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Primary Gastric Small Cell Carcinoma (Presenting as Linitis Plastica) Diagnosed Using Endoscopic Ultrasound-Guided Biopsy: A Case Report
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Ra Ri Cha, Jin Kyu Cho, Wan Soo Kim, Jin Joo Kim, Jae Min Lee, Sang Soo Lee, Hyun Jin Kim
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Clin Endosc 2019;52(3):278-282. Published online October 5, 2018
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DOI: https://doi.org/10.5946/ce.2018.114
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Abstract
PDFPubReaderePub
- Small cell carcinomas are the most aggressive, highly malignant neuroendocrine tumors; among these, gastric small cell carcinoma (GSCC) is extremely rare. Here we report a case of a patient with primary GSCC, presenting as linitis plastic, who was diagnosed using endoscopic ultrasound (EUS)-guided biopsy. With undiagnosed linitis plastica, an 80-year-old woman was referred to our institution. Abdominal computed tomography revealed irregular wall thickening extending from the gastric body to the antrum. Endoscopy suspected to have Borrmann type IV advanced gastric cancer. EUS of the stomach showed diffuse submucosal thickening of the gastric wall, mainly the antrum. EUS-guided bite-on-bite biopsy confirmed the diagnosis of GSCC. In general, GSCC is difficult to diagnose and careful examination is necessary to determine the therapeutic strategy; however, EUS is particularly helpful in the differential diagnosis of a lesion presenting as linitis plastica.
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Citations
Citations to this article as recorded by
- An online tool for survival prediction of extrapulmonary small cell carcinoma with random forest
Xin Zhang Frontiers in Oncology.2023;[Epub] CrossRef - Gastric linitis plastica due to signet-ring cell carcinoma with Krukenberg tumors diagnosed by endoscopic ultrasound-guided fine-needle aspiration
Takeshi Okamoto, Hidekazu Suzuki, Katsuyuki Fukuda Clinical Journal of Gastroenterology.2021; 14(4): 994. CrossRef - A case report of advanced gastric small cell carcinoma with neoadjuvant chemotherapy followed by radical total gastrectomy
Bing Wang, Nanlin Jiao, Lianghui Shi Asian Journal of Surgery.2020; 43(12): 1205. CrossRef
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Two Cases of Cerebral Air Embolism That Occurred during Esophageal Ballooning and Endoscopic Retrograde Cholangiopancreatography
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Suyeon Park, Ji Yong Ahn, Young Eun Ahn, Sang-Beom Jeon, Sang Soo Lee, Hwoon-Yong Jung, Jin-Ho Kim
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Clin Endosc 2016;49(2):191-196. Published online February 22, 2016
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DOI: https://doi.org/10.5946/ce.2015.071
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Abstract
PDFPubReaderePub
- Cerebral air embolism is an extremely rare complication of endoscopic procedure and often life threatening. We present two cases of cerebral infarction due to air embolization caused by an endoscopic intervention. The first case occurred during esophageal balloon dilatation for the treatment of a stricture of an anastomosis site in a 59-year-old man and the second case occurred during endoscopic papillary balloon dilatation in a 69-year-old man who had distal common bile duct stones. After the procedure, cardiopulmonary instability and altered mental status were observed in both patients, and cerebral air embolism was diagnosed in both cases. Hyperbaric oxygen therapy was started in the first case, and high FiO2 therapy was applied in the second case. Although this complication is rare, patient outcomes can be improved if physicians are aware of this potential complication, and immediately begin proper management.
