Best Practice & Research Clinical Gastroenterology最新文献_第8页

Management of fistulas in the upper gastrointestinal tract 上消化道瘘管的处理。

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2024-06-01 DOI: 10.1016/j.bpg.2024.101929

{"title":"Management of fistulas in the upper gastrointestinal tract","authors":"","doi":"10.1016/j.bpg.2024.101929","DOIUrl":"10.1016/j.bpg.2024.101929","url":null,"abstract":"<div><p>Fistulas in the upper gastrointestinal (GI) tract are complex conditions associated with elevated morbidity and mortality. They may arise as a result of inflammatory or malignant processes or following medical procedures, including endoscopic and surgical interventions. The management of upper GI is often challenging and requires a multidisciplinary approach. Accurate diagnosis, including endoscopic and radiological evaluations, is crucial to build a proper and personalized therapeutic plan, that should take into account patient's clinical conditions, time of onset, size, and anatomical characteristics of the defect. In recent years, several endoscopic techniques have been introduced for the minimally invasive management of upper GI fistulas, including through-the-scope and over-the-scope clips, stents, endoscopic suturing, endoluminal vacuum therapy (EVT), tissue adhesives, endoscopic internal drainage. This review aims to discuss and detail the current available endoscopic techniques for the treatment of upper GI fistulas.</p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"70 ","pages":"Article 101929"},"PeriodicalIF":3.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521691824000544/pdfft?md5=afabdab5e41fbc8c1c3e72903914717a&pid=1-s2.0-S1521691824000544-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of iatrogenic perforations during endoscopic interventions in the hepato-pancreatico-biliary tract 肝胰胆管内窥镜介入手术中的先天性穿孔处理方法

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2024-06-01 DOI: 10.1016/j.bpg.2024.101890

引用次数: 0

Management of perforations during endoscopic resection 内窥镜切除术中穿孔的处理方法

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2024-03-01 DOI: 10.1016/j.bpg.2024.101900

Ludovico Alfarone , Marco Spadaccini , Alessandro Repici , Cesare Hassan , Roberta Maselli

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Preface to special edition: The management of GI endoscopy complications 特刊前言：消化内镜检查并发症的处理

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2024-03-01 DOI: 10.1016/j.bpg.2024.101913

Gaius Longcroft-Wheaton (Dr), Pradeep Bhandari (Prof)

引用次数: 0

Copyright Information 版权信息

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2024-03-01 DOI: 10.1016/S1521-6918(24)00043-X

引用次数: 0

Prevention of delayed bleeding after resection of large colonic polyps 预防大结肠息肉切除术后延迟出血

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2024-03-01 DOI: 10.1016/j.bpg.2024.101907

Hein Htet, Gaius Longcroft-Wheaton

引用次数: 0

Management of ERCP complications ERCP并发症的处理

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2024-03-01 DOI: 10.1016/j.bpg.2024.101897

Partha Pal , Mohan Ramchandani

{"title":"Management of ERCP complications","authors":"Partha Pal , Mohan Ramchandani","doi":"10.1016/j.bpg.2024.101897","DOIUrl":"10.1016/j.bpg.2024.101897","url":null,"abstract":"<div><p>Managing complications of ERCP poses a significant clinical challenge to endoscopists. ERCP complications can occur even after all preventive measures, which can lead to significant morbidity and even mortality. Major complications include pancreatitis, bleeding, perforation, cholangitis, and sedation-related adverse events. Early recognition of post-ERCP pancreatitis (PEP) is feasible by monitoring clinical parameters and specific cutoffs of serum amylase and lipase at 2–6 h post-ERCP. Pancreatic stenting for PEP is not recommended and can increase the incidence of infected necrosis in addition to being technically challenging. Post-sphincterotomy bleeds can be treated by diluted epinephrine with or without thermal therapy, or mechanical therapy (clips or fully covered metallic stents) failing which angiographic embolization and rarely open surgical vessel ligation may be warranted. Post-ERCP perforations can lead to significant morbidity and are usually treated with endoscopic closure of the defect, diverting bile flow, draining collections, and reducing fluid load at the site of perforation failing which surgery may be warranted. Broad-spectrum antibiotics with endoscopic or radiologic drainage of undrained segments help treat post-ERCP cholangitis. Hypoxia and hypertension are the most common sedation-related adverse events without long-term consequences except aspiration pneumonia (<0.5%). Awareness with a high index of suspicion is crucial for timely diagnosis and management of uncommon post-ERCP complications.</p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"69 ","pages":"Article 101897"},"PeriodicalIF":3.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140010203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The endoscopic management of oesophageal strictures 食道狭窄的内窥镜治疗

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2024-03-01 DOI: 10.1016/j.bpg.2024.101899

