Article
Gastroenterology & Hepatology
Pradermchai Kongkam, Theerapat Orprayoon, Chaloemphon Boonmee, Passakorn Sodarat, Orathai Seabmuangsai, Chatchawan Wachiramatharuch, Yutthaya Auan-Klin, Khanh Cong Pham, Abbas Ali Tasneem, Stephen J. Kerr, Rommel Romano, Sureeporn Jangsirikul, Wiriyaporn Ridtitid, Phonthep Angsuwatcharakon, Thawee Ratanachu-ek, Rungsun Rerknimitr
Summary: This study compared the efficacy of combined ERCP and EUS-BD with bilateral PTBD in patients with MHBO, and found that the former had significantly lower RBO rates at 3 and 6 months. Additionally, the former also had fewer reinterventions and longer time to RBO occurrence.
Article
Medicine, General & Internal
Melissa Martin, Justin Lee, Roberto Gugig, Andrew Ofosu, Gregory W. Charville, Monique T. Barakat
Summary: This retrospective study evaluated 166 patients with large bile duct obstruction, and found that 91 patients underwent ERCP, with 84% of them having intervenable findings. This suggests that ERCP is a valuable diagnostic and therapeutic approach for patients with large duct obstruction on liver biopsy.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Xu Wang, Hui Luo, Qin Tao, Gui Ren, Xiangping Wang, Shuhui Liang, Linhui Zhang, Long Chen, Xin Shi, Xuegang Guo, Yanglin Pan
Summary: New criteria for difficult cannulation in trainee-involved procedures were proposed based on cannulation time, attempts, or inadvertent pancreatic duct cannulation exceeding the 75% percentile. The proportion of difficult cannulation using these criteria was 35.5% after propensity score matching.
Article
Medicine, General & Internal
Chia-Chang Chen, Wan-Tzu Lin, Chun-Fang Tung, Shou-Wu Lee, Chi-Sen Chang, Yen-Chun Peng
Summary: The rates of complications in nonagenarians receiving therapeutic ERCP are not significantly different from those in patients aged 65 to 89 years. However, advanced age and comorbidity still affect the outcome of therapeutic ERCP in elderly patients.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Eric Bergeron, Theo Doyon, Thibaut Maniere, Etienne Desilets
Summary: In this study, RBE occurred in 28.5% of subjects at a median time of 34 days, with an incidence of 2.5% as early as 1 week. This suggests that cholecystectomy should be done preferably within 7 days after common bile duct clearance to prevent RBE and adverse outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Danny Issa, Reem Z. Sharaiha, Thaer Abdelfattah, Zin Htway, James H. Tabibian, Sushrut Thiruvengadam, Qais M. Dawod, Peerapol Wangrattanapranee, Enad Dawod, Saurabh Mukewar, Srihari Mahadev, David L. Carr-Locke, Kartik Sampath
Summary: This study aimed to assess the impact of patient position on procedural outcomes and learning curve in ERCP. The study found that supine ERCP had shorter procedure and room turnover times, and comparable cannulation rates.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Surgery
Dushyant Singh Dahiya, Abhilash Perisetti, Neil Sharma, Sumant Inamdar, Hemant Goyal, Amandeep Singh, Laura Rotundo, Rajat Garg, Chin- Cheng, Sailaja Pisipati, Mohammad Al-Haddad, Madhusudhan Sanaka
Summary: This study analyzed the trends of inpatient therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in the United States, focusing on utilization and outcomes related to specific patient demographics. The findings showed increasing utilization and inpatient mortality for a subset of the American minority population, including Black and Hispanics.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Christina J. Sperna Weiland, Evelien C. Verschoor, Alexander C. Poen, Xavier J. M. N. Smeets, Niels G. Venneman, Abha Bhalla, Ben J. M. Witteman, Hester C. Timmerhuis, Devica S. Umans, Jeanin E. van Hooft, Marco J. Bruno, P. Fockens, Robert C. Verdonk, Joost P. H. Drenth, Erwin J. M. van Geenen
Summary: Even with advanced imaging techniques, the presence of common bile duct sludge or stones can be missed during ERCP. Pre-procedural EUS or MRCP can reduce the proportion of unnecessary ERCPs. A shorter time interval between EUS or MRCP and ERCP increases the detection rate of suspected CBD stones during ERCP.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Gastroenterology & Hepatology
Shaurya Prakash, B. Joseph Elmunzer, Erin M. Forster, Gregory A. Cote, Robert A. Moran
Summary: Based on limited observational data, in expert hands, EDGE has a high rate of technical success and an acceptable rate of adverse events. As a novel procedure, many knowledge gaps need to be addressed to inform the design of meaningful comparative studies and guide informed consent.