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Citations
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- Fatal cerebral air embolism post esophageal endoscopy with dilatation: A case report
Kimberly Hamilton, Matthew Orde, Gordon Finlayson Medicine, Science and the Law.2024; 64(3): 245. CrossRef - Cerebral air embolism followed by endoscopic balloon dilatation for esophageal strictures
Ryoichi Shoji, Naruaki Otake, Takeo Nagura, Jushi Numata, Junya Tsurukiri Acute Medicine & Surgery.2024;[Epub] CrossRef - Diffuse Bi-hemispheric Cortical Infarction Secondary to Cerebral Air Embolism After Elective Esophagogastroduodenoscopy: A Case Report and Review of Literature
Rahul Shah, Saumya Shah Cureus.2023;[Epub] CrossRef - When in Trouble Think of the Bubble: Paradoxical Cerebral Arterial Gas Embolism after Endoscopic Retrograde Cholangiopancreatography
Konstantinos Ekmektzoglou, Georgios Alexandrakis, Konstantinos Dimopoulos, Panagiotis Tsibouris, Chrysostomos Kalantzis, Erasmia Vlachou, Periklis Apostolopoulos Case Reports in Gastroenterology.2021; 15(1): 456. CrossRef - Massive cerebral air embolism following percutaneous transhepatic biliary drainage
Jae Ho Lee, Ha Young Lee, Myung Kwan Lim, Young Hye Kang Medicine.2021; 100(52): e28389. CrossRef - Cerebral Air Embolism after Esophagogastroduodenoscopy: Insight on Pathophysiology, Epidemiology, Prevention and Treatment
Malik Ghannam, Azizullah Beran, Dana Ghazaleh, Tanner Ferderer, Brent Berry, Mona Al Banna, Leighton Mohl, Christopher Streib, Tapan Thacker, Ivan Matos Journal of Stroke and Cerebrovascular Diseases.2019; 28(12): 104403. CrossRef - Cerebral air embolism following an endoscopic variceal ligation
Xue-song Bai, Bo Yang, Yi-jun Yu, Hong-lan Liu, Zi Yin Medicine.2018; 97(23): e10965. CrossRef - Providing Deep Sedation for Advanced Endoscopic Procedures: The Esthetics of Endoscopic Anesthetics
Basavana Goudra, Preet Mohinder Singh Digestive Diseases and Sciences.2016; 61(6): 1426. CrossRef - Fatal Cerebral Air Embolism: A Case Series and Literature Review
Rashmi Mishra, Pavithra Reddy, Misbahuddin Khaja Case Reports in Critical Care.2016; 2016: 1. CrossRef - Cerebral Air Embolism
Leonardo Pacheco Roquero, Sandra Camelo-Piragua, Carl Schmidt American Journal of Forensic Medicine & Pathology.2016; 37(4): 241. CrossRef
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The Clinical Usefulness of Simultaneous Placement of Double Endoscopic Nasobiliary Biliary Drainage
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Hong Jun Kim, Sung Koo Lee, Choong Heon Ryu, Do Hyun Park, Sang Soo Lee, Dong Wan Seo, Myung-Hwan Kim
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Clin Endosc 2015;48(6):542-548. Published online November 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.6.542
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Abstract
PDFPubReaderePub
- Background
/Aims: To evaluate the technical feasibility and clinical efficacy of double endoscopic nasobiliary drainage (ENBD) as a new method of draining multiple bile duct obstructions.
Methods A total of 38 patients who underwent double ENBD between January 2004 and February 2010 at the Asan Medical Center were retrospectively analyzed. We evaluated indications, laboratory results, and the clinical course.
Results Of the 38 patients who underwent double ENBD, 20 (52.6%) had Klatskin tumors, 12 (31.6%) had hepatocellular carcinoma, 3 (7.9%) had strictures at the anastomotic site following liver transplantation, and 3 (7.9%) had acute cholecystitis combined with cholangitis. Double ENBD was performed to relieve multiple biliary obstruction in 21 patients (55.1%), drain contrast agent filled during endoscopic retrograde cholangiopancreatography in 4 (10.5%), obtain cholangiography in 4 (10.5%), drain hemobilia in 3 (7.9%), relieve Mirizzi syndrome with cholangitis in 3 (7.9%), and relieve jaundice in 3 (7.9%).
Conclusions Double ENBD may be useful in patients with multiple biliary obstructions.
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- High-throughput metabolomics reveals the perturbed metabolic pathways and biomarkers of Yang Huang syndrome as potential targets for evaluating the therapeutic effects and mechanism of geniposide
Heng Fang, Aihua Zhang, Xiaohang Zhou, Jingbo Yu, Qi Song, Xijun Wang Frontiers of Medicine.2020; 14(5): 651. CrossRef - Can Endoscopic Nasobiliary Drainage Involving Two Catheters Be Used to Treat Various Conditions?
