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Review of Simultaneous Double Stenting Using Endoscopic Ultrasound-Guided Biliary Drainage Techniques in Combined Gastric Outlet and Biliary Obstructions
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Hao Chi Zhang, Monica Tamil, Keshav Kukreja, Shashideep Singhal
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Clin Endosc 2020;53(2):167-175. Published online August 13, 2019
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DOI: https://doi.org/10.5946/ce.2019.050
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 Abstract
 PDF PubReader ePub
- Concomitant malignant gastric outlet obstruction and biliary obstruction may occur in patients with advanced cancers affecting these anatomical regions. This scenario presents a unique challenge to the endoscopist in selecting an optimal management approach. We sought to determine the efficacy and safety of endoscopic techniques for treating simultaneous gastric outlet and biliary obstruction (GOBO) with endoscopic ultrasound (EUS) guidance for biliary drainage. An extensive literature search for peer-reviewed published cases yielded 6 unique case series that either focused on or included the use of EUS-guided biliary drainage (EUS-BD) with simultaneous gastroduodenal stenting. In our composite analysis, a total of 51 patients underwent simultaneous biliary drainage through EUS, with an overall reported technical success rate of 100% for both duodenal stenting and biliary drainage. EUS-guided choledochoduodenostomy or EUS-guided hepaticogastrostomy was employed as the initial technique. In 34 cases in which clinical success was ascribed, 100% derived clinical benefit. The common adverse effects of double stenting included cholangitis, stent migration, bleeding, food impaction, and pancreatitis. We conclude that simultaneous double stenting with EUS-BD and gastroduodenal stenting for GOBO is associated with high success rates. It is a feasible and practical alternative to percutaneous biliary drainage or surgery for palliation in patients with associated advanced malignancies.
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Citations
Citations to this article as recorded by  - Endoscopic Management of Malignant Biliary Obstruction
Woo Hyun Paik, Do Hyun Park
Gastrointestinal Endoscopy Clinics of North America.2024; 34(1): 127. CrossRef - Long‐term outcomes of endoscopic double stenting using an anti‐reflux metal stent for combined malignant biliary and duodenal obstruction
Takashi Sasaki, Tsuyoshi Takeda, Yuto Yamada, Takeshi Okamoto, Chinatsu Mori, Takafumi Mie, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
Journal of Hepato-Biliary-Pancreatic Sciences.2023; 30(1): 144. CrossRef - A Systematic Review of Endoscopic Treatments for Concomitant Malignant Biliary Obstruction and Malignant Gastric Outlet Obstruction and the Outstanding Role of Endoscopic Ultrasound-Guided Therapies
Giacomo Emanuele Maria Rizzo, Lucio Carrozza, Dario Quintini, Dario Ligresti, Mario Traina, Ilaria Tarantino
Cancers.2023; 15(9): 2585. CrossRef - EUS-guided gallbladder drainage using a lumen-apposing metal stent as rescue treatment for malignant distal biliary obstruction: a large multicenter experience
Cecilia Binda, Andrea Anderloni, Alessandro Fugazza, Arnaldo Amato, Germana de Nucci, Alessandro Redaelli, Roberto Di Mitri, Luigi Cugia, Valeria Pollino, Raffaele Macchiarelli, Benedetto Mangiavillano, Edoardo Forti, Mario Luciano Brancaccio, Roberta Bad
Gastrointestinal Endoscopy.2023; 98(5): 765. CrossRef - Choledochoduodenostomy Versus Hepaticogastrostomy in Endoscopic Ultrasound-guided Drainage for Malignant Biliary Obstruction: A Meta-analysis and Systematic Review
Kejie Mao, Binbin Hu, Feng Sun, Kaiming Wan
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2022; 32(1): 124. CrossRef - Efficacy and safety of endoscopic duodenal stent versus endoscopic or surgical gastrojejunostomy to treat malignant gastric outlet obstruction: systematic review and meta-analysis
Rajesh Krishnamoorthi, Shivanand Bomman, Petros Benias, Richard A. Kozarek, Joyce A. Peetermans, Edmund McMullen, Ornela Gjata, Shayan S. Irani
