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
Surgery
Vibhu Chittajallu, Yazan Abu Omar, C. Roberto Simons-Linares, Prabhleen Chahal
Summary: This study investigated the etiologic spectrum of benign duodenal stenosis (BDS) and its response to endoscopic balloon dilation (EBD). The results showed that EBD was effective for treating BDS regardless of its etiology. Males were more likely to have distal duodenal involvement, and the usage of PPI was associated with clinical success.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Sayoko Kinowaki, Yuichi Shimizu, Masayoshi Ono, Yang ZiJian, Ikko Tanaka, Yoshihiko Shimoda, Masaki Inoue, Marin Ishikawa, Keiko Yamamoto, Shoko Ono, Shunsuke Ohnishi, Naoya Sakamoto
Summary: The experimental results indicate that thermal damage in EBD persists until the completion of stenosis, requiring careful operation in the initial stage. The extension effect was only observed at the laceration site and later returned to a status similar to surrounding locations. Additional intervention is needed to prevent restenosis.
JOURNAL OF GASTROENTEROLOGY
(2021)
Article
Gastroenterology & Hepatology
Li Huang, Xiaoyan Lu, Xu Huang, Xiaoping Zou, Lianlian Wu, Zhongyin Zhou, Deqing Wu, Dehua Tang, Dingyuan Chen, Xinyue Wan, Zhongchao Zhu, Tao Deng, Lei Shen, Jun Liu, Yijie Zhu, Dexin Gong, Di Chen, Yanfei Zhong, Feng Liu, Honggang Yu
Summary: An intelligent difficulty scoring and assistance system (DSAS) based on deep learning was developed to assist endoscopists in scoring the technical difficulty of CBD stone extraction and guiding the choice of therapeutic approach and appropriate accessories during ERCP. The performance of the DSAS was superior to nonexpert endoscopists and more consistent with expert endoscopists. DSAS assessment scores >= 2 were correlated with lower stone clearance rates and more frequent EPLBD.
Article
Multidisciplinary Sciences
Tadahisa Inoue, Hiromu Kutsumi, Mayu Ibusuki, Masashi Yoneda
Summary: This study evaluated the feasibility of a novel short non-slip banded balloon for sphincteroplasty. The results showed that the non-slip balloon had a significantly higher technical success rate and lower slippage rate compared to the conventional balloon, without any immediate adverse events.
SCIENTIFIC REPORTS
(2023)
Review
Gastroenterology & Hepatology
Antonio Facciorusso, Daryl Ramai, Paraskevas Gkolfakis, Shahab R. Khan, Ioannis S. Papanikolaou, Konstantinos Triantafyllou, Alberto Tringali, Saurabh Chandan, Babu P. Mohan, Douglas G. Adler
Summary: The study revealed that transpancreatic sphincterotomy is effective in increasing the success rate of biliary cannulation, while early needle-knife techniques and transpancreatic sphincterotomy perform well in reducing the incidence of post-ERCP pancreatitis. These interventions should be considered for patients with difficult cannulation.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Immunology
Hongzhang Shen, Juanjuan Zhu, Fuqiang Ye, Dongchao Xu, Liangliang Fang, Jianfeng Yang, Huijie Lv, Qifeng Lou, Hangbin Jin, Ming Ni, Xiaofeng Zhang
Summary: The study revealed that a history of invasive endoscopic sphincterotomy (EST) significantly influences the biliary microbiota, leading to a marked shift in the composition of biliary bacteria. The bacterial genus Pyramidobacter was specifically associated with a history of EST.
FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY
(2021)
Article
Gastroenterology & Hepatology
Alexandre Gomes, Ana Sarah Rafka Haidar, Giovani Caetano Padilha, Juliana Bara, Mariana Sussai Nonato, Jose Mauro da Silva Rodrigues, Persio Campos Correia Pinto, Ricardo de Oliveira Ayres, Ronaldo Antonio Borghesi
Summary: This study aims to demonstrate the EFP technique for accessing the common bile duct through layered papillary dissection, evaluate its efficiency and safety, and rescue cases of cannulation failure and access failure by EFP in the first attempt, facilitating cannulation in the second attempt.
BMC GASTROENTEROLOGY
(2023)
Article
Multidisciplinary Sciences
Chote Wongkanong, Jayanton Patumanond, Thawee Ratanachu-ek, Sunhawit Junrungsee, Apichat Tantraworasin
Summary: A simplified scoring system was developed to predict the difficulty of CBD stone removal in clinical practice, which can assist endoscopists in making treatment decisions. Retrospective cohort data was collected and analyzed using multivariable logistic regression. The scoring system based on risk factors showed good prediction performance and was internally validated.
Review
Surgery
Thomas R. McCarty, James Farrelly, Basile Njei, Priya Jamidar, Thiruvengadam Muniraj
Summary: This study found that prophylactic cholecystectomy is more effective compared to deferring cholecystectomy for patients post-endoscopic biliary sphincterotomy for common bile duct stones. Further studies may identify specific subsets of patients who may not require cholecystectomy, such as those with large balloon biliary dilation.
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
Gastroenterology & Hepatology
Tao Li, Li-Xiao Hao, Chan Lv, Xing-Jia Li, Xiao-Dan Ji, Meng Chen, Chang Liu, Li-Ke Bie, Biao Gong
Summary: This study aimed to assess the long-term outcomes of EPLBD (12-15 mm) with or without limited sphincterotomy for removal of common bile duct (CBD) stones. The results showed that EPLBD and ES-LBD had similar outcomes in terms of stone removal and complications, confirming the effectiveness and safety of EPLBD as an alternative method for extracting large CBD stones.
HEPATOBILIARY & PANCREATIC DISEASES INTERNATIONAL
(2023)
Article
Urology & Nephrology
Ruben Ortiz, Laura Burgos, Beatriz Fernandez-Bautista, Alberto Parente, Javier Ordonez, Jose Maria Angulo
Summary: A comparative study found that the use or non-use of fluoroscopy during endoscopic balloon dilation for primary obstructive megaureter does not significantly affect long-term effectiveness, complications, and outcomes.
WORLD JOURNAL OF UROLOGY
(2023)
Article
Surgery
Hiroko Nebiki, Koichi Fujita, Shujiro Yazumi, Mamoru Takenaka, Toru Maruo, Kazuya Matsumoto, Masanori Asada, Takaaki Eguchi, Tokuhiro Matsubara, Satoki Yasumura, Hisakazu Matsumoto, Takashi Tamura, Saiko Marui, Kazunori Hasegawa, Akira Mitoro, Atsuhiro Masuda, Ryoji Takada, Ryuki Minami, Takeshi Ogura, Noriyuki Hoki, Eiji Funatsu, Akira Kurita, Takumi Onoyama, Takeshi Tomoda, Toshiharu Ueki, Tomoaki Yamasaki, Yuhei Sakata, Toshihiro Katayama, Takashi Kawamura, Hirofumi Kawamoto
Summary: This study aimed to investigate the necessity of endoscopic sphincterotomy (ES) in the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) after endoscopic biliary stenting for malignant biliary obstruction. The results showed no significant difference in the incidence of PEP between patients with or without ES.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
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)
