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Role of Endoluminal Functional Lumen Imaging Probe in Bariatric Surgery and Bariatric Endoscopy.
Obes Surg
January 2025
Division of Gastroenterology and Hepatology, Department of Medicine, School of Medicine, Washington University, St. Louis, MO, 63130, USA.
Obesity is associated with significant morbidity, with an estimated prevalence of 42.4% in the USA. Treatment of severe obesity often involves Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy.
View Article and Find Full Text PDF[Thrombosis in Hemodialysis Tunnelled Central Venous Catheters: From Pathogenesis to Therapeutic Strategies].
G Ital Nefrol
October 2024
U.O.C. di Nefrologia e Dialisi, Ospedale Generale Regionale "F. Miulli", Acquaviva delle Fonti (BA).
Central venous catheter-related thrombosis is a frequent non-infectious complication, typically associated with catheter dysfunction and hemodialysis inadequacy. Central venous catheters (CVCs) are categorized into non-tunnelled and tunnelled types, wherein the choice depends on patient's clinical conditions and the diagnostic and therapeutic workup. Tunnelled CVCs (tCVCs) are sought whenever an arteriovenous fistula is unfeasible or as primary access in patients with poor prognosis.
View Article and Find Full Text PDFEndoluminal rescue of false lumen graft deployment in TEVAR for type B aortic dissection: a case report and literature review.
Front Cardiovasc Med
September 2024
Department of Vascular Interventional Surgery, Zhangjiajie People's Hospital, Zhangjiajie, Hunan, China.
Article Synopsis
- TEVAR is increasingly used for treating Stanford type B aortic dissection, aiming to seal entry tears and promote aorta health, but it carries risks of complications, including stent misplacement into a false lumen.
- A case involving a 78-year-old man showed that improper stent placement during a TEVAR led to blood flow issues to his abdominal organs, requiring the insertion of an additional endograft to fix the problem.
- This incident highlights the importance of intraoperative imaging to promptly identify complications, and suggests that using intravascular ultrasound could help lower the risks associated with TEVAR.
Prospect and Challenges of Volatile Organic Compound Breath Testing in Non-Cancer Gastrointestinal Disorders.
Biomedicines
August 2024
Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
Article Synopsis
- Breath analysis has a long history in diagnosing diseases, but volatile organic compounds (VOCs) haven't been fully validated as biomarkers for specific illnesses yet.
- This review focuses on the potential of VOC breath tests for diagnosing non-cancerous diseases, specifically precancerous conditions like GERD and Barrett's esophagus, inflammatory bowel diseases, and chronic liver diseases.
- The analysis is based on 24 studies, discussing various factors such as analytical platforms and diagnostic parameters, and emphasizes the need for refined research methods to enhance the use of breath tests as non-invasive diagnostic tools.
Defining failure of endoluminal biliary drainage in the era of endoscopic ultrasound and lumen apposing metal stents.
World J Gastroenterol
August 2024
Department of Clinical Sciences, Tilman J. Fertitta Family College of Medicine, University of Houston, Houston, TX 77204, United States.
The role of endoscopy in pathologies of the bile duct and gallbladder has seen notable advancements over the past two decades. With advancements in stent technology, such as the development of lumen-apposing metal stents, and adoption of endoscopic ultrasound and electrosurgical principles in therapeutic endoscopy, what was once considered endoscopic failure has transformed into failure of an approach that could be salvaged by a second- or third-line endoscopic strategy. Incorporation of these advancements in routine patient care will require formal training and multidisciplinary acceptance of established techniques and collaboration for advancement of experimental techniques to generate robust evidence that can be utilized to serve patients to the best of our ability.
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