Endoscopy International Open.2022; 10(06): E874. CrossRef
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Endoscopic Ultrasound-Guided Gallbladder Drainage Using a Lumen-Apposing Metal Stent for Acute Cholecystitis: A Systematic Review
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Deepanshu Jain, Bharat Singh Bhandari, Nikhil Agrawal, Shashideep Singhal
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Clin Endosc 2018;51(5):450-462. Published online June 1, 2018
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DOI: https://doi.org/10.5946/ce.2018.024
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Abstract
PDFPubReaderePub
- Surgery remains the standard treatment for acute cholecystitis except in high-risk candidates where percutaneous transhepatic gallbladder drainage (PT-GBD), endoscopic transpapillary cystic duct stenting (ET-CDS), and endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) are potential choices. PT-GBD is contraindicated in patients with coagulopathy or ascites and is not preferred by patients owing to aesthetic reasons. ET-CDS is successful only if the cystic duct can be visualized and cannulated. For 189 patients who underwent EUS-GBD via insertion of a lumen-apposing metal stent (LAMS), the composite technical success rate was 95.2%, which increased to 96.8% when LAMS was combined with co-axial self-expandable metal stent (SEMS). The composite clinical success rate was 96.7%. We observed a small risk of recurrent cholecystitis (5.1%), gastrointestinal bleeding (2.6%) and stent migration (1.1%). Cautery enhanced LAMS significantly decreases the stent deployment time compared to non-cautery enhanced LAMS. Prophylactic placement of a pigtail stent or SEMS through the LAMS avoids re-interventions, particularly in patients, where it is intended to remain in situ indefinitely. Limited evidence suggests that the efficacy of EUS-GBD via LAMS is comparable to that of PT-GBD with the former showing better results in postoperative pain, length of hospitalization, and need for antibiotics. EUS-GBD via LAMS is a safe and efficacious option when performed by experts.
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De-novo Gastrointestinal Anastomosis with Lumen Apposing Metal Stent
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Deepanshu Jain, Ankit Chhoda, Abhinav Sharma, Shashideep Singhal
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Clin Endosc 2018;51(5):439-449. Published online September 27, 2018
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DOI: https://doi.org/10.5946/ce.2018.077
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Abstract
PDFPubReaderePub
- Gastric outlet obstruction, afferent or efferent limb obstruction, and biliary obstruction among patients with altered anatomy often require surgical intervention which is associated with significant morbidity and mortality. Endoscopic dilation for benign etiologies requires multiple sessions, whereas self-expandable metal stents used for malignant etiologies often fail due to tumor in-growth. Lumen apposing metal stents, placed endoscopically with the intent of creating a de-novo gastrointestinal anastomosis bypassing the site of obstruction, can potentially achieve similar efficacy, with a much lower complication rate. In our study cohort (n=79), the composite technical success rate and clinical success rate was 91.1% (72/79) and 97.2% (70/72), respectively. Five different techniques were used: 43% (34/79) underwent the balloon-assisted method, 27.9% (22/79) underwent endoscopic ultrasound-guided balloon occluded gastro-jejunostomy bypass, 20.3% (16/79) underwent the direct technique, 6.3% (5/79) underwent the hybrid rendezvous technique, and 2.5% (2/79) underwent natural orifice transluminal endoscopic surgery (NOTES)-assisted procedure. All techniques required an echoendoscope except NOTES. In all, 53.2% (42/79) had non-cautery enhanced Axios stent, 44.3% (35/79) had hot Axios stent, and 2.5% (2/79) had Niti-S spaxus stent. Symptom-recurrence was seen in 2.8%, and 6.3% had a complication (bleeding, abdominal pain or peritonitis). All procedures were performed by experts at centers of excellence with adequate surgical back up.
