Interventional management of benign strictures of the gastrointestinal tract from the stomach to the colon
This article reviews the techniques and outcomes of balloon dilation and stent placement for the management of benign gastroduodenal and colonic strictures. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Esophageal perforation: Continuing challenge to treatment
Publication date: June 2013 Source:Gastrointestinal Intervention, Volume 2, Issue 1 Author(s): Ronald V. Romero , Khean-Lee Goh Esophageal perforation carries with it a high morbidity and mortality if not treated appropriately and aggressively. Three approaches are available for the treatment of esophageal perforation: conservative, endotherapy, and surgery. The location viz. cervical, thoracic, or abdominal portions of the esophagus and size of the perforation influence treatment choice. Cervical perforations are usually small and can be treated conservatively as the perforation or leak is also contained within the ...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Response to letter “Topical Ankaferd hemostat for the management of clinical bleeding plus hemorrhagic diathesis” by Purnak et al.
Publication date: December 2013 Source:Gastrointestinal Intervention, Volume 2, Issue 2 Author(s): Louis M. Wong Kee Song , Todd H. Baron (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Topical Ankaferd hemostat for the management of clinical bleeding plus hemorrhagic diathesis
Publication date: December 2013 Source:Gastrointestinal Intervention, Volume 2, Issue 2 Author(s): Tugrul Purnak , Yavuz Beyazit , Ibrahim C. Haznedaroglu (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

The effects of endobiliary radiofrequency ablation in two patients with pancreatic cancer: Gross and microscopic findings
Publication date: December 2013 Source:Gastrointestinal Intervention, Volume 2, Issue 2 Author(s): Ryan Law , Madhava Pai , Todd H. Baron , Nagy Habib Endoscopic palliation of malignant biliary obstruction through the placement of plastic or self-expandable metal stents (SEMS) is the standard treatment for unresectable disease. Endobiliary radiofrequency ablation (RFA) is a therapeutic modality that has been recently used as a primary therapy to restore biliary patency in unresectable biliary malignancies and to treat occluded uncovered biliary SEMS because of tumor ingrowth. Preliminary animal studies have shown t...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Long-term results from endoscopic choledochoduodenostomy closure using a cardiac septal occluder device in a patient with refractory sump syndrome
We report a case of refractory sump syndrome managed with endoscopic closure of the choledochoduodenostomy using a cardiac septal occluder device. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Microcatheter looping technique for catheterization of the proper hepatic artery through pancreaticoduodenal arcades and gastroduodenal artery in celiac axis occlusion
Publication date: December 2013 Source:Gastrointestinal Intervention, Volume 2, Issue 2 Author(s): Roh-Eul Yoo , Hyo-Cheol Kim , Jin Wook Chung The present report describes a case of successful embolization of the hepatic artery pseudoaneurysm in a 61-year-old female patient with celiac axis occlusion. Because of celiac artery occlusion, the hepatic artery had to be catheterized through the pancreaticoduodenal arcades and the gastroduodenal artery (GDA) from the superior mesenteric artery (SMA). Despite coaxial catheterization using a torque guide wire, the proper hepatic artery (PHA) could not be catheterized becau...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Combination of endoscopic submucosal dissection and transanal excision for the local excision of distal rectal cancer with deep submucosal invasion
Publication date: December 2013 Source:Gastrointestinal Intervention, Volume 2, Issue 2 Author(s): Dong-Hoon Yang , Seok-Byung Lim , Jeong-Sik Byeon , Seung-Jae Myung , Suk-Kyun Yang , Young Soo Park Radical surgery with preoperative or postoperative chemoradiation is regarded as the standard treatment for locally advanced rectal cancer. However, despite the risk of recurrence, local excision after preoperative chemoradiation is another therapeutic option, especially in patients who are not candidates for radical surgery because of underlying medical conditions or who refuse radical surgery to avoid colostomy. En...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Meta-analysis of preoperative placement of pancreatic stents to prevent postoperative leaks after distal pancreatectomy
Conclusion Placement of PD stents for prevention of PD leaks and fistulae following distal pancreatectomy cannot be routinely recommended. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Procedural time of day: A predictor of ERCP outcomes?
Conclusion Based on this large, retrospective study, it appears there are no significant differences between am and pm ERCP AE rates and procedural success rates. Future studies should investigate the impact time of day has on endoscopic procedural outcomes in other practice settings, where scheduling practices, use of anesthesia support, endoscopist experience, and safeguards to minimize endoscopist fatigue may be different. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Newly designed coil tube for bowel decompression in patients with small bowel obstructions
Conclusion Our newly designed coil tube was safe and effective in patients with bowel decompression associated with a small bowel obstruction. In addition, our tube has several advantages over other currently used tube types. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Gastrojejunostomy versus enteral self-expanding metal stent placement in patients with a malignant gastric outlet obstruction
Conclusion Patients who undergo SEMS placement start tolerating an oral diet sooner, have fewer complications, and shorter hospital stays, but have higher reintervention rates, compared to patients who undergo GJY for palliation of malignant GOO symptoms. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Impact of endoscopic mucosal resection in patients referred for endoscopic management of Barrett's esophagus
Conclusion Mucosal biopsies and EMR results were discrepant in 63% of cases, with 53% resulting in an upstaged diagnosis. Approximately one-third of these patients had a change in management. In patients referred for BE, EMR was found to be fundamental to accurate grading and should be a component in the evaluation and management of Barrett-related lesions. (Source: Gastrointestinal Intervention)
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Hurdles and highlights in the development of a novel robotic platform for endoscopic surgery
Publication date: December 2013 Source:Gastrointestinal Intervention, Volume 2, Issue 2 Author(s): Jennie Y.Y. Wong , Khek-Yu Ho Natural orifice transluminal endoscopic surgery (NOTES) is viewed by many as one of the most disruptive shifts in surgical practices in recent years. NOTES changes the approach to surgery in such a fundamental way that it poses an enormous challenge to current endoscopic technologies that were not designed to support NOTES. Implementation of NOTES necessitates transformative innovations with capabilities far beyond what incremental technology changes can provide. To address this unmet deman...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research

Bariatric endoscopy: Keep it simple and smart
Publication date: December 2013 Source:Gastrointestinal Intervention, Volume 2, Issue 2 Author(s): Kenneth F. Binmoeller Although not yet fully elucidated, the science behind the mechanisms of energy homeostasis has advanced significantly in recent decades. Current treatment paradigms, however, have not taken advantage of this evolving body of knowledge. The use of the scalpel to treat obesity is historically rooted in society's perception of obesity as the result of inadequate willpower—and not a “disease.” It is an individual's choice to eat excessively that leads to obesity and not a disease state to which th...
Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research