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The use of OverStitch TM for the treatment of intestinal perforation, fistulas and leaks 应用OverStitch TM治疗肠穿孔、瘘、漏
Gastrointestinal Intervention Pub Date : 2017-10-30 DOI: 10.18528/GII170002
T. Muniraj, H. Aslanian
{"title":"The use of OverStitch TM for the treatment of intestinal perforation, fistulas and leaks","authors":"T. Muniraj, H. Aslanian","doi":"10.18528/GII170002","DOIUrl":"https://doi.org/10.18528/GII170002","url":null,"abstract":"Gastrointestinal perforations, leaks and fistulas may complicate endoscopic and surgical procedures. Surgical repair is associated with significant morbidity. Therapeutic endoscopic tools and techniques have included the application of tissue sealants, clip closure, and stent placement. Endoscopic suturing is a rapidly evolving minimally invasive technique. The OverStitch (Apollo Endosurgery, USA) is currently the only available endoscopic suturing system. Although technically more difficult than clip closure, endoscopic suturing allows closure of larger defects. In some settings, outcomes similar to surgical management with less morbidity may be achieved. This review describes the OverStitch endoscopic suturing system and the published literature regarding its use for perforations, leaks and fistulas. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"151-156"},"PeriodicalIF":0.0,"publicationDate":"2017-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41921284","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
Percutaneous radiologic gastrostomy in patients with failed percutaneous endoscopic gastrostomy 经皮内镜胃造口术失败患者的经皮放射胃造口术
Gastrointestinal Intervention Pub Date : 2017-10-30 DOI: 10.18528/GII160031
Tang-fei Lee, Young-Jong Cho, A. Shin, H. Ko, Jihong Park, S. Kim, Jin Hyoung Kim, Ho-Young Song
{"title":"Percutaneous radiologic gastrostomy in patients with failed percutaneous endoscopic gastrostomy","authors":"Tang-fei Lee, Young-Jong Cho, A. Shin, H. Ko, Jihong Park, S. Kim, Jin Hyoung Kim, Ho-Young Song","doi":"10.18528/GII160031","DOIUrl":"https://doi.org/10.18528/GII160031","url":null,"abstract":"Background: To determine the technical feasibility and success rate of percutaneous radiologic gastrostomy (PRG) after failure of percutaneous endoscopic gastrostomy (PEG). Methods: Consecutive patients referred for PRG after failure of PEG between May 2011 and June 2016 were included in this study. The reasons for the failure of PEG, as well as the technical success and complications of PRG were noted. Results: Fifteen patients (14 men, 1 woman; age, 27–93 years) were included. The most common reasons for PEG failure were esophageal stricture due to malignancies (n = 8), unfavorable abdominal wall conditions (n = 3), unstable patient condition during endoscopy (n = 2), and other miscellaneous conditions (n = 2). PRG placement was technically successful in all 15 cases. In one case, early slip-out of the gastrostomy tube occurred, which required removal and repositioning. No mortality was noted. Conclusion: PRG is technically feasible in patients with failed PEG insertion, and has advantages over PEG and a high overall success rate. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"166-170"},"PeriodicalIF":0.0,"publicationDate":"2017-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43820341","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
Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis 慢性胰腺炎患者的Soehendra®回收装置引起的胰腺穿孔
Gastrointestinal Intervention Pub Date : 2017-10-30 DOI: 10.18528/GII170014
S. Shin, S. Jang, Joon Seong Park, D. Lee
{"title":"Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis","authors":"S. Shin, S. Jang, Joon Seong Park, D. Lee","doi":"10.18528/GII170014","DOIUrl":"https://doi.org/10.18528/GII170014","url":null,"abstract":"Summary of Event: An endoscopic retrograde pancreatic duct (ERPD) stent was inserted in a male patient with chronic pancreatitis via endoscopic retrograde cholangiopancreatography (ERCP) to relieve chronic epigastric pain. After the procedure, an abdominal computed tomography scan showed localized peritonitis with a dislocated ERPD stent. The patient underwent an emergency operation, which revealed that the peritonitis was caused by perforation of the pancreatic parenchyma by the ERPD stent. Teaching Point: A hydrophilic guide wire can puncture the pancreas during ERPD stent insertion. Therefore, it is necessary to ensure that the guide wire reaches the main pancreatic duct, especially in patients with chronic pancreatitis. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"187-190"},"PeriodicalIF":0.0,"publicationDate":"2017-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42922069","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
Comprehensive management of cholangiocarcinoma: Part I. Diagnosis 胆管癌的综合治疗:第一部分诊断
Gastrointestinal Intervention Pub Date : 2017-07-31 DOI: 10.18528/GII1500341
Charilaos Papafragkakis, Jeffrey H. Lee
{"title":"Comprehensive management of cholangiocarcinoma: Part I. Diagnosis","authors":"Charilaos Papafragkakis, Jeffrey H. Lee","doi":"10.18528/GII1500341","DOIUrl":"https://doi.org/10.18528/GII1500341","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"85-93"},"PeriodicalIF":0.0,"publicationDate":"2017-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46595311","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