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Citations
Citations to this article as recorded by - Salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction
Tiffany Z. Yu, Abishek Agnihotri, Richard Zheng, Babar Bashir, Nayeem Nasher, Charles J. Yeo, Avinoam Nevler, Harish Lavu, Wilbur B. Bowne, Anand Kumar
Clinical Journal of Gastroenterology.2023; 16(3): 387. CrossRef - The Use of Palliative Endoscopic Ultrasound-guided Enterostomy to Treat Small Bowel Obstruction in Two Patients with Advanced Malignancies
Ji Hong Oh, Seung Goun Hong
The Korean Journal of Medicine.2022; 97(3): 191. CrossRef - Short benign ileocolonic anastomotic strictures - management with bi-flanged metal stents: Six case reports and review of literature
Panagiotis Kasapidis, Georgios Mavrogenis, Dimitrios Mandrekas, Fateh Bazerbachi
World Journal of Clinical Cases.2022; 10(28): 10162. CrossRef - Long-term placement of lumen-apposing metal stent after endoscopic ultrasound-guided duodeno- and jejunojejunal anastomosis for direct access to excluded jejunal limb
Gianfranco Donatelli, Fabrizio Cereatti, Andrea Spota, David Danan, Thierry Tuszynski, Jean-Loup Dumont, Serge Derhy
Endoscopy.2021; 53(03): 293. CrossRef - ERCP in patient with Roux-en-Y gastric bypass and high grade duodenal stricture across dual lumen-apposing metal stents
Kornpong Vantanasiri, Guru Trikudanathan
Endoscopy.2021; 53(05): E189. CrossRef - Endoscopic sigmoidorectal reanastomosis using a dual endoscope technique: rendezvous single-balloon enteroscopy and endoscopic ultrasound
Sławomir Kozieł, Katarzyna Kozłowska-Petriczko, Katarzyna M. Pawlak, Jan Petriczko, Anna Wiechowska-Kozłowska
Endoscopy.2021; 53(07): E257. CrossRef - Lumen-Apposing Metal Stent Used to Treat Malignant Esophageal Stricture
Ryan B. Mirchin, Syed Kashif Mahmood
ACG Case Reports Journal.2020; 7(3): e00362. CrossRef - Lumen-apposing metal stent use to maintain a surgical anastomosis
Abdulla Nasser, Marc Cullen, Mohammed Barawi
VideoGIE.2020; 5(10): 494. CrossRef - Fluoroscopy-Guided Gastrojejunostomy Creation with Lumen-Apposing Metal Stent in a Porcine Model
Jingui Li, Tao Gong, Jiaywei Tsauo, He Zhao, Xiaowu Zhang, Mingchen Sang, Xiao Li
CardioVascular and Interventional Radiology.2020; 43(11): 1687. CrossRef
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Closing the Gaps: Endoscopic Suturing for Large Submucosal and Full-Thickness Defects
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Keshav Kukreja, Suma Chennubhotla, Bharat Bhandari, Ankit Arora, Shashideep Singhal
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Clin Endosc 2018;51(4):352-356. Published online March 5, 2018
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DOI: https://doi.org/10.5946/ce.2017.117
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Abstract
PDFPubReaderePub
- This article is a systematic review of relevant literature on endoscopic suturing as a primary closure technique for large submucosal and full-thickness defects after endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic full-thickness resection (EFTR). A comprehensive literature search was conducted through 2016 by using PubMed, to find peer-reviewed original articles. The specific factors considered were the procedural indications and details, success rates, clinical outcomes including complications, and study limitations. Six original articles were included in the final review: two with non-human subjects and four with human subjects. The mean success rate of endoscopic suturing was 97.4% (100% for human subjects and 95.4% for non-human subjects). The procedural time ranged from 7 to 89 min. The average size and depth of lesions were 2.71 cm (3.74 cm [human] and 1.96 cm [non-human]) and 1.52 cm, respectively. The technique itself had no reported impact on mortality. In conclusion, endoscopic suturing is a minimally invasive technique for the primary closure of defects caused by EMR, ESD, and EFTR, with a high success and low complication rate.
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Citations
Citations to this article as recorded by - Endoscopic Management of Bariatric Surgery Complications
Abhishek Shenoy, Allison R. Schulman
Gastrointestinal Endoscopy Clinics of North America.2024; 34(4): 655. CrossRef - Colon Sparing Endoscopic Full-Thickness Resection for Advanced Colorectal Lesions: Is It Time for Global Adoption?