Dong Wook Lee, Ho Gak Kim Clinical Endoscopy.2015; 48(6): 464. CrossRef
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Single Balloon Enteroscopy-Assisted Endoscopic Retrograde Cholangiopancreatography in Patients Who Underwent a Gastrectomy with Roux-en-Y Anastomosis: Six Cases from a Single Center
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Jae Seung Soh, Dong-Hoon Yang, Sang Soo Lee, Seohyun Lee, Jungho Bae, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang
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Clin Endosc 2015;48(5):452-457. Published online September 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.5.452
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Abstract
PDFPubReaderePub
Patients with altered anatomy such as a Roux-en-Y anastomosis often present with various pancreaticobiliary problems requiring therapeutic intervention. However, a conventional endoscopic approach to the papilla is very difficult owing to the long afferent limb and acute angle of a Roux-en-Y anastomosis. Balloon-assisted enteroscopy can be used for endoscopic retrograde cholangiopancreatography (ERCP) in patients with altered anatomy. We experienced six cases of Roux-en-Y anastomosis with biliary problems, and attempted ERCP using single balloon enteroscopy (SBE). SBE insertion followed by replacement with a conventional endoscope was attempted in five of six patients. The papilla was successfully approached using SBE in all cases. However, therapeutic intervention was completed in only three cases because of poor maneuverability caused by postoperative adhesion. We conclude that in patients with Roux-en-Y anastomosis, the ampulla can be readily accessed with SBE, but longer dedicated accessories are necessary to improve this therapeutic intervention.
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Takashi Sasaki, Naoki Sasahira Clinical Endoscopy.2021; 54(6): 937. CrossRef - Single-balloon enteroscopy-assisted ERCP in patients with Roux-en-Y anatomy and choledocholithiasis: do technical improvements mean better outcomes?
Jesús Espinel Díez, María Eugenia Pinedo Ramos Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef - Application of single balloon enteroscopy-assisted therapeutic endoscopic retrograde cholangiopancreatography in patients after bilioenteric Roux-en-Y anastomosis: Experience of multi-disciplinary collaboration
Wen-Guang Wu, Lu-Cui Qin, Xiao-Ling Song, Ming-Ning Zhao, Wen-Jie Zhang, Jun Gu, Hao Weng, Ying-Bin Liu, Yi Zhang, Chun-Ying Qu, Lei-Ming Xu, Xue-Feng Wang World Journal of Gastroenterology.2019; 25(36): 5505. CrossRef - Comparison between Enteroscopy-Based and Laparoscopy-Assisted ERCP for Accessing the Biliary Tree in Patients with Roux-en-Y Gastric Bypass: Systematic Review and Meta-analysis
Alberto Machado da Ponte-Neto, Wanderley M. Bernardo, Lara M. de A. Coutinho, Iatagan Rocha Josino, Vitor Ottoboni Brunaldi, Diogo T. H. Moura, Paulo Sakai, Rogério Kuga, Eduardo G. H. de Moura Obesity Surgery.2018; 28(12): 4064. CrossRef - Impact of a Newly Developed Short Double-Balloon Enteroscope on Stent Placement in Patients with Surgically Altered Anatomies
Koichiro Tsutsumi, Hironari Kato, Hiroyuki Okada Gut and Liver.2017; 11(2): 306. CrossRef
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Endoscopic Ultrasonography-Guided Ethanol Ablation for Small Pancreatic Neuroendocrine Tumors: Results of a Pilot Study
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Do Hyun Park, Jun-Ho Choi, Dongwook Oh, Sang Soo Lee, Dong-Wan Seo, Sung Koo Lee, Myung-Hwan Kim
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Clin Endosc 2015;48(2):158-164. Published online March 27, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.2.158
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Abstract
PDFPubReaderePub
- Background/Aims
Endoscopic ultrasonography (EUS)-guided ethanol ablation is gaining popularity for the treatment of focal pancreatic lesions. The aim of this study was to evaluate the safety, feasibility, and treatment response after EUS-guided ethanol injection for small pancreatic neuroendocrine tumors (p-NETs). MethodsThis was a retrospective analysis of a prospectively collected database including 11 consecutive patients with p-NETs who underwent EUS-guided ethanol injection. ResultsEUS-guided ethanol injection was successfully performed in 11 patients with 14 tumors. The final diagnosis was based on histology and clinical signs as follows: 10 non-functioning neuroendocrine tumors and four insulinomas. During follow-up (median, 370 days; range, 152 to 730 days), 10 patients underwent clinical follow-up after treatment, and one patient was excluded because of loss to follow-up. A single treatment session with an injection of 0.5 to 3.8 mL of ethanol resulted in complete responses (CRs) at the 3-month radiologic imaging for seven of 13 tumors (response rate, 53.8%). Multiple treatment sessions performed in three tumors with residual viable enhancing tissue increased the number of tumors with CRs to eight of 13 (response rate, 61.5%). Mild pancreatitis occurred in three of 11 patients. ConclusionsEUS-guided ethanol injection appears to be a safe, feasible, and potentially effective method for treating small p-NETs in patients who are poor surgical candidates.
