Journal of Digestive Endoscopy最新文献_第7页

EUS-Guided Rendezvous and Tractogastrostomy: A Novel Technique for Disconnected Pancreatic Duct Syndrome with External Pancreatic Fistula EUS引导下集合和牵引胃造瘘术：一种治疗胰腺管综合征合并胰外瘘的新技术

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Journal of Digestive Endoscopy Pub Date : 2022-08-08 DOI: 10.1055/s-0042-1754334

Vikas Singla, A. Arora, S. Rana, Manoj Kohle, Shivam Khare, Ashish Kumar, N. Bansal, Praveen Sharma

{"title":"EUS-Guided Rendezvous and Tractogastrostomy: A Novel Technique for Disconnected Pancreatic Duct Syndrome with External Pancreatic Fistula","authors":"Vikas Singla, A. Arora, S. Rana, Manoj Kohle, Shivam Khare, Ashish Kumar, N. Bansal, Praveen Sharma","doi":"10.1055/s-0042-1754334","DOIUrl":"https://doi.org/10.1055/s-0042-1754334","url":null,"abstract":"\u0000 Background and Aims External pancreatic fistula occurring in the setting of disconnected pancreatic duct syndrome leads to significant morbidity, often requiring surgery. The aim of this study is to report a new technique of endoscopic ultrasound (EUS)-guided rendezvous and tractogastrostomy in patients with disconnected pancreatic duct syndrome and external pancreatic fistula.\u0000 Methods This study is retrospective analysis of the data of the patients with external pancreatic fistula who had undergone EUS-guided rendezvous and tractogastrostomy. Internalization of pancreatic secretions was performed by placing a stent between tract and the stomach. Technical success was defined as placement of stent between the tract and the stomach. Clinical success was defined as removal of external catheter and absence of peripancreatic fluid collection, ascites or external fistula at 3 months after the tractogastrostomy.\u0000 Results Four patients, all male, with median age of 33.5 years (range: 29–45), underwent EUS-guided tractogastrostomy. Technical and clinical success was 100%, without any procedure related complication. External catheter could be removed in all the patients. During the median follow-up of 10.5 months (range: 8–12), two patients had stent migration and peripancreatic fluid collection, which were managed by EUS-guided internal drainage.\u0000 Conclusions EUS-guided rendezvous and tractogastrostomy are a safe and effective technique for the treatment of external pancreatic fistula.","PeriodicalId":43098,"journal":{"name":"Journal of Digestive Endoscopy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42077636","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

Outcome of Digital Cholangioscopy and Laser Lithotripsy for Impacted Biliary Stones 数字胆道镜联合激光碎石治疗阻生胆结石的疗效

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Journal of Digestive Endoscopy Pub Date : 2022-08-08 DOI: 10.1055/s-0042-1755337

Vikas Singla, A. Arora, Sawan Bopanna, Shivam Khare, Ashish Kumar, N. Bansal, Praveen Sharma

{"title":"Outcome of Digital Cholangioscopy and Laser Lithotripsy for Impacted Biliary Stones","authors":"Vikas Singla, A. Arora, Sawan Bopanna, Shivam Khare, Ashish Kumar, N. Bansal, Praveen Sharma","doi":"10.1055/s-0042-1755337","DOIUrl":"https://doi.org/10.1055/s-0042-1755337","url":null,"abstract":"\u0000 Background and Aims Impacted stones in the bile duct are difficult to extract, and are predictor of failure of conventional endoscopic retrograde cholangiopancreatography techniques including mechanical lithotripsy and large balloon dilatation. Intracorporeal lithotripsy may be an effective technique for these stones. The aim of this study is to report the efficacy and safety of intracorporeal laser lithotripsy for impacted stones in the bile duct.\u0000 Method This study is retrospective analysis of prospectively collected data. Patients with impacted stones in the bile duct underwent cholangioscopy with spyglass DS system and laser lithotripsy. Outcome measures were proportion of patients with complete clearance of bile duct after the first session, number of sessions required for complete clearance, and the complications.\u0000 Results Forty-three patients (27 female) with mean age of 56.12 ± 15.16 years underwent digital cholangioscopy and laser lithotripsy. Mean bilirubin value was 1.8 ± 1.6 mg/dL, 20 (46.51%) patients had single stone, 35(81.39%) patients had only bile duct stones, and 8(18.61%) patients had additional stones in cystic duct or intrahepatic biliary radical. Mean size of largest stone was 16.2 ± 4.4mm. Average duration of the procedure was 69.11 ± 28.12minutes, and complete clearance was achieved in 41/43 (95.34%) patients after the first session. Mean number of sessions required for complete clearance was 1.02 ± .26. Postprocedure cholangitis occurred in one patient.\u0000 Conclusion Intracorporeal laser lithotripsy is an effective and safe modality for the clearance of impacted bile duct stones.","PeriodicalId":43098,"journal":{"name":"Journal of Digestive Endoscopy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42637949","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