Article
Gastroenterology & Hepatology
Koichi Fujita, Shujiro Yazumi, Hisakazu Matsumoto, Masanori Asada, Hiroko Nebiki, Kazuya Matsumoto, Toru Maruo, Mamoru Takenaka, Takeshi Tomoda, Takumi Onoyama, Akira Kurita, Toshiharu Ueki, Toshiro Katayama, Takashi Kawamura, Hirofumi Kawamoto
Summary: This study evaluated the incidence and severity of adverse events (AEs) in biliary endoscopic retrograde cholangiopancreatography (ERCP), and identified risk factors and preventive measures for post-ERCP pancreatitis (PEP). The overall incidence of AEs was 10.1%, with a mortality rate of 0.08%. Prophylactic pancreatic stenting and epinephrine spraying were found to prevent PEP effectively.
DIGESTIVE ENDOSCOPY
(2022)
Article
Surgery
Salih Tokmak, Mehmet F. Cetin, Serkan Torun
Summary: PA-EMR is an effective technique that may be considered as a rescue technique for difficult biliary cannulation in expert hands. The success rate of bile duct cannulation with the PA-EMR technique was very high among the 14 patients, with only one case of mild bleeding reported.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Yuki Ikeda, Michihiro Ono, Ginji Ohmori, Saki Ameda, Yohei Arihara, Michiko Yamada, Tomoyuki Abe, Masahiro Maeda
Summary: This study retrospectively enrolled consecutive patients who underwent precutting for difficult biliary cannulation between April 2017 and August 2021. The outcomes of early (<= 10 min from start of cannulation) and delayed (> 10 min) precut groups were evaluated. All adverse events were defined according to Cotton criteria.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Medicine, General & Internal
Natalia Valeria Pentara, Aristidis Ioannidis, Georgios Tzikos, Leonidas Kougias, Eleni Karlafti, Angeliki Chorti, Despoina Tsalkatidou, Antonios Michalopoulos, Daniel Paramythiotis
Summary: This article describes a rare case of biloma as a complication of endoscopic retrograde cholangiopancreatography (ERCP). The patient experienced right upper quadrant discomfort after the procedure and imaging confirmed the presence of biloma. The article highlights the importance of considering biliary tree disruption in patients with right upper quadrant discomfort following an iatrogenic or traumatic event, and suggests that a combination of radiological imaging and minimal invasive techniques can be successful in managing biloma.
Article
Health Care Sciences & Services
Seiichiro Fukuhara, Eisuke Iwasaki, Atsuto Kayashima, Yujiro Machida, Hiroki Tamagawa, Shintaro Kawasaki, Masayasu Horibe, Shutaro Hori, Yuta Abe, Minoru Kitago, Haruhiko Ogata, Takanori Kanai
Summary: Digital cholangioscopy is a valuable method for diagnosing challenging biliary strictures, providing higher diagnostic accuracy and allowing for more precise specimen collection.
Article
Medicine, General & Internal
Aymeric Becq, Alexis Laurent, Quentin De Roux, Cristiano Cremone, Hugo Rotkopf, Yann Le Baleur, Farida Mesli, Christophe Duvoux, Aurelien Amiot, Charlotte Gagniere, Nicolas Mongardon, Julien Calderaro, Daniele Sommacale, Alain Luciani, Iradj Sobhani
Summary: This study evaluated the long-term outcomes of endoscopic metal stenting for anastomotic biliary stricture (ABS) in patients who underwent deceased donor liver transplantation (DDLT). Among 465 patients, 41 developed ABS and endoscopic treatment was technically successful in 95.1% of cases. After a mean follow-up of 6.9 years, 22% of patients required surgical intervention.
JOURNAL OF CLINICAL MEDICINE
(2023)