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)
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
Gastroenterology & Hepatology
Shin Kato, Masaki Kuwatani, Manabu Onodera, Taiki Kudo, Itsuki Sano, Akio Katanuma, Minoru Uebayashi, Kazunori Eto, Mitsuharu Fukasawa, Shunpei Hashigo, Takuji Iwashita, Makoto Yoshida, Yoko Taya, Hiroshi Kawakami, Hironari Kato, Yousuke Nakai, Kasen Kobashigawa, Shuhei Kawahata, Susumu Shinoura, Kei Ito, Kimitoshi Kubo, Hiroaki Yamato, Kazuo Hara, Iruru Maetani, Tsuyoshi Mukai, Goro Shibukawa, Takao Itoi
Summary: This study aimed to evaluate the effect of performing endoscopic sphincterotomy (ES) before biliary stent/tube placement on the occurrence of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP). The results showed that performing ES before biliary stent/tube placement could reduce the occurrence of PEP in patients with biliary stricture.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Review
Medicine, General & Internal
Caroline Flaksbaum Moll, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Igor Mendoca Proenca, Epifanio Silvino do Monte Junior, Sergio A. Sanchez-Luna, Maria Fernanda Shinin Merchan, Josselyn Mariana Vera Intriago, Wanderley Marques Bernardo, Eduardo Guimaraes Hourneaux de Moura
Summary: Biliary drainage for PCCA can be done through endoscopic retrograde chol-angiopancreatography or Percutaneous Transhepatic Biliary Drainage (PTBD), but the preferred method remains unclear. This study compared Endoscopic Biliary Drainage (EBD) and PTBD in PCCA patients through a systematic review and meta-analysis. Results showed that PTBD had lower crossover rates, post-drainage complications, and post-drainage pancreatitis in resectable PCCA, while EBD had a shorter hospital stay. In palliative PCCA, PTBD had higher clinical success and fewer post-drainage cholangitis cases compared to EBD. There were no statistical differences regarding technical success, post-drainage bleeding, major complications, and seeding metastases.
Article
Gastroenterology & Hepatology
Seung Bae Yoon, Jungmee Kim, Chang Nyol Paik, Dong Kee Jang, Jun Kyu Lee, Won Jae Yoon, Jung-Wook Kim, Tae Hee Lee, Jae-Young Jang
Summary: This study investigated the frequency of ERC and PTC following liver transplantation in Korea, finding that approximately one-fourth of patients underwent these interventions post-transplantation. Patients undergoing living donor LT were more likely to require biliary interventions and were more difficult to treat compared to those undergoing deceased donor LT.
Article
Medicine, General & Internal
Akihiro Sekine, Kazunari Nakahara, Junya Sato, Yosuke Michikawa, Keigo Suetani, Ryo Morita, Yosuke Igarashi, Fumio Itoh
Summary: Early endoscopic transpapillary biliary drainage is effective and safe for patients with acute cholangitis associated with disseminated intravascular coagulation (DIC). Both endoscopic biliary stenting and endoscopic nasobiliary drainage are effective in improving clinical outcomes in these patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Multidisciplinary Sciences
Min-Hao Lo, Cheng-Hui Lin, Chi-Huan Wu, Yung-Kuan Tsou, Mu-Hsien Lee, Kai-Feng Sung, Nai-Jen Liu
Summary: After initial failed NKPS, IET should be considered for deep biliary cannulation before more invasive treatments like BDS. PTBD may serve as an alternative therapy for patients with malignant biliary obstruction. Complications were lowest in the IET group and mild compared to the other two groups.
SCIENTIFIC REPORTS
(2021)
Review
Gastroenterology & Hepatology
Hiroki Kawashima, Eizaburo Ohno, Takuya Ishikawa, Yasuyuki Mizutani, Tadashi Iida, Takeshi Yamamura, Naomi Kakushima, Kazuhiro Furukawa, Masanao Nakamura
Summary: Endoscopic management for perihilar cholangiocarcinoma is evolving to improve diagnosis and drainage. Different imaging methods are used to determine resectability and optimal surgical planning, while new diagnostic imaging methods such as video peroral cholangioscopy and probe-based confocal laser endomicroscopy are being clinically applied. The approach to preoperative drainage has shifted to endoscopic nasobiliary drainage to reduce the risk of metastasis seeding. Various endoscopic techniques, including the use of self-expandable metallic stents and endoscopic ultrasonography-guided approach, are employed depending on the resectability and prognosis.
DIGESTIVE ENDOSCOPY
(2022)
Review
Gastroenterology & Hepatology
Yung-Kuan Tsou, Kuang-Tse Pan, Mu Hsien Lee, Cheng-Hui Lin
Summary: This review discusses potential endoscopic options for patients who have failed ERCP due to difficult bile duct cannulation, including interval ERCP, PTE-RV, and EUS-RV. Interval ERCP has a high success rate and lower adverse event rate, making it the preferred salvage therapy choice.
WORLD JOURNAL OF GASTROENTEROLOGY
(2022)
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)
Review
Gastroenterology & Hepatology
Bianca Magro, Matteo Tacelli, Alessandra Mazzola, Filomena Conti, Ciro Celsa
Summary: Liver transplantation is a crucial life-saving treatment with excellent outcomes. Biliary complications are common post-transplantation, requiring early diagnosis and treatment. Risk factors include surgical techniques, donor characteristics, and vascular alterations.
HEPATOBILIARY SURGERY AND NUTRITION
(2021)
Article
Medicine, General & Internal
Akinori Maruta, Takuji Iwashita, Kensaku Yoshida, Keisuke Iwata, Shogo Shimizu, Masahito Shimizu
Summary: This study evaluated the feasibility, efficacy and safety of endoscopic internalization by cutting an ENGBD tube for acute cholecystitis. The results showed a high success rate and no significant complications, indicating that it can be an effective treatment option for preventing recurrent cholecystitis during the waiting period for cholecystectomy.
JOURNAL OF CLINICAL MEDICINE
(2022)
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)