Publications by authors named "Chihei Sugihara"

Aim: There are few reports on the safety of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in the elderly. In this study, we investigated the safety of EUS-FNA for pancreatic solid masses in patients aged ≥80 years.

Methods: This is a single-center retrospective study.

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The safety of electrohydraulic lithotripsy (EHL) in older adults remains unclear. We aimed to investigate the efficacy and safety of EHL using peroral cholangioscopy (POCS) under endoscopic retrograde cholangiopancreatography (ERCP) guidance in older adults aged ≥80 years. This retrospective clinical study was conducted at a single center.

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A 64-year-old woman was diagnosed with emphysematous cholecystitis. An open cholecystectomy was performed immediately. After the cholecystectomy, jaundice and multiple bile duct strictures that were not present preoperatively appeared.

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Article Synopsis
  • * Initial ERCP success using standard methods was 62.8%, but this increased to 94.3% when incorporating salvage techniques like double guidewire technique, needle knife pre-cutting, and transpancreatic pre-cut papillotomy.
  • * It was found that patients with long oral protrusions were more likely to require these salvage techniques, with nearly half of such cases needing these interventions compared to a lower percentage in patients without long oral protrusions.
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