Zhong-Wei Wu, Chao-Hui Ding, Yao-Dong Song, Zong-Chao Cui, Xiu-Qian Bi, Bo Cheng
Frontiers in Oncology.2022;[Epub] CrossRef - Application of a traction metal clip with a fishhook-like device in wound sutures after endoscopic resection
Wang Fangjun, Leng Xia, Gao Yi, Shen Xiuyun, Wang Wenping, Liu Huamin, Liu Pengfei
Clinical Endoscopy.2022; 55(4): 525. CrossRef - On the Track of New Endoscopic Alternatives for the Treatment of Selected Gastric GISTs—A Pilot Study
Artur Raiter, Katarzyna M. Pawlak, Katarzyna Kozłowska-Petriczko, Jan Petriczko, Joanna Szełemej, Anna Wiechowska-Kozłowska
Medicina.2021; 57(6): 625. CrossRef - Complications of the Use of the OverStitch Endoscopic Suturing System
Jessica X. Yu, Allison R. Schulman
Gastrointestinal Endoscopy Clinics of North America.2020; 30(1): 187. CrossRef - Resection of the gastric submucosal tumor (G-SMT) originating from the muscularis propria layer: comparison of efficacy, patients’ tolerability, and clinical outcomes between endoscopic full-thickness resection and surgical resection
Sha Liu, Xinxin Zhou, YongXing Yao, Keda Shi, Mosang Yu, Feng Ji
Surgical Endoscopy.2020; 34(9): 4053. CrossRef - Valuing innovative endoscopic techniques: prophylactic clip closure after endoscopic resection of large colon polyps
Eric D. Shah, Heiko Pohl, Douglas K. Rex, Michael B. Wallace, Seth D. Crockett, Shannon J. Morales, Linda A. Feagins, Ryan Law
Gastrointestinal Endoscopy.2020; 91(6): 1353. CrossRef - Optimal Endoscopic Resection Technique for Selected Gastric GISTs. The Endoscopic Suturing System Combined with ESD—a New Alternative?
Katarzyna M. Pawlak, Artur Raiter, Katarzyna Kozłowska-Petriczko, Joanna Szełemej, Jan Petriczko, Katarzyna Wojciechowska, Anna Wiechowska-Kozłowska
Journal of Clinical Medicine.2020; 9(6): 1776. CrossRef - Life on a knife edge: the optimal approach to the management of perforations during endoscopic submucosal dissection (ESD)
Shria Kumar, Young Hoon Youn, Jeffrey H. Lee
Expert Review of Gastroenterology & Hepatology.2020; 14(10): 965. CrossRef - Endoscopic submucosal dissection: an update on tools and accessories
Christopher Harlow, Arun Sivananthan, Lakshmana Ayaru, Kinesh Patel, Ara Darzi, Nisha Patel
Therapeutic Advances in Gastrointestinal Endoscopy.2020; 13: 263177452095722. CrossRef - Endoscopic foregut surgery and interventions: The future is now. The state-of-the-art and my personal journey
Kenneth J Chang
World Journal of Gastroenterology.2019; 25(1): 1. CrossRef - Management of colonoscopic perforation
Carey Wickham, Kasim L. Mirza, Sang W. Lee
Seminars in Colon and Rectal Surgery.2019; 30(3): 100686. CrossRef - Potential role of new technological innovations in non-variceal hemorrhage
David Friedel
World J Gastrointest Endosc.2019; 11(8): 472. CrossRef - Endoscopic full-thickness resection for treating small tumors originating from the muscularis propria in the gastric fundus: An improvement in technique over 15 years
Nan Ge, Jin-Long Hu, Fei Yang, Fan Yang, Si-Yu Sun
World Journal of Gastrointestinal Oncology.2019; 11(11): 1054. CrossRef - Endoscopic full-thickness resection for treating small tumors originating from the muscularis propria in the gastric fundus: An improvement in technique over 15 years
Nan Ge, Jin-Long Hu, Fei Yang, Fan Yang, Si-Yu Sun
World Journal of Gastrointestinal Oncology.2019; 11(11): 1054. CrossRef
