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Fully covered self-expandable metal stents for treatment of both benign and malignant biliary disorders.
Authors: Abdel Samie A, Theilmann L Abstract Transpapillary stents are increasingly being used for biliary strictures, whether benign or malignant. However, there are different stent types and available data is controversial. Recently, completely covered self-expandable metal stents (CSEMSs) have been proposed as an alternative therapeutic option in different biliary indications, including strictures of the distal bile duct, anastomotic stenosis after orthotopic liver transplantation, bile duct leaks, periampullary perforation following endoscopic sphincterotomy (ES), and postsphincterotomy bleeding. Despi...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Endoscopic-ultrasound-guided tissue sampling facilitates the detection of local recurrence and extra pelvic metastasis in pelvic urologic malignancy.
Authors: Gleeson FC, Clain JE, Karnes RJ, Rajan E, Topazian MD, Wang KK, Levy MJ Abstract Pelvic lymph node dissection is the gold standard for assessing nodal disease in prostate or bladder cancer and is superior to CT, MRI and PET staging. Endoscopic ultrasound (EUS) provides an alternative, less invasive method of cytohistologic material acquisition, but its performance in pelvic urologic malignancy is unknown. Therefore, our aim was to evaluate the diagnostic accuracy of EUS guided tissue sampling for these malignancies when compared to a composite cytohistologic and surgical gold standard. A median of...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Outcome and complications of colonoscopy: a prospective multicenter study in northern Israel.
Conclusions. The good quality of examinations, coupled with the low risk for complications and the good acceptance by the patients, encourages us to recommend colonoscopy as a primary screening test for CRC in Israel. PMID: 22778539 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Utility and safety of ERCP in the elderly: a comparative study in iran.
Conclusion. Diagnostic ERCP is safe and well tolerated in the elderly and even associated with significantly less risk than the younger. PMID: 22829748 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Successful treatment of early-stage jejunum adenocarcinoma by endoscopic mucosal resection using double-balloon endoscopy: a case report.
We describe a successful case of early jejunum adenocarcinoma completely resected by endoscopic mucosal resection (EMR) using double-balloon endoscopy (DBE). Early diagnosis and EMR using new technologies such as CE and DBE may improve the recognition of this disease that, at present, has a poor prognosis. PMID: 22844191 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Preventive role of wire-guided cannulation to reduce hyperamylasemia and pancreatitis following endoscopic retrograde cholangiopancreatography.
Conclusion. The use of guidewire cannulation in comparison with conventional method can be accompanied with lower post-ERCP hyperamylasemia, and therefore selection of this cannulation technique especially in high-risk group is recommended. PMID: 22844192 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Proton Pump Inhibitor Therapy before and after Endoscopic Submucosal Dissection: A Review.
Authors: Sugimoto M, Jang JS, Yoshizawa Y, Osawa S, Sugimoto K, Sato Y, Furuta T Abstract Endoscopic submucosal dissection (ESD) is a novel endoscopic procedure first developed in the 1990s which enables en bloc resection of gastric neoplastic lesions that are difficult to resect via conventional endoscopic mucosal resection. However, given that ESD increases the risk of intra- and post-ESD delayed bleeding and that platelet aggregation and coagulation in artificial ulcers after ESD strongly depend on intragastric pH, faster and stronger acid inhibition via proton pump inhibitors (PPIs) and histamine 2-rec...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Bringing top-end endoscopy to regional australia: hurdles and benefits.
Authors: Van Den Bogaerde J, Sorrentino D Abstract This paper focuses on recent experience in setting up an endoscopy unit in a large regional hospital. The mix of endoscopy in three smaller hospitals, draining into the large hospital endoscopy unit, has enabled the authors to comment on practical and achievable steps towards creating best practice endoscopy in the regional setting. The challenges of using what is available from an infrastructural equipment and personnel setting are discussed. In a fast moving field such as endoscopy, new techniques have an important role to play, and some are indeed cost ...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Current clinical applications of magnifying endoscopy with narrow band imaging in the stomach.
Authors: Li HY, Ge ZZ, Fujishiro M, Li XB Abstract Narrow band imaging (NBI), in conjunction with magnifying endoscopy (ME), has arisen more and more attention in the area of advanced endoscopy. By enhancing the mucosal microvascular architecture and surface pattern, it is feasible to use ME-NBI to identify subtle changes associated with gastric inflammation, atrophy, intestinal metaplasia, and early gastric cancer. The new technique thus plays a valuable role in therapeutic decision-making, endoscopic treatment process, postoperative evaluation, and follow-up examination. To date, many criteria or evaluat...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Carbon dioxide insufflation in colonoscopy is safe: a prospective trial of 347 patients.
Conclusions. The present prospective study, which was based on one of the largest sedated patient sample reported to date in this setting, provides compelling evidence that CO(2) insufflation in colonoscopy is safe and unassociated with relevant increases in transcutaneously measured levels of CO(2). PMID: 23055655 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Digital chromoendoscopy for diagnosis of diminutive colorectal lesions.
Conclusion. Both magnifying virtual chromoendoscopy and indigo carmine chromoendoscopy showed high accuracy in the histopathological diagnosis of colorectal lesions less than 5 mm in diameter. PMID: 23082070 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Management of Complications during Gastric Endoscopic Submucosal Dissection.
Authors: Lee DW, Jeon SW Abstract Popularity of endoscopic submucosal dissection (ESD) has shown an increase during the last decade, and may, for the time being, be the most important technique in treatment of early gastrointestinal cancer or a premalignant lesion. This technique has advantages in the aspect of en bloc resection, which enables evaluation of the completeness of resection and other pathologic characteristics; however, it has limitation in terms of complications, compared to endoscopic mucosal resection (EMR). Bleeding and perforation are the most common complications encountered during the p...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Consensus of the present and prospects on endoscopic diagnosis and treatment in East asian countries.
Conclusion. New instruments or techniques on endoscopy have not come into wide use yet, and there is diversity in the situation on it in Asian countries. We should unify the endoscopic diagnostic criteria or treated strategy in patients with GI disease. PMID: 23093833 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

Accuracy and Quality Assessment of EUS-FNA: A Single-Center Large Cohort of Biopsies.
In conclusion, QC study is valuable in identifying weaknesses and thereby augmenting the effectiveness of EUS-FNA. PMID: 23197929 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research

A review of machine-vision-based analysis of wireless capsule endoscopy video.
Authors: Chen Y, Lee J Abstract Wireless capsule endoscopy (WCE) enables a physician to diagnose a patient's digestive system without surgical procedures. However, it takes 1-2 hours for a gastroenterologist to examine the video. To speed up the review process, a number of analysis techniques based on machine vision have been proposed by computer science researchers. In order to train a machine to understand the semantics of an image, the image contents need to be translated into numerical form first. The numerical form of the image is known as image abstraction. The process of selecting relevant image fea...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research