliary and duodenal self-expandable metal stent placements for palliative treatment in patients with periampullary cancer 癌症患者胆道和十二指肠可自膨胀金属支架姑息治疗的临床结果
Gastrointestinal Intervention Pub Date : 2017-10-31 DOI: 10.18528/GII170013
Hong-Joo Kim
{"title":"Clinical outcomes of biliary and duodenal self-expandable metal stent placements for palliative treatment in patients with periampullary cancer","authors":"Hong-Joo Kim","doi":"10.18528/GII170013","DOIUrl":"https://doi.org/10.18528/GII170013","url":null,"abstract":"Background: Endoscopic self-expandable metal stent (SEMS) insertions for palliation of malignant biliary and duodenal obstructions have been re- vealed to be an effective treatment. We present our clinical experience with the use of SEMS for malignant biliary and duodenal obstructions caused by periampullary cancer. Methods: We performed a retrospective review of all patients who underwent endoscopic biliary and duodenal SEMS insertion for palliation of ma lignant biliary and duodenal obstruction caused by periampullary cancer between July 2007 and October 2016. The patients received simultaneous or sequential endoscopic biliary stenting and duodenal stenting with COMVI TM stents (partially covered; Taewoong, Seoul, Korea). Results: The final diagnoses of our enrolled patients were 15 pancreas head cancer, and 3 distal common bile duct (CBD) cancer. The main stricture site in the duodenum was bulb (n = 4, 22.2%), 2nd portion (n = 9, 50.0%), and 3rd portion (n = 5, 27.8%). The technical success rates of CBD and du odenal stenting were 100% (18/18), and 100% (18/18), respectively. The clinical success rates of CBD and duodenal stenting were 100% (18/18), and 88.9% (16/18), respectively. Median actuarial stent patency for biliary and duodenal SEMS were 6.5 months (range, 1–12 months) and 4.5 months (range, 1–14 months), respectively. Three patients (16.7%) had recurrent biliary obstruction and all of them underwent percutaneous trans-hepatic biliary drainage (PTBD) with biliary SEMS reinsertion. Three other patients (16.7%, totally different from patients with CBD restenosis) had recurrent duodenal obstruction and all of them underwent upper gastrointestinal endoscopy with duodenal SEMS reinsertion. Conclusion: Endoscopic SEMS insertions for simultaneous palliation of malignant biliary and duodenal obstruction in patients with periampullary cancer may provide a safe, and less invasive alternative to surgical palliation with a successful clinical outcome.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"171-175"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47067770","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
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