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Contrast Enhanced Harmonic Endoscopic Ultrasound: A Novel Approach for Diagnosis and Management of Gastrointestinal Stromal Tumors
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Ankit Chhoda, Deepanshu Jain, Venkateswar R Surabhi, Shashideep Singhal
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Clin Endosc 2018;51(3):215-221. Published online May 31, 2018
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DOI: https://doi.org/10.5946/ce.2017.170
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Abstract
PDFPubReaderePub
- The histologic analysis of gastrointestinal stromal tumors (GISTs) is a common method to detect the mitotic activity and to subsequently determine the risk of GISTs for malignancy. The potential false negative error due to inadequate yield of specimens and actual determination of malignancy risk requires analysis of the whole tumor. We aimed to assess the role of contrast enhanced endoscopic ultrasound (CE-EUS) in the management of GISTs. Two authors individually did review of English literatures to identify nine peer-reviewed original articles using keywords- contrast endoscopic ultrasound, GIST and submucosal tumor. Studies were heterogeneous in their aims looking either at differentiating submucosal lesions from GISTs, estimating malignant potential of GISTs with histologic correlation or studying the role of angiogenesis in malignant risk stratification. CE-EUS had moderate to high efficacy in differentiating GISTs from alternative submucosal tumors. CE-EUS had a higher sensitivity than EUS-guided fine needle aspiration, contrast computed tomography and Doppler EUS for detection of neo-vascularity within the GISTs. However, the evidence of abnormal angiogenesis within GIST as a prognostic factor needs further validation. CE-EUS is a non-invasive modality, which can help differentiate GISTs and provide valuable assessment of their perfusion patterns to allow better prediction of their malignant potential but more experience is needed.
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Citations
Citations to this article as recorded by - Gastrointestinal Stromal Tumors (GISTs) in Pediatric Patients: A Case Report and Literature Review
Tudor-Alexandru Popoiu, Cãtãlin-Alexandru Pîrvu, Cãlin-Marius Popoiu, Emil Radu Iacob, Tamas Talpai, Amalia Voinea, Rãzvan-Sorin Albu, Sorina Tãban, Larisa-Mihaela Bãlãnoiu, Stelian Pantea
Children.2024; 11(9): 1040. CrossRef - The value of contrast-enhanced harmonic endoscopic ultrasound in differential diagnosis and evaluation of malignant risk of gastrointestinal stromal tumors (<50mm)
Jiali Wu, Mengqi Zhuang, Yubao Zhou, Xiang Zhan, Weiwei Xie
Scandinavian Journal of Gastroenterology.2023; 58(5): 542. CrossRef - Angiogenesis in gastrointestinal stromal tumors: From bench to bedside
Stavros P Papadakos, Christos Tsagkaris, Marios Papadakis, Andreas S Papazoglou, Dimitrios V Moysidis, Constantinos G Zografos, Stamatios Theocharis
World Journal of Gastrointestinal Oncology.2022; 14(8): 1469. CrossRef - Diagnostic accuracy of endoscopic ultrasound with artificial intelligence for gastrointestinal stromal tumors: A meta‐analysis
Xiao Hua Ye, Lin Lin Zhao, Lei Wang
Journal of Digestive Diseases.2022; 23(5-6): 253. CrossRef - Controversies in EUS: Do we need miniprobes?
