Clinical Endoscopy

Enad Dawod

4 Articles

Endoscopic Therapy for Pancreatic Fluid Collections: A Definitive Management Using a Dedicated Algorithm: Ming Ming Xu, Iman Andalib, Aleksey Novikov, Enad Dawod, Moamen Gabr, Monica Gaidhane, Amy Tyberg, Michel Kahaleh; Clin Endosc 2020;53(3):355-360. Published online December 3, 2019; DOI: https://doi.org/10.5946/ce.2019.113

Background
/Aims: Endoscopic ultrasonography (EUS)-guided drainage is the preferred approach for infected or symptomatic pancreatic fluid collections (PFCs). Here, we developed an algorithm for the management of pancreatitis complicated by PFCs and report on its effcacy and safety.
Methods
Between September 2011 and October 2017, patients were prospectively managed according to the algorithm. PFCs were classified as poorly organized fluid collections (POFCs), pancreatic pseudocysts (PPs), or walled-off pancreatic necrosis (WOPN). Clinical success was defined as a decrease in PFC size by ≥50% of the maximal diameter or to ≤2 cm.
Results
A total of 108 patients (62% male; mean age, 53 years) were included: 13 had POFCs, 43 had PPs, and 52 had WOPN. Seventytwo patients (66%) required a pancreatic duct (PD) stent, whereas 65 (60%) received enteral feeding. A total of 103 (95%) patients achieved clinical success. Eight patients experienced complications including bleeding (n=6) and surgical intervention (n=2). Patients with enteral feeding were 3.4 times more likely to achieve resolution within 60 days (p=0.0421), whereas those with PD stenting was five times more likely to achieve resolution within 90 days (p=0.0069).
Conclusions
A high PFC resolution rate can be achieved when a dedicated algorithm encompassing EUS-guided drainage, PD stenting, and early enteral feeding is adopted.

Citations

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Novel classification system for walled-off necrosis: a step toward standardized nomenclature and risk-stratification framework
Serge Baroud, Vinay Chandrasekhara, Andrew C. Storm, Ryan J. Law, Eric J. Vargas, Michael J. Levy, Tala Mahmoud, Fateh Bazerbachi, Aliana Bofill-Garcia, Rabih Ghazi, Daniel B. Maselli, John A. Martin, Santhi Swaroop Vege, Naoki Takahashi, Bret T. Petersen
Gastrointestinal Endoscopy.2023; 97(2): 300. CrossRef
Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic review
Liang Chen, Ting Li, Bin Wang, Yunxiao Cheng, Sicong Zhao, Yunxiao Lyu
Asian Journal of Surgery.2022; 45(8): 1519. CrossRef
Transluminal and retroperitoneal minimally invasive necrosectomy in acute pancreatitis
A. V. Fedorov, V. N. Ektov, M. A. Khodorkovskiy
Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery.2022; 27(3): 81. CrossRef
Endoscopic transluminal interventions in the treatment of acute necrotizing pancreatitis
A.V. Fedorov, V.N. Ektov, M.A. Khodorkovsky
Khirurgiya. Zhurnal im. N.I. Pirogova.2021; (9): 85. CrossRef
Hydrogen peroxide assisted endoscopic necrosectomy for walled-off pancreatic necrosis: A systematic review and meta-analysis
Rajat Garg, Shradha Gupta, Amandeep Singh, Marian T. Simonson, Tarun Rustagi, Prabhleen Chahal
Pancreatology.2021; 21(8): 1540. CrossRef
The Diagnostic Dilemma of Malignant Biliary Strictures
Robert Dorrell, Swati Pawa, Yi Zhou, Neeraj Lalwani, Rishi Pawa
Diagnostics.2020; 10(5): 337. CrossRef
Importance of Pancreatic Duct Stenting and Enteral Feeding in Treatment Algorithm of Pancreatic Fluid Collections
Seong-Hun Kim, Eun Ji Shin
Clinical Endoscopy.2020; 53(3): 253. CrossRef
Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
Igor Mendonça Proença, Marcos Eduardo Lera dos Santos, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Sergio Eiji Matuguma, Spencer Cheng, Thomas R McCarty, Epifanio Silvino do Monte Junior, Paulo Sakai, Eduardo Guimarães Hourneaux de Moura
World Journal of Gastroenterology.2020; 26(45): 7104. CrossRef

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Reverse Endoscopic Ultrasound-Guided Gastrojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: A New Concept: Ming-ming Xu, Enad Dawod, Monica Gaidhane, Amy Tyberg, Michel Kahaleh; Clin Endosc 2020;53(1):94-96. Published online December 3, 2019; DOI: https://doi.org/10.5946/ce.2018.196

Abstract PDF Supplementary Material PubReader ePub

Superior mesenteric artery syndrome (SMAS) causes compression and partial or complete obstruction of the duodenum, resulting in abdominal pain, nausea, vomiting, and weight loss. If conservative therapy fails, the patient is typically referred for enteral feeding or laparoscopic gastrojejunostomy.
The last few years have seen increasing use of endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) for gastric obstruction indications. EUS-GJ involves the creation of a gastric bypass via an echoendoscope in cases in which the small intestine can be punctured under ultrasonographic visualization, resulting in an incision-free, efficient, and safe procedure.
In this case report, we present the first case of SMAS treated using a reverse EUS-GJ, and describe the steps and advantages of the procedure in this particular case.