Post-ERCP Bile Leak ERCP术后胆汁渗漏

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Journal of Digestive Endoscopy Pub Date : 2022-03-08 DOI: 10.1055/s-0042-1742701

S. Mathew, P. Zacharias, L. Kumar, Arun Kumar, J. Mathews, T. James, H. Ahamed, Bilal Mohmed, M. Philip

{"title":"Post-ERCP Bile Leak","authors":"S. Mathew, P. Zacharias, L. Kumar, Arun Kumar, J. Mathews, T. James, H. Ahamed, Bilal Mohmed, M. Philip","doi":"10.1055/s-0042-1742701","DOIUrl":"https://doi.org/10.1055/s-0042-1742701","url":null,"abstract":"A 37-year-old female with no underlying comorbidities was referred for the evaluation of biliary stricture. Her magnetic resonance cholangiopancreatography showed a focal lesion in the left hepatic duct close to primary confluence causing a stricture and bilateral intrahepatic biliary radicle dilatation. Spyglass cholangioscopy was done and SpyBite biopsy was taken from the stricture. Repeated attempts at attaining deep cannulation of the right duct were unsuccessful. Patient developed right-sided abdominal pain the next day. Computed tomographic scan of the abdomen showed intra-abdominal fluid in the perihepatic region. Fluid was drained under ultrasound guidance. Though patient improved transiently, she had recurrence of pain after drain removal. A repeat endoscopic retrograde cholangiopancreatography (ERCP) was done and a leak was noted at the junction of right anterior and posterior hepatic ducts. Stenting was done to right anterior, right posterior, and left hepatic ducts. Over the next few days, she improved symptomatically. Though complications are inherent during ERCP, bile duct injury leading to bile leak is rare. Special caution has to be taken in high-risk cases to prevent bile duct injury. Though post-ERCP bile leak is a rare complication, early recognition with a high index of clinical suspicion and prompt management are the key factors in minimizing morbidity and mortality.","PeriodicalId":43098,"journal":{"name":"Journal of Digestive Endoscopy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47241194","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

Cholangioscopy: Has It Changed Management? 胆道镜检查：它改变了管理吗？

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Journal of Digestive Endoscopy Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1743183

Sudipta Dhar Chowdhury, Rajeeb Jaleel

引用次数: 0

Endoscopic Sponge Vacuum Therapy for Large Infected Esophagus Pleural Fistula 内镜下海绵真空治疗大感染食管胸膜瘘

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Journal of Digestive Endoscopy Pub Date : 2022-03-01 DOI: 10.1055/s-0041-1741513

Bhushan Bhaware, S. Mukewar, R. Daswani, A. Gawande, Saurabh S. Mukewar

引用次数: 0

Lower Gastrointestinal Bleeding 下消化道出血

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Journal of Digestive Endoscopy Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1742694

N. Jagtap, D. Reddy, M. Tandan

引用次数: 0

Endoscopy Flashback 2021: Thanking the Authors and Reviewers of the Journal of Digestive Endoscopy 内镜回顾2021：感谢《消化内镜杂志》的作者和审稿人

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Journal of Digestive Endoscopy Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1744551

S. Afzalpurkar, Mahesh K Goenka

引用次数: 0

Heterotopic Gastric Mucosa in the Proximal Esophagus (Inlet Patch): Endoscopic Prevalence, Clinico-pathological Characteristics and Its Association with Helicobacter pylori 食管近端异位胃粘膜（入口补片）的内镜患病率、临床病理特征及其与幽门螺杆菌的关系

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Journal of Digestive Endoscopy Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1743182

