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Percutaneous retrieval of a misplaced transjugular intrahepatic portosystemic shunt stent using the rigid endobronchial forceps 使用刚性支气管内钳经皮取出错位的经颈静脉肝内门静脉系统分流支架
Gastrointestinal Intervention Pub Date : 2016-07-31 DOI: 10.18528/GII160001
J. Vu, S. Kim
{"title":"Percutaneous retrieval of a misplaced transjugular intrahepatic portosystemic shunt stent using the rigid endobronchial forceps","authors":"J. Vu, S. Kim","doi":"10.18528/GII160001","DOIUrl":"https://doi.org/10.18528/GII160001","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"5 1","pages":"156-158"},"PeriodicalIF":0.0,"publicationDate":"2016-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68272069","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
Enteral stent construction: Current principles 肠内支架构建:当前原则
Gastrointestinal Intervention Pub Date : 2016-07-31 DOI: 10.18528/GII160009
H. Laasch, D. Edwards, Ho-Young Song
{"title":"Enteral stent construction: Current principles","authors":"H. Laasch, D. Edwards, Ho-Young Song","doi":"10.18528/GII160009","DOIUrl":"https://doi.org/10.18528/GII160009","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"5 1","pages":"85-90"},"PeriodicalIF":0.0,"publicationDate":"2016-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68272681","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
Development of gastroduodenal self-expandable metallic stents: 30 years of trial and error 胃十二指肠自膨胀金属支架的发展:30年的试验和错误
Gastrointestinal Intervention Pub Date : 2016-07-31 DOI: 10.18528/GII150032
J. Tsauo, Jung-Hoon Park, Ho-Young Song
{"title":"Development of gastroduodenal self-expandable metallic stents: 30 years of trial and error","authors":"J. Tsauo, Jung-Hoon Park, Ho-Young Song","doi":"10.18528/GII150032","DOIUrl":"https://doi.org/10.18528/GII150032","url":null,"abstract":"In 1991, the author (H.Y.S.) reported the first case of self-expandable metallic stent (SEMS) placement in a patient with recurrent cancer after gas - trojejunostomy. Since then SEMS placement has developed into a well-established method for the palliative treatment of malignant gastroduodenal obstruction. This year marks the 30th year the author has been implicated in the development of gastrointestinal SEMSs. Thus far, the author has developed successively a total of six generations of gastroduodenal SEMSs through trial and error over the years. In the present article, the author reviews his personal experience in developing gastroduodenal stents.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"5 1","pages":"91-97"},"PeriodicalIF":0.0,"publicationDate":"2016-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68271861","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
The use of self-expanding metal stents in the cervical esophagus 自扩式金属支架在颈食管内的应用
Gastrointestinal Intervention Pub Date : 2016-07-31 DOI: 10.18528/GII160002
A. Thrower, A. Nasrullah, A. Lowe, S. Stephenson, C. Kay
{"title":"The use of self-expanding metal stents in the cervical esophagus","authors":"A. Thrower, A. Nasrullah, A. Lowe, S. Stephenson, C. Kay","doi":"10.18528/GII160002","DOIUrl":"https://doi.org/10.18528/GII160002","url":null,"abstract":"A case series was conducted at our institution on the the use of self-expanding metal stents (SEMS) in the cervical esophagus and their tolerability. Departmental records identified 20 consecutive stents placed in the cervical esophagus of 12 patients at our institution. There were 6 men and 6 women, mean age 67.2 years (range, 47.6–91.6 years). Ten patients had either primary or recurrent malignant disease and two had benign disease; a recalcitrant stricture at the oesophago-gastric anastomosis following oesophagectomy and a tracheo-oesophageal fistula secondary to tracheomalacia. Three patients received multiple stents on separate occasions requiring 2, 3, and 6 stents. Nineteen stents were placed radiologically with fluoroscopic guidance via a per-oral route under conscious sedation, and one was placed under direct endoscopic visualisation. Patients were followed up until death or to date. All stents were successfully deployed across the strictures. There was no foreign body sensation (FBS) reported after 16 of the procedures (80%). One patient reported transient FBS. Three stents were removed without complication because of symptoms; the endoscopically placed stent which was within 5 mm of cricopharyngeus and two which were inadvertently deployed across cricopharyngeus. There were no other significant complications related to the stent or procedure. All patients reported significant improvement in dysphagia with dysphagia scores improving from a mean of 3.1/4 to 0.9/4 (Wilcoxon matched-pairs signed-ranks test, P = 0.0158). One stent migrated in a patient with malignant disease; however, all 6 stents placed across the benign stricture migrated. Hence our case series concludes that SEMS can be safely and effectively deployed in the cervical esophagus. Copyright © 2016, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"5 1","pages":"149-152"},"PeriodicalIF":0.0,"publicationDate":"2016-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68272163","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