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Tetsuhide Ito, Lingaku Lee, Robert T. Jensen Expert Opinion on Pharmacotherapy.2016; 17(16): 2191. CrossRef - Endoscopic Ultrasonography-Guided Ethanol Injection for a Pancreatic Neuroendocrine Tumor with Multiple Endocrine Neoplasia Type 1
Sujong An, Jae Yong Lee, Sung-ha Hwang, Do Hyun Park, Sung-Koo Lee Korean Journal of Pancreas and Biliary Tract.2016; 21(4): 202. CrossRef - Interventional Therapy for Pancreatic Cancer
Jianwei Zhu, Zhendong Jin Gastrointestinal Tumors.2016; 3(2): 81. CrossRef - The Expanding Role of Contrast-Enhanced Endoscopic Ultrasound in Pancreatobiliary Disease
Jun-Ho Choi, Dong Wan Seo Gut and Liver.2015; 9(6): 707. CrossRef
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Endoscopic Drainage of Pseudocysts
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Tae Jun Song, Sang Soo Lee
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Clin Endosc 2014;47(3):222-226. Published online May 31, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.3.222
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Abstract
PDFPubReaderePub
During the last decade, great progress has been made in minimally invasive endoscopic techniques. For pancreatic pseudocysts (PPCs), endoscopic drainage has become the first-line therapeutic option. Recent advances in therapeutic endoscopic ultrasound (EUS)-related techniques have focused on EUS-guided transmural drainage, which is now replacing the conventional endoscopy-guided transmural drainage. While transmural drainage is usually performed using multiple plastic stents with or without a nasocystic drain, fully covered self-expandable metal stents are now being used with increasing frequency. In this review, we discuss some of the controversies related to the endoscopic drainage of PPCs.
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- A case of delayed bleeding caused by a stent after endoscopic ultrasound-guided drainage of pancreatic fluid collection
Jonghyun Lee Journal of Innovative Medical Technology.2024; 2(2): 75. CrossRef - Does a coaxial double pigtail stent reduce adverse events after lumen apposing metal stent placement for pancreatic fluid collections? A systematic review and meta-analysis
Suprabhat Giri, Sidharth Harindranath, Shivaraj Afzalpurkar, Sumaswi Angadi, Sridhar Sundaram Therapeutic Advances in Gastrointestinal Endoscopy.2023;[Epub] CrossRef - Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
Chi Hyuk Oh, Tae Jun Song, Jun Kyu Lee, Jin-Seok Park, Jae Min Lee, Jun Hyuk Son, Dong Kee Jang, Miyoung Choi, Jeong-Sik Byeon, In Seok Lee, Soo Teik Lee, Ho Soon Choi, Ho Gak Kim, Hoon Jai Chun, Chan Guk Park, Joo Young Cho The Korean Journal of Pancreas and Biliary Tract.2022; 27(2): 61. CrossRef - Pankreatik psödokistlerde tanısal yöntemlerin performansı
Yavuz ÖZDEN, Göksel BENGİ, Funda BARLIK OBUZ, Canan ALTAY, Özgül SAĞOL, Anıl AYSAL AĞALAR, Tarkan ÜNEK, Müjde SOYTÜRK Akademik Gastroenteroloji Dergisi.2022; 21(3): 136. CrossRef - EUS-guided drainage of pancreatic fluid collection, using a modified technique of cystotome alone without a FNA needle
Praveer Rai, KC Harish, Abdul Majeed, Amit Goel Saudi Journal of Gastroenterology.2021; 27(5): 283. CrossRef - Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
Chi Hyuk Oh, Jun Kyu Lee, Tae Jun Song, Jin-Seok Park, Jae Min Lee, Jun Hyuk Son, Dong Kee Jang, Miyoung Choi, Jeong-Sik Byeon, In Seok Lee, Soo Teik Lee, Ho Soon Choi, Ho Gak Kim, Hoon Jai Chun, Chan Guk Park, Joo Young Cho Clinical Endoscopy.2021; 54(4): 505. CrossRef - Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