Hans Seifert, Pietro Fusaroli, PaoloGiorgio Arcidiacono, Barbara Braden, Felix Herth, Michael Hocke, Alberto Larghi, Bertrand Napoleon, Mihai Rimbas, BogdanSilvio Ungureanu, Adrian Sãftoiu, AnandV Sahai, ChristophF Dietrich
Endoscopic Ultrasound.2021; 10(4): 246. CrossRef - Convolutional neural network‐based object detection model to identify gastrointestinal stromal tumors in endoscopic ultrasound images
Chang Kyo Oh, Taewan Kim, Yu Kyung Cho, Dae Young Cheung, Bo‐In Lee, Young‐Seok Cho, Jin Il Kim, Myung‐Gyu Choi, Han Hee Lee, Seungchul Lee
Journal of Gastroenterology and Hepatology.2021; 36(12): 3387. CrossRef - Diagnostic value of contrast-enhanced harmonic endoscopic ultrasonography in predicting the malignancy potential of submucosal tumors: a systematic review and meta-analysis
Yong-tao Yang, Neng Shen, Fei Ao, Wei-qing Chen
Surgical Endoscopy.2020; 34(9): 3754. CrossRef - Efficacy and Safety of Endoscopic Treatment for Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract
Cicilia Marcella, Shakeel Sarwar, Hui Ye, Rui Hua Shi
Clinical Endoscopy.2020; 53(4): 458. CrossRef - Predicting Malignancy Risk in Gastrointestinal Subepithelial Tumors with Contrast-Enhanced Harmonic Endoscopic Ultrasonography Using Perfusion Analysis Software
Hyun Seok Lee, Chang Min Cho, Yong Hwan Kwon, Su Youn Nam
Gut and Liver.2019; 13(2): 161. CrossRef - Contrast Enhanced Endoscopic Ultrasound Imaging for Gastrointestinal Subepithelial Tumors
Takashi Tamura, Masayuki Kitano
Clinical Endoscopy.2019; 52(4): 306. CrossRef
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Endoscopic Sleeve Gastroplasty - A New Tool to Manage Obesity
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Deepanshu Jain, Bharat Singh Bhandari, Ankit Arora, Shashideep Singhal
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Clin Endosc 2017;50(6):552-561. Published online June 13, 2017
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DOI: https://doi.org/10.5946/ce.2017.032
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Abstract
PDFPubReaderePub
- Obesity is a growing pandemic across the world. Dietary restrictions and behavior modifications alone have a limited benefit. Bariatric surgery, despite being the current gold standard, has limited acceptance by patients due to cost and associated morbidity. In our review, we have discussed nine original studies describing endoscopic sleeve gastroplasty (ESG). A total of 172 subjects successfully underwent ESG. Of 65 subjects with follow up data, 95.4% (62/65) had intact gastric sleeve confirmed via esophagogastroduodenoscopy or oral contrast study at the end of study specific follow up interval (the longest being 6 months). Individual studies reported a technical success rate for intact gastric sleeve from as low as 50% to as high as 100%. A statistically significant (p<0.05) weight loss was reported in seven of the eight studies with available data. None of the patients experienced any intra-procedure complications, and approximately 2.3% (4/172) of patients experienced major post-procedure complications; however, no mortality was reported. Majority of the studies reported relatively high incidence of minor post-procedure complications, which improved with symptomatic treatment alone. Good patient tolerance with comparable clinical efficacy in achieving and sustaining desired weight loss makes ESG an attractive option to consider among other bariatric therapies.
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Citations
Citations to this article as recorded by - Overview on the endoscopic treatment for obesity: A review
Maheeba Abdulla, Nafeesa Mohammed, Jehad AlQamish
World Journal of Gastroenterology.2023; 29(40): 5526. CrossRef - Weight Loss Effect of GLP-1 RAs With Endoscopic Bariatric Therapy and Bariatric Surgeries
Ahmad Imam, Hussam Alim, Mohammad Binhussein, Abdulrahman Kabli, Husam Alhasnani, Abdullah Allehyani, Ammar Aljohani, Ahmad Mohorjy, Abdullah Tawakul, Mohammed Samannodi, Wael Taha
Journal of the Endocrine Society.2023;[Epub] CrossRef - Extrapancreatic Advanced Endoscopic Interventions
Haresh Vijay Naringrekar, Haroon Shahid, Cyril Varghese, Alex Schlachterman, Sandeep P. Deshmukh, Christopher G. Roth
RadioGraphics.2022; 42(2): 379. CrossRef - Anesthesia for Advanced Endoscopic Procedures
Basavana Goudra, Monica Saumoy
Clinical Endoscopy.2022; 55(1): 1. CrossRef - Bariatric surgery, gastrointestinal hormones, and the microbiome: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022
Bharti Shetye, Franchell Richard Hamilton, Harold Edward Bays