Enteral stents in the management of gastrointestinal leaks, perforations and fistulae 肠内支架治疗胃肠道渗漏、穿孔和瘘管
Gastrointestinal Intervention Pub Date : 2016-07-31 DOI: 10.18528/GII160006
H. Shehab, T. Baron
{"title":"Enteral stents in the management of gastrointestinal leaks, perforations and fistulae","authors":"H. Shehab, T. Baron","doi":"10.18528/GII160006","DOIUrl":"https://doi.org/10.18528/GII160006","url":null,"abstract":"Gastrointestinal leaks and fistulae are grave conditions associated with substantial morbidity and mortality. Expandable stents have shown significant success in the management of leaks and fistulae, providing an efficacious minimally invasive approach in patients who are frequently poor surgical candidates. Most reports, however, are limited by their small size or the pooling of different stents, techniques and locations of leaks and fistulae. Despite the numerous alterations in stent design, migration remains the pivotal drawback of this technique. In this article, we review the current status of expandable stents in the management of gastrointestinal leaks and fistulae, available anti-migration techniques and evolving innovations","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"39 1","pages":"116-123"},"PeriodicalIF":0.0,"publicationDate":"2016-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68272618","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
Percutaneous colonic stent insertion via a radiologically placed distal ‘cecostomy’ tube for the management of acute malignant bowel obstruction 经放射学放置远端“结肠造口”管的经皮结肠支架置入治疗急性恶性肠梗阻
Gastrointestinal Intervention Pub Date : 2016-07-31 DOI: 10.18528/GII160003
Pavan Najran, Jins Kallampallil, J. Bell, H. Laasch, D. Mullan
{"title":"Percutaneous colonic stent insertion via a radiologically placed distal ‘cecostomy’ tube for the management of acute malignant bowel obstruction","authors":"Pavan Najran, Jins Kallampallil, J. Bell, H. Laasch, D. Mullan","doi":"10.18528/GII160003","DOIUrl":"https://doi.org/10.18528/GII160003","url":null,"abstract":"Percutaneous cecostomy is an uncommon procedure but is reported as an effective temporising measure to achieve acute decompression of bowel obstruction. It has been reported as a safe procedure in the setting of bowel obstruction providing relief of symptoms. The insertion of a cecostomy in the distal colon is not routinely advised as it will not allow passage of formed faeces. Cases of antegrade stenting of proximal colonic obstruction via cecostomy have been described; however, antegrade stenting of the distal colon from access in the ascending colon can be technically challenging. We describe a case of a percutaneous colostomy inserted temporally at the splenic flexure, which provided close access to an obstructing descending colonic tumour, allowing definitive management with placement of a colonic stent. This technical feasibility case provides evidence that a temporary cecostomy placed in the distal colon can be performed as a measure to facilitate definitive management. Copyright © 2016, Society of Gastrointestinal Intervention. All rights reserved.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"22 1","pages":"153-155"},"PeriodicalIF":0.0,"publicationDate":"2016-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68272166","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
The obstructed afferent loop: Percutaneous options 传入回路阻塞:经皮选择
Gastrointestinal Intervention Pub Date : 2016-07-31 DOI: 10.18528/GII160019
D. Mullan, R. Uberoi
{"title":"The obstructed afferent loop: Percutaneous options","authors":"D. Mullan, R. Uberoi","doi":"10.18528/GII160019","DOIUrl":"https://doi.org/10.18528/GII160019","url":null,"abstract":"Endoscopic drainage can be considered the treatment of choice in benign and malignant obstruction of the distal biliary tree, with percutaneous intervention reserved for cases of difficult access or complex hilar strictures. However in patients with altered anatomy due to pancreatico-duode nectomy gastrectomy, or Bilroth II reconstruction, endoscopy can be exceptionally challenging and often impossible. Surgery remains the gold stan - dard for benign causes of obstruction of a bilio-enteric anastomosis or afferent loop, and percutaneous management remains controversial. Novel endoscopic techniques such as double balloon enteroscopy and endoscopic ultrasound guided procedures can overcome some of the anatomical challenges, but a percutaneous approach is a more established technique for cases of malignant obstruction of a bilio-enteric anastomosis or afferent loop. The altered anatomy presents unique challenges which must be fully contemplated and understood before intervention should occur, to avoid the risk of permanent external drainage.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"5 1","pages":"129-137"},"PeriodicalIF":0.0,"publicationDate":"2016-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68272592","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
