Journal of interventional gastroenterology最新文献_第6页

How to improve the success of endoscopic ultrasound guided fine needle aspiration cytology in the diagnosis of pancreatic lesions. 如何提高内镜超声引导下细针穿刺细胞学在胰腺病变诊断中的成功率。

Journal of interventional gastroenterology Pub Date : 2012-01-01 DOI: 10.4161/jig.20132

Antonio Z Gimeno-García, Ahmed Elwassief

{"title":"How to improve the success of endoscopic ultrasound guided fine needle aspiration cytology in the diagnosis of pancreatic lesions.","authors":"Antonio Z Gimeno-García, Ahmed Elwassief","doi":"10.4161/jig.20132","DOIUrl":"https://doi.org/10.4161/jig.20132","url":null,"abstract":"Endoscopic ultrasonography (EUS) is highly accurate for assessing the pancreatic parenchyma and ductal system. Currently, it is the most sensitive imaging procedure for detecting small solid pancreatic masses. EUS-guided fine needle aspiration cytology (EUS-FNA) is a safe and highly accurate tool for the diagnosis of pancreatic malignancy. Prior to perform an EUS-FNA one should wonder whether the benefits outweigh the potential risks of the procedure. Therefore, it is important to take into account whether the procedure will influence patient management. The diagnostic yield and success rate of EUS-FNA in pancreatic lesions varies greatly depending on many factors including: the characteristics of the lesion itself (location of the mass and consistency of the lesion), technical factors (type of needle size, use of stylet, use of suction and number of needle passes performed) and the availability of immediate cytological assessment of the specimen. The aim of this review is to analyze all these factors for optimizing specimen collection and diagnostic efficiency in dealing with solid pancreatic masses.","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 1","pages":"31-36"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4161/jig.20132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30617673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Complication rates of colonic polypectomy in relation to polyp characteristics and techniques: a district hospital experience. 结肠息肉切除术的并发症发生率与息肉特征和技术的关系:一个地区医院的经验。

Journal of interventional gastroenterology Pub Date : 2012-01-01 DOI: 10.4161/jig.20126

Wai Kah Choo, Javaid Subhani

{"title":"Complication rates of colonic polypectomy in relation to polyp characteristics and techniques: a district hospital experience.","authors":"Wai Kah Choo, Javaid Subhani","doi":"10.4161/jig.20126","DOIUrl":"https://doi.org/10.4161/jig.20126","url":null,"abstract":"BACKGROUND: Colonic polypectomy reduces the subsequent rate of development of colonic cancer but is not without its risks. We aimed to examine our complication rates in relation to the characteristics of polyps and techniques employed. METHODS: A database for all colonic polypectomies performed over a 3½-year period between 2006 and 2009 was matched against all patients readmitted after an endoscopy. Serious complications post-polypectomy were defined as events leading to readmission within 14 days. RESULTS: We performed 2106 polypectomies on 1252 patients in this period. Fourteen patients or 24 (1.1%) polypectomies experienced complications. Two patients (0.09%) experienced perforation, 10 (0.47%) had bleeding and 3 (0.14%) had post-polypectomy syndromes. Our bleeding rate was 1:211, lower than the national standard of 1:100. No deaths were reported. Complication rates rose from 1% in the smallest group (1-10 mm) to 4.9% in the largest (>31 mm) but the difference was not statistically significant (p=0.067). Right-colon polypectomies had a higher tendency of developing post-polypectomy syndrome and bleeding (p=0.002). Complication rates in snare polypectomies were not significantly different from that of hot biopsies (p=0.64). However, endoscopic mucosal resections (EMR) had significantly more complications compared to snares (p=0.045) and hot biopsies (p=0.026). CONCLUSION: We achieved lower bleeding rates than that published nationally. Hot biopsies did not carry a higher risk unlike EMRs. Although polyp size may be an important risk factor, statistical significance was not met. Ascending and transverse colon polypectomies carried the highest risks of complications.","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350902/pdf/jig0201_0008.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30617931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 52