Complex biliary intervention: Percutaneous small bowel access confirmation with cone-beam computed tomography and retrograde biliary obstruction recanalization 复杂的胆道干预：经皮小肠入路锥束计算机断层扫描和逆行胆道梗阻再通术的确认
Gastrointestinal Intervention Pub Date : 2017-07-31 DOI: 10.18528/GII160026
J. Lopera, Ryan M. Hegg, E. Bready, G. Kroma, A. Garza-Berlanga, R. Suri
{"title":"Complex biliary intervention: Percutaneous small bowel access confirmation with cone-beam computed tomography and retrograde biliary obstruction recanalization","authors":"J. Lopera, Ryan M. Hegg, E. Bready, G. Kroma, A. Garza-Berlanga, R. Suri","doi":"10.18528/GII160026","DOIUrl":"https://doi.org/10.18528/GII160026","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"140-144"},"PeriodicalIF":0.0,"publicationDate":"2017-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43753494","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 ultrasound-guided biliary drainage: Complications and their management 超声内镜下胆道引流术:并发症及处理
Gastrointestinal Intervention Pub Date : 2017-07-31 DOI: 10.18528/GII160012
H. Isayama, Y. Nakai, N. Yamamoto, S. Matsubara, Yukiko Ito, Hirfoumi Kogure, T. Hamada, K. Koike
{"title":"Endoscopic ultrasound-guided biliary drainage: Complications and their management","authors":"H. Isayama, Y. Nakai, N. Yamamoto, S. Matsubara, Yukiko Ito, Hirfoumi Kogure, T. Hamada, K. Koike","doi":"10.18528/GII160012","DOIUrl":"https://doi.org/10.18528/GII160012","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"114-117"},"PeriodicalIF":0.0,"publicationDate":"2017-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44661603","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
Endoscopic ultrasound-guided vascular intervention for portal hypertension 超声内镜下门静脉高压症血管介入治疗
Gastrointestinal Intervention Pub Date : 2017-07-31 DOI: 10.18528/GII160028
Raymond S. Y. Tang
{"title":"Endoscopic ultrasound-guided vascular intervention for portal hypertension","authors":"Raymond S. Y. Tang","doi":"10.18528/GII160028","DOIUrl":"https://doi.org/10.18528/GII160028","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"130-134"},"PeriodicalIF":0.0,"publicationDate":"2017-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48205315","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
Pancreaticoduodenal artery pseudoaneurysm-induced hemobilia caused by a plastic biliary stent 塑料胆道支架致胰十二指肠动脉假性动脉瘤性胆道出血
Gastrointestinal Intervention Pub Date : 2017-07-31 DOI: 10.18528/GII170007
Hong-Joo Kim
{"title":"Pancreaticoduodenal artery pseudoaneurysm-induced hemobilia caused by a plastic biliary stent","authors":"Hong-Joo Kim","doi":"10.18528/GII170007","DOIUrl":"https://doi.org/10.18528/GII170007","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"148-150"},"PeriodicalIF":0.0,"publicationDate":"2017-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46346945","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
Biodegradable stent insertion for ischaemic colorectal strictures: Tiger country 可生物降解支架置入治疗缺血性结直肠狭窄：Tiger country
Gastrointestinal Intervention Pub Date : 2017-07-31 DOI: 10.18528/GII160011
Pavan Najran, D. Mullan, H. Laasch
{"title":"Biodegradable stent insertion for ischaemic colorectal strictures: Tiger country","authors":"Pavan Najran, D. Mullan, H. Laasch","doi":"10.18528/GII160011","DOIUrl":"https://doi.org/10.18528/GII160011","url":null,"abstract":"We describe our initial experience with the use of biodegradable (BD) stents in benign ischemic colorectal strictures with two cases. The first case is of a 40-year-old male with a history of retroperitoneal sarcoma who developed a benign stricture in the descending colon postsurgical and radiotherapy treatment. Balloon dilation was required in order to pass the delivery system. The patient experienced significant pain postdeployment and post procedure computed tomography scan demonstrated a small perforation requiring an emergency laparotomy. The second case is a 61-year-old male with a history of retroperitoneal sarcoma who also developed an ischemic stricture in the descending colon after surgical excision. Using a combined fluoroscopic and endoscopic approach 3 separate BD stents were inserted over a 17-month period improving clinical symptoms of intermittent obstruction. These symptoms reoccurred after stent disintegration and the patient was definitively managed surgically with colostomy formation. The use of BD stents, although appealing, does not provide an adequate long term result. Additionally, more flexible, smaller calibre systems are required for deployment in tortuous environments. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"145-147"},"PeriodicalIF":0.0,"publicationDate":"2017-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49059769","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 ultrasound-guided extraluminal drainage: Novel concepts, challenges and future directions 内镜超声引导管腔外引流：新概念、挑战和未来方向
Gastrointestinal Intervention Pub Date : 2017-07-31 DOI: 10.18528/GII160020
L. Madácsy, H. Kaltsidis
{"title":"Endoscopic ultrasound-guided extraluminal drainage: Novel concepts, challenges and future directions","authors":"L. Madácsy, H. Kaltsidis","doi":"10.18528/GII160020","DOIUrl":"https://doi.org/10.18528/GII160020","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"6 1","pages":"122-129"},"PeriodicalIF":0.0,"publicationDate":"2017-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47583173","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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