Citations

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Andrew Canakis, Shayan S. Irani
Gastrointestinal Endoscopy Clinics of North America.2024; 34(1): 111. CrossRef
Endoscopic ultrasound (EUS)-guided gastrojejunostomy for management of superior mesenteric artery (SMA) syndrome
Joanna Jiang, Mitchell Ramsey, Tessa Crilley, Jordan Burlen
BMJ Case Reports.2024; 17(11): e260757. CrossRef
New frontiers for therapeutic endoscopic ultrasound in children
Valerio Balassone, Simona Faraci, Chiara Imondi, Paola De Angelis, Tamara Caldaro, Luigi Dall'Oglio
International Journal of Gastrointestinal Intervention.2023; 12(1): 1. CrossRef
Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Schalk W. van der Merwe, Roy L. J. van Wanrooij, Michiel Bronswijk, Simon Everett, Sundeep Lakhtakia, Mihai Rimbas, Tomas Hucl, Rastislav Kunda, Abdenor Badaoui, Ryan Law, Paolo G. Arcidiacono, Alberto Larghi, Marc Giovannini, Mouen A. Khashab, Kenneth F.
Endoscopy.2022; 54(02): 185. CrossRef
Wilkie’s syndrome as a cause of anxiety-depressive disorder: A case report and review of literature
Raluca Cristina Apostu, Lucian Chira, Doina Colcear, Andrei Lebovici, Georgiana Nagy, Radu Razvan Scurtu, Radu Drasovean
World Journal of Clinical Cases.2022; 10(5): 1654. CrossRef
The Complication Of Decrease In Aorto-Mesenteric Angle And Distance Its Diagnosis And Treatment: Case Report
O. V. Galimov, V. O. Khanov, H.M. H. Karkhani, Sh. Bhawna, T. R. Ibragimov
Creative surgery and oncology.2022; 12(2): 123. CrossRef
Endoscopic Ultrasound-Guided Gastrojejunostomy for Superior Mesenteric Artery Syndrome Secondary to Rapid Weight Loss
Andrew C. Storm, Tala Mahmoud, Karl Akiki, Ryan J. Law
ACG Case Reports Journal.2022; 9(10): e00868. CrossRef
Futures perspectives and therapeutic applications
Laurent Monino, Marc Barthet
Best Practice & Research Clinical Gastroenterology.2022; 60-61: 101816. CrossRef
EUS-guided gastroenterostomy for duodenal obstruction secondary to superior mesenteric artery syndrome
Abdul Kouanda, Rabindra Watson, Kenneth F. Binmoeller, Andrew Nett, Christopher Hamerski
VideoGIE.2021; 6(1): 14. CrossRef
Novel Uses of Lumen-apposing Metal Stents
Prashant Bhenswala, Muhddesa Lakhana, Frank G. Gress, Iman Andalib
Journal of Clinical Gastroenterology.2021; 55(8): 641. CrossRef

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Management of Benign and Malignant Pancreatic Duct Strictures: Enad Dawod, Michel Kahaleh; Clin Endosc 2018;51(2):156-160. Published online July 20, 2017; DOI: https://doi.org/10.5946/ce.2017.085

Abstract PDF PubReader ePub

The diagnosis and management of pancreatic strictures, whether malignant or benign, remain challenging. The last 2 decades have seen dramatic progress in terms of both advanced imaging and endoscopic therapy. While plastic stents remain the cornerstone of the treatment of benign strictures, the advent of fully covered metal stents has initiated a new wave of interest in calibrating the pancreatic duct with fewer sessions. In malignant disease, palliation remains the priority and further data are necessary before offering systematic pancreatic stenting.

