Gastroenterology, Hepatology and Endoscopy Practice最新文献

Complications of Forgotten or Neglected Biliary Plastic Stents and Their Outcome 被遗忘或忽视的胆道塑料支架并发症及其结果

Gastroenterology, Hepatology and Endoscopy Practice Pub Date : 2024-06-03 DOI: 10.4103/ghep.ghep_5_24

Mhasisielie Zumu, R. S. Arun, Nageswara Rao, S. K. Kumar, Nayan Sri, Vaibhav Tirupati

{"title":"Complications of Forgotten or Neglected Biliary Plastic Stents and Their Outcome","authors":"Mhasisielie Zumu, R. S. Arun, Nageswara Rao, S. K. Kumar, Nayan Sri, Vaibhav Tirupati","doi":"10.4103/ghep.ghep_5_24","DOIUrl":"https://doi.org/10.4103/ghep.ghep_5_24","url":null,"abstract":"\u0000 \u0000 Before cholecystectomy, endoscopic retrograde cholangiopancreatography (ERCP) with common bile duct (CBD) stent placement is the standard therapy for choledocholithiasis. Prolonged stents in situ may present with various complications, some of which may be life-threatening.\u0000 \u0000 \u0000 \u0000 A study in a tertiary center in South India from January 2018 to July 2023. A total of 624 patients underwent ERCP for biliary stent procedures, out of which 29 had biliary plastic stents in situ for more than 6 months. We retrospectively analyzed these 29 cases for complications and their treatment outcomes.\u0000 \u0000 \u0000 \u0000 The mean ± standard deviation age was 57.5 ± 16.6 years, male-to-female ratio was 2.2:1, 55.17% had a cholecystectomy (n = 16), the most common indications for CBD stent placement were choledocholithiasis 75.8% (n = 22); the median duration of stent in situ was 7 months interquartile range (6–9). The reasons for delayed CBD stent removal were: 27.6% due to the COVID-19 pandemic (n = 8), 13.8% surgically unfit (n = 4), 6.9% financial constraints (n = 2), 3.4% of patients were unaware of the stent in situ (n = 1), and 48.3% were unknown (n = 14). The complications associated were that 69% had calculi/sludge (n = 20), 24.14% had cholangitis (n = 7), 7% were asymptomatic (n = 2), and 3% had intestinal perforation (n = 1).\u0000 \u0000 \u0000 \u0000 Early complication identification and treatment lead to successful clinical outcomes. Irrespective of cholecystectomy, a check cholangiogram, and CBD clearance should be done in all cases of biliary stent removal.\u0000","PeriodicalId":328017,"journal":{"name":"Gastroenterology, Hepatology and Endoscopy Practice","volume":"106 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141389106","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}

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Abstracts of Case Reports Presented at the Mid-term Meeting of the Tamil Nadu Chapter of Indian Society of Gastroenterology at Puducherry on 23rd September 2023 2023 年 9 月 23 日在普杜切里举行的印度胃肠病学会泰米尔纳德邦分会中期会议病例报告摘要

Gastroenterology, Hepatology and Endoscopy Practice Pub Date : 2023-12-28 DOI: 10.4103/ghep.ghep_34_23

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An Unusual Cause for Sudden Massive Hematochezia in Intensive Care Unit 重症监护病房突发大量出血的一个不寻常原因

Gastroenterology, Hepatology and Endoscopy Practice Pub Date : 2023-12-28 DOI: 10.4103/ghep.ghep_20_23

U. S. Manmohan, R. S. Arun, Aditi Damle

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Indian Literature Review on Nonalcoholic Fatty Liver Disease 印度关于非酒精性脂肪肝的文献综述

Gastroenterology, Hepatology and Endoscopy Practice Pub Date : 2023-12-28 DOI: 10.4103/ghep.ghep_23_23

Balamurali Rangachari, Manimaran Murugesan, Chitra Shanmugam, S. Gopalsamy, K. Chinnadurai

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Abstracts Presented at the Mid-term Meeting of the Tamil Nadu Chapter of the Indian Society of Gastroenterology at Puducherry on September 23, 2023 印度胃肠病学会泰米尔纳德邦分会中期会议摘要（2023 年 9 月 23 日，普杜切里

Gastroenterology, Hepatology and Endoscopy Practice Pub Date : 2023-12-28 DOI: 10.4103/ghep.ghep_33_23