Benjamin Charles Norton , Apostolis Papaefthymiou , Nasar Aslam , Andrea Telese , Charles Murray , Alberto Murino , Gavin Johnson , Rehan Haidry

{"title":"The endoscopic management of oesophageal strictures","authors":"Benjamin Charles Norton , Apostolis Papaefthymiou , Nasar Aslam , Andrea Telese , Charles Murray , Alberto Murino , Gavin Johnson , Rehan Haidry","doi":"10.1016/j.bpg.2024.101899","DOIUrl":"10.1016/j.bpg.2024.101899","url":null,"abstract":"<div><p>An oesophageal stricture refers to a narrowing of the oesophageal lumen, which may be benign or malignant. The cardinal feature is dysphagia, and this may result from intrinsic oesophageal disease or extrinsic compression. Oesophageal strictures can be further classified as simple or complex depending on stricture length, location, diameter, and underlying aetiology. Many endoscopic options are now available for treating oesophageal strictures including dilatation, injectional therapy, stenting, stricturotomy, and ablation. Self-expanding metal stents have revolutionised the palliation of malignant dysphagia, but oesophageal dilatation with balloon or bougienage remains first-line therapy for most benign strictures. The increase in endoscopic and surgical interventions on the oesophagus has seen more benign refractory oesophageal strictures that are difficult to treat, and often require advanced endoscopic techniques. In this review, we provide a practical overview on the evidence-based management of both benign and malignant oesophageal strictures, including a practical algorithm for managing benign refractory strictures.</p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"69 ","pages":"Article 101899"},"PeriodicalIF":3.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140010199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic management of intraprocedural bleeding during endoscopic interventions 内窥镜介入治疗过程中的术中出血内窥镜处理方法

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2024-03-01 DOI: 10.1016/j.bpg.2024.101912

Ali A. Alali , Asma A. Alkandari

{"title":"Endoscopic management of intraprocedural bleeding during endoscopic interventions","authors":"Ali A. Alali , Asma A. Alkandari","doi":"10.1016/j.bpg.2024.101912","DOIUrl":"10.1016/j.bpg.2024.101912","url":null,"abstract":"<div><p>Endoscopic resection techniques have evolved over time, allowing effective and safe resection of the majority of pre-malignant and early cancerous lesions in the gastrointestinal tract. Bleeding is one of the most commonly encountered complications during endoscopic resection, which can interfere with the procedure and result in serious adverse events. Intraprocedural bleeding is relatively common during endoscopic resection and, in most cases, is a mild and self-limiting event. However, it can interfere with the completion of the resection and may result in negative patient-related outcomes in severe cases, including the need for hospitalization and blood transfusion as well as the requirement for radiological or surgical interventions. Appropriate management of intraprocedural bleeding can improve the safety and efficacy of endoscopic resection, and it can be readily achieved with the use of several endoscopic hemostatic tools. In this review, we discuss the recent advances in the approach to intraprocedural bleeding complicating endoscopic resection, with a focus on the various endoscopic hemostatic tools available to manage such events safely and effectively.</p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"69 ","pages":"Article 101912"},"PeriodicalIF":3.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140755873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The contribution of EUS to the management of endoscopic and surgical complications EUS 对治疗内镜和手术并发症的贡献

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2024-03-01 DOI: 10.1016/j.bpg.2024.101914

N. Tehami, K. Kaushal, B. Maher

{"title":"The contribution of EUS to the management of endoscopic and surgical complications","authors":"N. Tehami, K. Kaushal, B. Maher","doi":"10.1016/j.bpg.2024.101914","DOIUrl":"10.1016/j.bpg.2024.101914","url":null,"abstract":"<div><p>Endoscopic Ultrasound (EUS) stands as a remarkable innovation in the realm of gastroenterology and its allied disciplines. EUS has evolved to such an extent that it now assumes a pivotal role in both diagnosis and therapeutics. In addition, it has developed as a tool which is also capable of addressing complications arising from endoscopic and surgical procedures. This minimally invasive technique combines endoscopy with high-frequency ultrasound, facilitating, high-resolution images of the gastrointestinal tract and adjacent structures.</p><p>Complications within the gastrointestinal tract, whether stemming from endoscopic or surgical procedures, frequently arise due to disruption in the integrity of the gastrointestinal tract wall. While these complications are usually promptly detected, there are instances where their onset is delayed. EUS plays a dual role in the management of these complications. Firstly, in its ability to assess and increasingly to definitively manage complications through drainage procedures.</p><p>It is increasingly employed to manage post-surgical collections, abscesses biliary strictures and bleeding. Its high-resolution imaging capability allows precise real-time visualisation of these complications.</p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"69 ","pages":"Article 101914"},"PeriodicalIF":3.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140763097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0