Enteral stents: Complications and their management 肠内支架:并发症及其处理
Gastrointestinal Intervention Pub Date : 2016-07-31 DOI: 10.18528/GII160005
J. Lopera, M. A. Gregorio, A. Laborda, Rodrigo Casta�o
{"title":"Enteral stents: Complications and their management","authors":"J. Lopera, M. A. Gregorio, A. Laborda, Rodrigo Casta�o","doi":"10.18528/GII160005","DOIUrl":"https://doi.org/10.18528/GII160005","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"5 1","pages":"138-148"},"PeriodicalIF":0.0,"publicationDate":"2016-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68272545","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
Interventional radiologic approach to hilar malignant biliary obstruction 肝门恶性胆道梗阻的介入放射治疗
Gastrointestinal Intervention Pub Date : 2016-03-31 DOI: 10.18528/GII150004
D. Gwon
{"title":"Interventional radiologic approach to hilar malignant biliary obstruction","authors":"D. Gwon","doi":"10.18528/GII150004","DOIUrl":"https://doi.org/10.18528/GII150004","url":null,"abstract":"Biliary obstruction due to advanced hepatic hilar malignancy is difficult to treat, both surgically and non-surgically, using endoscopic or percutane - ous drainage. Since only about 10% to 20% of patients are eligible for resection of hepatic hilar malignancies, most patients receive palliative rather than curative treatment. Percutaneous palliation of advanced hepatic hilar malignancies can be accomplished in a variety of ways. Percutaneous bilateral metallic stent placement may be a reasonable option in patients with hilar malignancies to preserve the functional volume of the liver during the course of chemotherapy and to prevent procedure-related cholangitis of a contaminated undrained lobe. Percutaneous bilateral stent-in-stent placement using wide-mesh or open-cell design stents is a feasible and effective method of achieving bilateral drainage. Moreover, unilateral covered or uncovered metallic stent placement in the lobe with patent portal vein is safe and effective method for palliative treatment in patients with con- tralateral portal vein occlusion caused by hilar malignancies, obviating the need for bilateral stent placement in these patients.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"5 1","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68270923","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 resection for early gastric cancer: The current controversies 内镜下早期胃癌切除术:目前的争议
Gastrointestinal Intervention Pub Date : 2016-03-31 DOI: 10.18528/GII150024
X. Xia, P. Chiu
{"title":"Endoscopic resection for early gastric cancer: The current controversies","authors":"X. Xia, P. Chiu","doi":"10.18528/GII150024","DOIUrl":"https://doi.org/10.18528/GII150024","url":null,"abstract":"Gastric cancer remained second commonest cancer worldwide. The diagnosis of early gastric cancer (EGC) is increasing in Japan and South Korea re - sulting in better oncological outcomes. Endoscopic resection (ER) is safe and effective treatment for EGC with minimal risk of lymph node metastasis. The oncological clearance of ER for EGC in expanded criteria remains controversial. Several retrospective studies showed that endoscopic submuco- sal dissection (ESD) achieved minimal local recurrence and excellent survival for EGC in expanded indications. With an increasing trend of cancer occuring in the aging population, ER will play a major role in treatment of EGC among elderly who usually have multiple comorbidities. Salvage gastrectomy is generally recommended for those with non-curative ESD, while further researches should be conducted to refine the risks of nodal metastasis for various submucosal EGCs. Endoscopic surveillance is recommended for long term follow-up of patients after curative ESD as the risk of metachronous cancer is significant. Eradication of Helicobacter pylori is generally recommended for EGC treated by ER with a view to reduce the risk of metachronous tumor.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"5 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68271372","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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