V. Rathod, A. A., Nithin Kaidabettu Ramesh, Mohamed Kani Shaikh

{"title":"Heterotopic Gastric Mucosa in the Proximal Esophagus (Inlet Patch): Endoscopic Prevalence, Clinico-pathological Characteristics and Its Association with Helicobacter pylori","authors":"V. Rathod, A. A., Nithin Kaidabettu Ramesh, Mohamed Kani Shaikh","doi":"10.1055/s-0042-1743182","DOIUrl":"https://doi.org/10.1055/s-0042-1743182","url":null,"abstract":"\u0000 Objective To determine the prevalence of the inlet patch (IP), its clinico-pathological features, and its association with Helicobacter pylori.\u0000 Materials and Methods A prospective observational study was performed on 1,889 patients referred for esophagogastroduodenoscopy for various reasons, primarily for the evaluation of dyspepsia. All patients were enquired about the presence of symptoms and carefully examined for the presence of IP during upper gastrointestinal (GI) endoscopy. Biopsies were taken from the patients who had IP.\u0000 Statistical Analysis All statistical analyses were performed using the Statistical Package for Social Sciences (SPSS) 13.0 software for Windows XP. Categorical variables were compared using the chi-squared test or Fisher's exact test and continuous variables were compared using Student's t-test and univariate analysis. A P-value of less than 0.05 was considered to be statistically significant.\u0000 Results Inlet patches were found in 34 of 1,889 patients (1.8%). H. pylori was identified in 23.52% of patients (8/34) with IP. Gastric H. pylori infection was positive in all (08/08) patients who had IP. Colonization of H. pylori was more common in antral type mucosa (6/8). H. pylori positivity in the IP correlated with globus sensation symptom in our study, 87.5% of patients with IP and H. pylori positive had globus sensation.\u0000 Conclusion The prevalence of IP seems to be underestimated. H. pylori colonization of the IP is common and it positively correlates with globus sensation and is closely related to the H. pylori density in the stomach. Though preneoplasia within IP is rare, which does not support the recommendation to regularly obtain biopsies for histopathology, it might be beneficial in a subset of patients with persistent globus sensation.","PeriodicalId":43098,"journal":{"name":"Journal of Digestive Endoscopy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48771790","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

Achalasia Cardia: Balloon, Tunnel, or Knife? 贲门失弛缓症:气球，隧道，还是刀?

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Journal of Digestive Endoscopy Pub Date : 2022-03-01 DOI: 10.1055/s-0041-1740490

A. Maydeo

引用次数: 0

Are we Missing Barrett's Esophagus in Our Busy Endoscopy Practice? Improving Detection 在繁忙的内窥镜检查中，我们是否错过了巴雷特食管？改进检测

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Journal of Digestive Endoscopy Pub Date : 2022-02-11 DOI: 10.1055/s-0041-1741465

A. Dutta

{"title":"Are we Missing Barrett's Esophagus in Our Busy Endoscopy Practice? Improving Detection","authors":"A. Dutta","doi":"10.1055/s-0041-1741465","DOIUrl":"https://doi.org/10.1055/s-0041-1741465","url":null,"abstract":"Barrett's esophagus (BE) denotes the replacement of stratified squamous epithelium of esophagus by columnar epithelium. It is associated with a significantly increased risk of esophageal adenocarcinoma and hence patients with BE are advised endoscopic surveillance for early detection of dysplastic and neoplastic lesions. Esophageal cancer is the sixth most common cancer in terms of incidence and mortality in India. Around 15 to 25% of esophageal cancers are adenocarcinoma. BE is likely to be an important precursor of esophageal adenocarcinoma and we may be missing patients with BE in our busy endoscopy practice. The detection of BE may be improved by identifying high-risk groups, performing thorough endoscopic examination, and applying newer imaging techniques. The high-risk group includes patients with chronic gastroesophageal reflux disease, obesity, smoking, etc. During endoscopic examination, a careful assessment of the gastroesophageal junction and identification of important landmarks such as gastroesophageal junction and Z line are essential to detect BE. Management of BE depends on the detection of dysplasia and for this four quadrant mucosal biopsy is recommended every 1 to 2 cm. However, random biopsy samples only a small area of mucosa and advanced technologies for real-time detection of dysplasia and neoplasia may overcome this limitation. In this review, we discuss the current scenario of BE in India and ways to improve the detection of BE including dysplastic lesions.","PeriodicalId":43098,"journal":{"name":"Journal of Digestive Endoscopy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47676874","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