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Rhodanine Stain Improves Utility of Leipzig Score to Diagnose Hepatic Wilson’s Disease in Noncholestatic Patients with Fibrosis 罗丹宁染色提高了莱比锡评分诊断非胆汁淤积性肝纤维化患者肝威尔森氏病的实用性

Gastroenterology, Hepatology and Endoscopy Practice Pub Date : 2023-12-28 DOI: 10.4103/ghep.ghep_22_23

B. Vijayalekshmi, ThomasA Kodiatte, G. Amirtharaj, Pamela Christudoss, U. Zachariah, A. Nellickal, B. Ramakrishna, K. A. Balasubramanian, C. Eapen, Ashish Goel

{"title":"Rhodanine Stain Improves Utility of Leipzig Score to Diagnose Hepatic Wilson’s Disease in Noncholestatic Patients with Fibrosis","authors":"B. Vijayalekshmi, ThomasA Kodiatte, G. Amirtharaj, Pamela Christudoss, U. Zachariah, A. Nellickal, B. Ramakrishna, K. A. Balasubramanian, C. Eapen, Ashish Goel","doi":"10.4103/ghep.ghep_22_23","DOIUrl":"https://doi.org/10.4103/ghep.ghep_22_23","url":null,"abstract":"Cholestasis may increase the difficulty of diagnosing Wilson’s disease (WD). We aimed to compare Leipzig score including hepatic parenchymal copper concentration or rhodanine stain, to diagnose hepatic WD, in noncholestatic patients with fibrosis. We defined cholestasis by biochemical and/or histological criteria. Of noncholestatic patients who had liver fibrosis and liver copper estimation, those with isolated hepatic WD comprised WD study group and those with liver disease other than WD, with either low serum ceruloplasmin, high urinary copper, or Kayser–Fleischer ring, were controls. WD diagnosis by Leipzig score was labeled highly likely, probable, or unlikely. Twenty WD study group patients (12 males; 21 [6–52] years; median [range]) and 18 controls (13 males; 32 [10–69] years, all had high urinary copper) were recruited. Rhodanine stain was positive in 60% WD patients and in 33% of controls. With rhodanine stain, Leipzig score had sensitivity of 100% (95% confidence interval: 83.2%–100%), specificity of 66.7% (41%–86.7%), and positive likelihood ratio of 3 (1.56–5.77) to diagnose probable/highly likely WD. In contrast, on adding hepatic parenchymal copper concentration, Leipzig score had sensitivity of 100% (83.2%–100%), but specificity was 38.9% (17.3%–64.2%). In controls, Leipzig score (including rhodanine stain) of ≤ 2 ruled out WD. On excluding cholestatic patients, rhodanine stain performs better than hepatic parenchymal copper concentration to diagnose hepatic WD using Leipzig score in patients with fibrosis. Widespread availability is an added advantage of rhodanine stain.","PeriodicalId":328017,"journal":{"name":"Gastroenterology, Hepatology and Endoscopy Practice","volume":"59 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139150650","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}

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Diagnosis and Management of Esophageal Motility Disorders Beyond Achalasia 食道运动障碍的诊断和管理，不局限于失弛缓症

Gastroenterology, Hepatology and Endoscopy Practice Pub Date : 2023-12-28 DOI: 10.4103/ghep.ghep_25_23

Mayank Jain

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Rescue Therapy in Gastric Mucosal Bleed using Haemospray™ 使用 Haemospray™ 对胃黏膜出血进行抢救性治疗

Gastroenterology, Hepatology and Endoscopy Practice Pub Date : 2023-12-28 DOI: 10.4103/ghep.ghep_19_23

A. Sarangapani, Tarun J. George, Nawahirsha Sultan, S. Malathi

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Endoscopy in the Diagnosis and Management of Gastrointestinal Neuroendocrine Tumors 内窥镜在胃肠道神经内分泌肿瘤诊断和管理中的应用

Gastroenterology, Hepatology and Endoscopy Practice Pub Date : 2023-12-28 DOI: 10.4103/ghep.ghep_21_23

Noble Varghese Mathews, S. Chowdhury, Anoop John

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Primary Gastric Actinomycosis: Case Reports and Literature Review 原发性胃放线菌病：病例报告和文献综述

Gastroenterology, Hepatology and Endoscopy Practice Pub Date : 2023-12-28 DOI: 10.4103/ghep.ghep_35_23

Mhasisielie Zumu, Ilavarasi Lakshmanan, R. S. Arun, Aditi Damle

引用次数: 0