Chi Hyuk Oh, Tae Jun Song, Jun Kyu Lee, Jin-Seok Park, Jae Min Lee, Jun Hyuk Son, Dong Kee Jang, Miyoung Choi, Jeong-Sik Byeon, In Seok Lee, Soo Teik Lee, Ho Soon Choi, Ho Gak Kim, Hoon Jai Chun, Chan Guk Park, Joo Young Cho Gut and Liver.2021; 15(5): 677. CrossRef - Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst
Chan Park, Tae Hyeon Kim, Hyung Ku Chon Clinical Endoscopy.2021; 54(5): 763. CrossRef - GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
Flávio Pereira, Ana Caldeira, Sílvia Leite, Susana Marques, Teresa Moreira, Pedro Moutinho-Ribeiro, Nuno Nunes, Miguel Bispo GE - Portuguese Journal of Gastroenterology.2021; 28(1): 39. CrossRef - Endoscopic ultrasonography-guided drainage using a self-approximating lumen-apposing metallic stents
Tae Jun Song, DongWook Oh, Sang Soo Lee Techniques and Innovations in Gastrointestinal Endoscopy.2020; 22(1): 33. 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
Masayuki Kitano, Thomas M. Gress, Pramod K. Garg, Takao Itoi, Atsushi Irisawa, Hiroyuki Isayama, Atsushi Kanno, Kei Takase, Michael Levy, Ichiro Yasuda, Phillipe Lévy, Shuiji Isaji, Carlos Fernandez-Del Castillo, Asbjørn M. Drewes, Andrea R.G. Sheel, John Pancreatology.2020; 20(6): 1045. CrossRef - Recent development of endoscopic ultrasonography-guided drainage of pancreatic fluid collections
Dong Kee Jang, Jun Kyu Lee International Journal of Gastrointestinal Intervention.2020; 9(4): 160. CrossRef - Efficacy of a novel lumen-apposing metal stent for the treatment of symptomatic pancreatic pseudocysts (with video)
Tae Jun Song, Sang Soo Lee, Jong Ho Moon, Hyun Jong Choi, Chang Min Cho, Kwang Hyuck Lee, Se Woo Park, Seong-Hun Kim, Seung Ok Lee, Yun Nah Lee, Jong Kyun Lee Gastrointestinal Endoscopy.2019; 90(3): 507. CrossRef - Management of (Peri)Pancreatic Collections in Acute Pancreatitis
Mihailo Bezmarević, Sven M. van Dijk, Rogier P. Voermans, Hjalmar C. van Santvoort, Marc G. Besselink Visceral Medicine.2019; 35(2): 91. CrossRef - Management of Inflammatory Fluid Collections and Walled-Off Pancreatic Necrosis
Apeksha Shah, Richard Denicola, Cynthia Edirisuriya, Ali A. Siddiqui Current Treatment Options in Gastroenterology.2017; 15(4): 576. CrossRef - El papel terapéutico del ultrasonido endoscópico en las colecciones líquidas peripancreáticas
Luis Eduardo Casasola-Sánchez, Félix Ignacio Téllez-Ávila Endoscopia.2015; 27(2): 87. CrossRef - Successful surgical internal drainage of postoperative pancreatic pseudocyst through pancreaticojejunostomy with distal pancreatectomy: a case report
Kazuya Sakata, Daisuke Hashimoto, Katsunobu Taki, Osamu Nakahara, Masaki Ohmuraya, Akira Chikamoto, Toru Beppu, Hideo Baba Surgical Case Reports.2015;[Epub] CrossRef - Endoscopic and operative treatment of delayed complications after pancreatic trauma: An analysis of 27 civilians treated in an academic Level 1 Trauma Centre
J.E.J. Krige, U.K. Kotze, P.H. Navsaria, A.J. Nicol Pancreatology.2015; 15(5): 563. CrossRef - Learning models for endoscopic ultrasonography in gastrointestinal endoscopy
Gwang Ha Kim World Journal of Gastroenterology.2015; 21(17): 5176. CrossRef - Therapeutic role of endoscopic ultrasound in pancreaticobiliary disease: A comprehensive review
Fan-Sheng Meng World Journal of Gastroenterology.2015; 21(46): 12996. CrossRef - Outcome of stenting in biliary and pancreatic benign and malignant diseases: A comprehensive review
Benedetto Mangiavillano World Journal of Gastroenterology.2015; 21(30): 9038. CrossRef
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Histological Changes in the Bile Duct after Long-Term Placement of a Fully Covered Self-Expandable Metal Stent within a Common Bile Duct: A Canine Study