Utility of single balloon enteroscopy (SBE) for difficult cases of total colonoscopy. 单气囊肠镜检查(SBE)在全结肠镜检查困难病例中的应用。

Journal of interventional gastroenterology Pub Date : 2012-01-01 DOI: 10.4161/jig.20127

Yoshinori Arai, Tomohiro Kato, Seiji Arihiro, Munenori Itagaki, Nobuhiko Komoike, Isao Odagi, Masayuki Saruta, Mika Matsuoka, Takeshi Suzuki, Hisao Tajiri

{"title":"Utility of single balloon enteroscopy (SBE) for difficult cases of total colonoscopy.","authors":"Yoshinori Arai, Tomohiro Kato, Seiji Arihiro, Munenori Itagaki, Nobuhiko Komoike, Isao Odagi, Masayuki Saruta, Mika Matsuoka, Takeshi Suzuki, Hisao Tajiri","doi":"10.4161/jig.20127","DOIUrl":"https://doi.org/10.4161/jig.20127","url":null,"abstract":"Balloon enteroscopy (BE) was originally developed for observation of the deep small intestine, and has recently been utilized for difficult cases of total colonoscopy due to reasons such as adhesions and elongation. In this report, we present our experience with single balloon enteroscopy (SBE) to facilitate successful colonoscopy when standard techniques failed. In two cases, early colon cancers were detected in the cecum by SBE and were removed endoscopically or surgically. A third case is discussed in which SBE was attempted but was ultimately not successful. In that case, total colonoscopy was not performed because of looping in the sigmoid and transverse colon. A fourth case in which SBE was performed in order to remove colonic gas in a patient with megacolon. In that case, total colonoscopy could not be completed because the SBE balloon could not \"grab\" the dilated colon and therefore could not advance. SBE is a useful adjunct to standard colonoscopy in challenging cases, but has limitations and does not always ensure success.","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 1","pages":"12-14"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350903/pdf/jig0201_0012.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30617660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Retained capsule endoscopy causing intestinal obstruction - Endoscopic retrieval by retrograde single-balloon enteroscopy. 保留胶囊内窥镜导致肠梗阻-逆行单气囊内窥镜内窥镜恢复。

Journal of interventional gastroenterology Pub Date : 2012-01-01 DOI: 10.4161/jig.20128

Lei Xin, Zhuan Liao, Yi-Qi Du, Yue-Ping Jiang, Zhao-Shen Li

引用次数: 11

Tapeworm infection identified on capsule endoscopy. 胶囊内窥镜检查发现绦虫感染。

Journal of interventional gastroenterology Pub Date : 2012-01-01 DOI: 10.4161/jig.20129

Shao-Qi Yang, Rui Huang, Li-Na Zhang, Jian-Guo Hu, Li Yang

引用次数: 5

The role of upper gastrointestinal endoscopy in treating postoperative complications in bariatric surgery. 上消化道内镜在治疗减肥手术术后并发症中的作用。

Journal of interventional gastroenterology Pub Date : 2012-01-01 DOI: 10.4161/jig.20133

Richdeep S Gill, Kevin A Whitlock, Rachid Mohamed, Koroush Sarkhosh, Daniel W Birch, Shahzeer Karmali

引用次数: 20

Endosonography in solid and cystic pancreatic tumors. 胰腺实性和囊性肿瘤的超声检查。

Journal of interventional gastroenterology Pub Date : 2011-10-01 DOI: 10.4161/jig.1.4.19971