Citations

Citations to this article as recorded by

EUS-guided pancreatic duct drainage: a single-center observational study
Elodie Romailler, Anouk Voutaz, Sarra Oumrani, Mariola Marx, Maxime Robert, Fabrice Caillol, Alain Schoepfer, Sébastien Godat
iGIE.2024; 3(2): 237. CrossRef
Management of Pancreatic Duct Strictures, Leaks, and Disconnected Pancreatic Duct Syndrome
Surinder Singh Rana, Sanish Ancil
Gastroenterology Clinics of North America.2024;[Epub] CrossRef
Role of peroral cholangioscopy and pancreatoscopy in the diagnosis and treatment of biliary and pancreatic disease: past, present, and future
Harishankar Gopakumar, Neil R. Sharma
Frontiers in Gastroenterology.2023;[Epub] CrossRef
EUS-guided drainage of the pancreatic duct for the treatment of postoperative stenosis of pancreatico-digestive anastomosis or pancreatic duct stenosis complicating chronic pancreatitis: Experience at a tertiary care center
Franz Rudler, Fabrice Caillol, Jean-Philippe Ratone, Christian Pesenti, Jean-Christophe Valats, Alexei Soloveyv, Marc Giovannini
Endoscopic Ultrasound.2022; 11(4): 296. CrossRef
Ruptured Splenic Artery Pseudoaneurysm Causing Hemorrhage Into a Pancreatic Pseudocyst
Zo C. Overton-Hennessy, A. Michael Devane, Steve Fiester, Noah Schammel, Christine Schammel, James W. Fulcher
American Journal of Forensic Medicine & Pathology.2022; 43(1): 76. CrossRef
Percutaneous transluminal angioplasty balloons for endoscopic ultrasound-guided pancreatic duct interventions
Jad P AbiMansour, Barham K Abu Dayyeh, Michael J Levy, Andrew C Storm, John A Martin, Bret T Petersen, Ryan J Law, Mark D Topazian, Vinay Chandrasekhara
World Journal of Gastrointestinal Endoscopy.2022; 14(8): 487. CrossRef
Image-Guided Percutaneous Pancreatic Duct Drainage: A 10-Year Observational Study
Malkhaz Mizandari, Tamta Azrumelashvili, Pedram Keshavarz, Nagy Habib
Journal of Vascular and Interventional Radiology.2021; 32(7): 1075. CrossRef
Long-term outcomes of fully covered self-expandable metal stents versus plastic stents in chronic pancreatitis
Sang Hoon Lee, Yeon Suk Kim, Eui Joo Kim, Hee Seung Lee, Jeong Youp Park, Seung Woo Park, Si Young Song, Jae Hee Cho, Seungmin Bang
Scientific Reports.2021;[Epub] CrossRef
Approach to management of pancreatic strictures: the gastroenterologist’s perspective
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Clinical Journal of Gastroenterology.2021; 14(6): 1587. CrossRef
International consensus guidelines on interventional endoscopy in chronic pancreatitis. Recommendations from the working group for the international consensus guidelines for chronic pancreatitis in collaboration with the International Association of Pancr
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Pancreatology.2020; 20(6): 1045. CrossRef
Recent advances in the diagnosis and management of chronic pancreatitis
Chang-Il Kwon, Jae Hee Cho, Sung Hoon Choi, Kwang Hyun Ko, Temel Tirkes, Mark A. Gromski, Glen A. Lehman
The Korean Journal of Internal Medicine.2019; 34(2): 242. CrossRef
Endoscopic and Conservative Management of Chronic Pancreatitis and Its Complications
Alexander Waldthaler, Roberto Valente, Urban Arnelo, J.-Matthias Löhr
Visceral Medicine.2019; 35(2): 98. CrossRef

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GI Genius increases small and right-sided adenoma and sessile serrated lesion detection rate when used with EndoCuff in a real-world setting: Jeong Hoon Kim, Jade Wang, Colton Pence, Patrick Magahis, Enad Dawod, Felice Schnoll-Sussman, Reem Z. Sharaiha, David Wan; Received October 8, 2024 Accepted November 13, 2024 Published online December 12, 2024; DOI: https://doi.org/10.5946/ce.2024.271

Abstract PubReader ePub: Background
/Aims: The real-world efficacy of computer-aided detection (CADe) systems, such as GI Genius (Medtronic), is unclear. We examined the colonoscopy metrics using CADe alone and with a mucosal exposure device (EndoCuff; Olympus) in a real-world setting.
Methods
We retrospectively reviewed screening and surveillance colonoscopies before, during, and after CADe use in a large tertiary care center. Outcomes included the adenomas per colonoscopy (APC), sessile serrated lesions per colonoscopy, adenoma detection rate (ADR), sessile serrated lesion detection rate (SSLDR), advanced ADR, total polyp detection rate, and true histology rate. The ADR and SSLDR were further examined according to size, colon location, and EndoCuff use.
Results
A total of 798 colonoscopies were performed, including 386 pre-CADe, 178 CADe, and 234 post-CADe. In cases where CADe was used with the EndoCuff, the 1 to 5 mm ADR increased from 36.3% (pre-CADe) to 52.1% (CADe) (p=0.01). The 1 to 5 mm SSLDR increased from 9.6% (pre-CADe) to 17.1% (CADe) (p=0.02). The right-sided ADR increased from 30.8% (pre-CADe) to 42.7% (CADe) (p=0.03). The right-sided SSLDR increased from 12.3% (pre-CADe) to 24.8% (CADe) (p=0.0004). No significant changes were observed when only CADe was used. No differences were found in other outcome measures. Post-CADe metrics returned to pre-CADe levels.
Conclusions
GI Genius is useful for identifying small and right-sided polyps only when used with the EndoCuff.

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