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Sang Soo Lee, Tae Jun Song, Mee Joo, Do Hyun Park, Dong Wan Seo, Sung Koo Lee, Myung-Hwan Kim
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Clin Endosc 2014;47(1):84-93. Published online January 24, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.1.84
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Abstract
PDFPubReaderePub
- Background/Aims
To date, it has been difficult to determine the optimal stenting duration of a fully covered self-expandable metal stent (FCSEMS) in a benign biliary stricture. The purpose of this study was to identify the histopathological changes in a bile duct resulting from long-term placement of a FCSEMS. MethodsAn FCSEMS was inserted into the common bile duct of 12 canines, and the animals were divided into four groups. Posteuthanasia, necropsy was performed to examine the histopathological changes in the bile ducts after 1, 3, 6, and 9 months. ResultsThe results of necropsy showed that the covered membranes of the FCSEMSs were intact and easily removed from the bile ducts in 11 of the canines. Severe epithelial hyperplasia of the stented bile duct and epithelial ingrowth into the stent occurred in one animal (from the 3-month group). On histopathological examination, mild inflammatory changes were observed in the stented bile ducts, and there was no significant difference between the four groups. Among the 12 animals, five had de novo stricture. ConclusionsAn FCSEMS can be inserted into the bile duct without severe histopathological changes up until 9 months. However, a de novo stricture and severe epithelial hyperplasia relating to the stent insertion might occur.
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- Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)
Julia L. Bergen, Blake M. Travis, Fred S. Pike Veterinary Surgery.2024; 53(2): 320. CrossRef - Feasibility of in vivo swine models using guide wire-assisted intraductal radiofrequency ablation for benign biliary stricture
Jae Keun Park, Ju-Il Yang, Joo Kyung Park, Kwang Hyuck Lee, Jong Kyun Lee, Kyu Taek Lee Scientific Reports.2023;[Epub] CrossRef - Outcomes of double-layer continuous suture hepaticojejunostomy in pancreatoduodenectomy and total pancreatectomy
Niccolò Napoli, Emanuele F. Kauffmann, Rosilde Caputo, Michael Ginesini, Fabio Asta, Cesare Gianfaldoni, Gabriella Amorese, Fabio Vistoli, Ugo Boggi HPB.2022; 24(10): 1738. CrossRef - Controversial issues of biliary stenting in patients with proximal biliary obstruction
J. V. Kulezneva, O. V. Melekhina, A. B. Musatov, M. G. Efanov, V. V. Tsvirkun, I. Yu. Nedoluzhko, K. V. Shishin, K. K. Salnikov, D. F. Kantimerov Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery.2021; 26(3): 79. CrossRef - A systematic review of biodegradable biliary stents: promising biocompatibility without stent removal
Antti Siiki, Juhani Sand, Johanna Laukkarinen European Journal of Gastroenterology & Hepatology.2018; 30(8): 813. CrossRef - Novel flower-type covered metal stent to prevent cholecystitis: experimental study in a pig model
Young Sik Woo, Kwang Hyuck Lee, Jong Kyun Lee, Dong Hyo Noh, Joo Kyung Park, Kyu Taek Lee, Kee-Taek Jang Surgical Endoscopy.2016; 30(3): 1141. CrossRef - Biodegradable biliary stents have a different effect than covered metal stents on the expression of proteins associated with tissue healing in benign biliary strictures
Antti Siiki, Ralf Jesenofsky, Matthias Löhr, Isto Nordback, Minna Kellomäki, Heidi Gröhn, Joonas Mikkonen, Juhani Sand, Johanna Laukkarinen Scandinavian Journal of Gastroenterology.2016; 51(7): 880. CrossRef - Fabrication of a silver particle-integrated silicone polymer-covered metal stent against sludge and biofilm formation and stent-induced tissue inflammation
