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Endoscopic Management of Benign Pancreaticobiliary Disorders.
J Clin Med
January 2025
Division of Gastroenterology and Hepatology, Center for Digestive Health, Virginia Mason, Franciscan Health, Seattle, WA 98101, USA.
Endoscopic management of benign pancreaticobiliary disorders encompasses a range of procedures designed to address complications in gallstone disease, choledocholithiasis, and pancreatic disorders. Acute cholecystitis is typically treated with cholecystectomy or percutaneous drainage (PT-GBD), but for high-risk or future surgical candidates, alternative decompression methods, such as endoscopic transpapillary gallbladder drainage (ETP-GBD), and endoscopic ultrasound (EUS)-guided gallbladder drainage (EUS-GBD), are effective. PT-GBD is associated with significant discomfort as well as variable adverse event rates.
View Article and Find Full Text PDFEffect of Different Types of Antithrombotic Agents on Clinical Outcomes in Patients With Small Bowel Bleeding Who Underwent Balloon-Assisted Enteroscopy: A KASID Multicenter Study.
J Gastroenterol Hepatol
December 2024
Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, South Korea.
Background And Aim: The impact of different anti-thrombotic agents on patients with suspected small bowel bleeding (SSBB) who underwent balloon-assisted enteroscopy (DAE) is unclear. We aimed to examine the clinical effects and predictive factors of DAE based on the thromboembolic agents used.
Methods: We enrolled 399 patients with SSBB from a web-based DAE registry across 30 medical centers in South Korea.
High False-Negative Rate of Intraoperative Neurophysiologic Monitoring in Blood Blister-Like Aneurysm Surgery: Insights from a Retrospective Case Series.
World Neurosurg
December 2024
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China. Electronic address:
Article Synopsis
- The study investigates the use of intraoperative neurophysiological monitoring (IONM) during surgeries for blood-blister-like aneurysms (BBA), which are complicated due to high risks of complications and death.
- Researchers monitored patients using somatosensory and transcranial motor evoked potentials (SSEPs/tcMEPs) to assess neurological outcomes, revealing a low sensitivity (37.5%) but high specificity (100%) for detecting ischemic events during surgery.
- Results indicate that while IONM can accurately identify healthy brain function, it has a high rate of false negatives, particularly in complex surgical procedures, highlighting the need for careful interpretation and further studies.
A case of spontaneous direct vertebral artery - External vertebral venous plexus fistula in the upper cervical portion.
Surg Neurol Int
September 2024
Department of Neurosurgery, Nara City Hospital, Nara, Japan.
Article Synopsis
- A rare case of spontaneous direct vertebral artery-external vertebral venous plexus (VA-EVVP) fistula was diagnosed in an 82-year-old woman without trauma history or neurological deficits, presenting with right hemianopsia.
- Initial MRI suggested an old infarction and a dural arteriovenous fistula, but further imaging revealed a specific AV fistula at the C2 level.
- The patient underwent successful coil embolization, resulting in complete obliteration of the fistula after follow-up, providing new insights into treating VA-EVVP fistulas.
Radiation dose analysis in interventional neuroradiology of unruptured aneurysm cases.
J Radiol Prot
September 2024
Department of Endovascular Neurosurgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo 105-8470, Japan.
This study aimed to evaluate the radiation doses (peak skin dose (PSD) and bilateral lens dose) for each interventional neuroradiology procedure. A direct measurement system consisting of small radiophotoluminescence glass dosimeter chips and a dosimetry cap made of thin stretchable polyester was used for radiation dosimetry. The mean PSDs for each procedure were 1565 ± 590 mGy (simple technique coil embolization (STCE) cases), 1851 ± 825 mGy (balloon-assisted coil embolization (BACE) cases), 2583 ± 967 mGy (stent-assisted coil embolization (SACE) cases), 1690 ± 597 mGy (simple flow-diverter stenting (FDS) cases), and 2214 ± 726 mGy (FDS + coiling cases).
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