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Avik Sarkar, Augustine Tawadros, Iman Andalib, Haroon M. Shahid, Amy Tyberg, Resheed Alkhiari, Monica Gaidhane, Prashant Kedia, Elizabeth S. John, Bryce Bushe, Guadalupe Ma Martinez, Felipe Zamarripa, Mine C. Carames, Juan C. Carames, Fernando Casarodrigu
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Thierry Manos, Vianna Costil, Luc Karsenty, Phillipe Costil, Patrick Noel, Sergio Carandina, Marius Nedelcu
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Yanmin Wang, Ghassan S. Kassab
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Ravishankar Asokkumar, Mohan Pappu Babu, Inmaculada Bautista, Gontrand Lopez-Nava
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Lawrence J. Cheskin, Christine Hill, Atif Adam, Lea Fayad, Margo Dunlap, Dilhana Badurdeen, Kristen Koller, Linda Bunyard, Robin Frutchey, Haitham Al-Grain, Scott Kahan, Abdellah Hedjoudje, Mouen A. Khashab, Anthony N. Kalloo, Vivek Kumbhari
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Margherita Pizzicannella, Alfonso Lapergola, Claudio Fiorillo, Andrea Spota, Pietro Mascagni, Michel Vix, Didier Mutter, Guido Costamagna, Jacques Marescaux, Lee Swanström, Silvana Perretta
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João de Siqueira Neto, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Sérgio Alexandre Barrichello, Kelly E Harthorn, Christopher C Thompson
World Journal of Gastrointestinal Endoscopy.2020; 12(3): 111. CrossRef - Endoscopic gastric suturing for weight loss: Techniques and outcomes
Daniel B. Maselli, Ramzi Hani Mulki, Reem Matar, Andrew C. Storm, Barham K. Abu Dayyeh
Techniques and Innovations in Gastrointestinal Endoscopy.2020; 22(3): 136. CrossRef - Perspectives toward minimizing the adverse events of endoscopic sleeve gastroplasty
Diogo Turiani Hourneaux de Moura, Dilhana S. Badurdeen, Igor Braga Ribeiro, Eduardo Filipe Marques da Silva Dantas Leite, Christopher C. Thompson, Vivek Kumbhari
Gastrointestinal Endoscopy.2020; 92(5): 1115. CrossRef - Short-term outcomes of endoscopic sleeve gastroplasty in 1000 consecutive patients
Aayed Alqahtani, Abdullah Al-Darwish, Ahmed Elsayed Mahmoud, Yara A. Alqahtani, Mohamed Elahmedi
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Ricardo V. Cohen, Marcus Vinícius Oliveira da Costa, Laura Charry, Elizabeth Heins
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Diogo Turiani Hourneaux de Moura, Eduardo Guimarães Hourneaux de Moura, Christopher C Thompson
World Journal of Gastrointestinal Endoscopy.2019; 11(5): 322. CrossRef - Endoscopic Gastroplasty Letter: ASGE/ABE
Steven A. Edmundowicz, Christopher C. Thompson
Surgery for Obesity and Related Diseases.2019; 15(11): 2004. CrossRef - Endoscopic sleeve gastroplasty in the management of overweight and obesity: an international multicenter study
Sérgio Barrichello, Diogo Turiani Hourneaux de Moura, Eduardo Guimaraes Hourneaux de Moura, Pichamol Jirapinyo, Anna Carolina Hoff, Ricardo José Fittipaldi-Fernandez, Giorgio Baretta, João Henrique Felício Lima, Eduardo N. Usuy, Leonardo Salles de Almeida
Gastrointestinal Endoscopy.2019; 90(5): 770. CrossRef - UEG Week 2019 Poster Presentations
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Sam Alhayo, Michael Devadas
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Antonio Coutinho Madruga-Neto, Wanderley Marques Bernardo, Diogo Turiani Hourneaux de Moura, Vitor Ottoboni Brunaldi, Rafael Krieger Martins, Iatagan Rocha Josino, Eduardo Turiani Hourneaux de Moura, Thiago Ferreira de Souza, Marco Aurélio Santo, Eduardo
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Brian Johnson, Marc D. Basson
Digestive Diseases.2018; 36(4): 328. CrossRef
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Esophageal Stricture Prevention after Endoscopic Submucosal Dissection
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Deepanshu Jain, Shashideep Singhal
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Clin Endosc 2016;49(3):241-256. Published online March 7, 2016
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DOI: https://doi.org/10.5946/ce.2015.099
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Abstract
PDFPubReaderePub