Somashekar G Krishna, Jeffrey H Lee

{"title":"Endosonography in solid and cystic pancreatic tumors.","authors":"Somashekar G Krishna, Jeffrey H Lee","doi":"10.4161/jig.1.4.19971","DOIUrl":"https://doi.org/10.4161/jig.1.4.19971","url":null,"abstract":"Pancreatic tumors being either benign or malignant can be solid or cystic. Although diverse in presentation, their imaging features share commonalities and it is often difficult to distinguish these tumors. Endoscopic ultrasonography (EUS) is the most sensitive of the imaging procedures currently available for characterizing pancreatic tumors, and is especially good in identifying the smaller sized tumors. Additional applications inclusive of EUS-guided fine needle aspiration (EUS-FNA) are useful in tissue sampling and preoperative staging of pancreatic tumors.Although diagnostic capabilities have greatly evolved with advances in EUS and tissue processing technology (cytology, tumor markers, DNA analysis), differentiation of benign and malignant neoplasms, neoplastic and non-neoplastic (chronic pancreatitis) conditions, continues to be challenging.Recent innovative applications include contrast-enhanced EUS with Doppler mode, contrast-enhanced harmonic EUS, 3-dimensinal EUS, and EUS elastography. Incorporation of these methods has improved the differential diagnosis of pancreatic tumors. Finally, a multi-disciplinary approach involving radiology, gastroenterology and surgical specialties is often necessary for accurate diagnosis and management of solid and cystic pancreatic tumors.","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"1 4","pages":"193-201"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350895/pdf/jig0104_0193.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30617927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Clinical and histopathological characteristics of patients with duodenal papillary tumors treated at Kitasato University East Hospital. 北中大学东医院十二指肠乳头状肿瘤患者的临床及组织病理学特征。

Journal of interventional gastroenterology Pub Date : 2011-10-01 DOI: 10.4161/jig.19959

Hiroko Ikeda, Mitsuhiro Kida, Shiro Miyazawa, Tomohisa Iwai, Miyoko Takezawa, Hidehiko Kikuchi, Maya Watanabe, Hiroshi Imaizumi, Wasaburo Koizumi

引用次数: 0

A novel method of endoscopic removal of an impacted ampullary stone using a snare (case report with video). 一种新的内镜下用圈套去除嵌塞壶腹结石的方法(附视频病例报告)。

Journal of interventional gastroenterology Pub Date : 2011-10-01 DOI: 10.4161/jig.19970

Yang-Lin Pan, Catherine Ngo, Danny Yen, Joseph Leung

引用次数: 1

EUS-guided biliary rendezvous using a short hydrophilic guidewire. eus引导胆道交会使用短亲水导丝。

Journal of interventional gastroenterology Pub Date : 2011-10-01 DOI: 10.4161/jig.19967

Vinay Dhir, Boon Eu Andrew Kwek, Suryaprakash Bhandari, Mukta Bapat, Amit Maydeo

{"title":"EUS-guided biliary rendezvous using a short hydrophilic guidewire.","authors":"Vinay Dhir, Boon Eu Andrew Kwek, Suryaprakash Bhandari, Mukta Bapat, Amit Maydeo","doi":"10.4161/jig.19967","DOIUrl":"https://doi.org/10.4161/jig.19967","url":null,"abstract":"BACKGROUND AND STUDY AIMS: EUS-guided rendezvous technique for biliary access requires expert manipulation of the guidewire across the downstream stricture or papilla. Published literature reports usage of the long-wire system to prevent loss of wire during scope exchange. We studied the efficacy of using a short hydrophilic guidewire in EUS-guided rendezvous. PATIENTS AND METHODS: This is a retrospective study conducted in a tertiary care referral centre. 15 patients underwent EUS-guided biliary rendezvous with short wire. EUS-guided transduodenal/transgastric puncture of the biliary system was performed, followed by anterograde placement of a hydrophilic short-wire (260 cm) across the downstream stricture and/or papilla. Retrograde access was then achieved by retrieving the trans-papillary wire, followed by standard ERCP intervention. Main outcome measurements were rates of procedural success and complications. RESULTS: EUS-guided biliary rendezvous was successful in 14 patients (93.3%). Failure was seen in one patient due to a tight malignant biliary stricture. One patient had peri-choledochal bile tracking which did not require any specific treatment. CONCLUSIONS: Short-wire system in EUS-guided biliary rendezvous is highly effective and safe. It is a useful salvage procedure for biliary cannulation in patients with accessible papilla.","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"1 4","pages":"153-159"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350886/pdf/jig0104_0153.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30619150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21