Tae Hoon Lee, Bong Seok Jang, Min Kyo Jung, Chan Gi Pack, Jun-Ho Choi, Do Hyun Park Scientific Reports.2016;[Epub] CrossRef - Metal Stenting in Benign Biliary Strictures
Ji Kon Ryu Clinical Endoscopy.2014; 47(1): 5. CrossRef - Best endoscopic stents for the biliary tree and pancreas
Todd H. Baron Current Opinion in Gastroenterology.2014; 30(5): 453. CrossRef
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Comparison between Midazolam Used Alone and in Combination with Propofol for Sedation during Endoscopic Retrograde Cholangiopancreatography
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Yu Seok Kim, Myung-Hwan Kim, Seung Uk Jeong, Byung Uk Lee, Sang Soo Lee, Do Hyun Park, Dong-Wan Seo, Sung Koo Lee
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Clin Endosc 2014;47(1):94-100. Published online January 24, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.1.94
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Abstract
PDFPubReaderePub
- Background/Aims
Endoscopic retrograde cholangiopancreatography (ERCP) is an uncomfortable procedure that requires adequate sedation for its successful conduction. We investigated the efficacy and safety of the combined use of intravenous midazolam and propofol for sedation during ERCP. MethodsA retrospective review of patient records from a single tertiary care hospital was performed. Ninety-four patients undergoing ERCP received one of the two medication regimens, which was administered by a nurse under the supervision of a gastroenterologist. Patients in the midazolam (M) group (n=44) received only intravenous midazolam, which was titrated to achieve deep sedation. Patients in the midazolam pulse propofol (MP) group (n=50) initially received an intravenous combination of midazolam and propofol, and then propofol was titrated to achieve deep sedation. ResultsThe time to the initial sedation was shorter in the MP group than in the M group (1.13 minutes vs. 1.84 minutes, respectively; p<0.001). The recovery time was faster in the MP group than in the M group (p=0.031). There were no significant differences between the two groups with respect to frequency of adverse events, pain experienced by the patient, patient discomfort, degree of amnesia, and gag reflex. Patient cooperation, rated by the endoscopist as excellent, was greater in the MP group than in the M group (p=0.046). ConclusionsThe combined use of intravenous midazolam and propofol for sedation during ERCP is more effective than midazolam alone. There is no difference in the safety of the procedure.
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- Sedation in the Endoscopy Suite
Katherine B. Hagan, Selvi Thirumurthi, Raju Gottumukkala, John Vargo Current Treatment Options in Gastroenterology.2016; 14(2): 194. CrossRef - Sedation during endoscopic retrograde cholangiopancreatography: a randomized controlled study of patient-controlled propofol sedation and that given by a nurse anesthetist
Andreas Nilsson, Benjamin Grossmann, Eric Kullman, Eva Uustal, Folke Sjöberg, Lena Nilsson Scandinavian Journal of Gastroenterology.2015; 50(10): 1285. CrossRef - Non‐radiation endoscopic retrograde cholangiopancreatography in the management of choledocholithiasis during pregnancy
Wenming Wu, Douglas O. Faigel, Gang Sun, Yunsheng Yang Digestive Endoscopy.2014; 26(6): 691. CrossRef - Monitored Anesthesia Care for Sedation during Endoscopic Retrograde Cholangiopancreatography
Young Duck Shin Korean Journal of Pancreas and Biliary Tract.2014; 19(2): 59. CrossRef - Prerequisites of Colonoscopy
Kyong Hee Hong, Yun Jeong Lim Clinical Endoscopy.2014; 47(4): 324. CrossRef
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