- Advances in diagnostic modalities and improvement in surveillance programs for Barrett esophagus has resulted in an increase in the incidence of superficial esophageal cancers (SECs). SEC, due to their limited metastatic potential, are amenable to non-invasive treatment modalities. Endoscopic ultrasound, endoscopic mucosal resection, and endoscopic submucosal dissection (ESD) are some of the new modalities that gastroenterologists have used over the last decade to diagnose and treat SEC. However, esophageal stricture (ES) is a very common complication and a major cause of morbidity post-ESD. In the past few years, there has been a tremendous effort to reduce the incidence of ES among patients undergoing ESD. Steroids have shown the most consistent results over time with minimal complications although the preferred mode of delivery is debatable, with both systemic and local therapy having pros and cons for specific subgroups of patients. Newer modalities such as esophageal stents, autologous cell sheet transplantation, polyglycolic acid, and tranilast have shown promising results but the depth of experience with these methods is still limited. We have summarized case reports, prospective single center studies, and randomized controlled trials describing the various methods intended to reduce the incidence of ES after ESD. Indications, techniques, outcomes, limitations, and reported complications are discussed.
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Transoral Incisionless Fundoplication for Refractory Gastroesophageal Reflux Disease: Where Do We Stand?
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Deepanshu Jain, Shashideep Singhal
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Clin Endosc 2016;49(2):147-156. Published online February 15, 2016
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DOI: https://doi.org/10.5946/ce.2015.044
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Abstract
PDFPubReaderePub
- Gastroesophageal reflux disease (GERD) is a chronic, progressive, and costly medical condition affecting a substantial proportion of the world population, predominantly the Western population. The available treatment options for patients with refractory GERD symptoms are limited to either laparoscopic surgery with significant sequelae or potentially lifelong, high-dose proton pump inhibitor therapy. The restoration of the antireflux competence of the gastroesophageal junction at the anatomic and physiologic levels is critical for the effective long-term treatment of GERD. Transoral incisionless fundoplication (TIF) surgery is a safe, well-tolerated, and effective treatment that has yielded significant symptomatic improvement in patients with medically refractory GERD symptoms. In this review article, we have summarized case series and reports describing the role of TIF for patients with gastroesophageal reflux symptoms. The reported indications, techniques, complications, and success rates are also discussed.
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Pancreatic Fluid Collection Drainage by Endoscopic Ultrasound: An Update
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Shashideep Singhal, Stephen R. Rotman, Monica Gaidhane, Michel Kahaleh
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Clin Endosc 2013;46(5):506-514. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.506
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Abstract
PDFPubReaderePub
Endoscopic management of symptomatic pancreatic fluid collections (PFCs) is now considered to be first line therapy. Expanded use of endoscopic ultrasound (EUS) techniques has resulted in increased applicability, safety, and efficacy of endoscopic transluminal PFC drainage. Steps include EUS-guided trangastric or transduodenal fistula creation into the PFC followed by stent placement or nasocystic drain deployment in order to decompress the collection. With the remarkable improvement in the available accessories and stents and development of exchange free access device; EUS drainage techniques have become simpler and less time consuming. The use of self-expandable metal stents with modifications to drain PFC has helped in overcoming some previously encountered challenges. PFCs considered suitable for endoscopic drainage include collection present for greater than 4 weeks, possessing a well-formed wall, position accessible endoscopically and located within 1 cm of the duodenal or gastric walls. Indications for EUS-guided drainage have been increasing which include unusual location of the collection, small window of entry, nonbulging collections, coagulopathy, intervening varices, failed conventional transmural drainage, indeterminate adherence of PFC to the luminal wall or suspicion of malignancy. In this article, we present a review of literature to date and discuss the recent developments in EUS-guided PFC drainage. -
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