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| http://dx.doi.org/10.1016/j.gie.2021.05.025 | DOI Listing |
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Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction: A Comprehensive Review on Technical Tips and Clinical Outcomes.
Diagnostics (Basel)
November 2024
Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Endoscopic ultrasound-guided biliary drainage (EUS-BD) has dramatically spread and improved in the last two decades and is changing the paradigm of drainage in case of malignant biliary obstruction (MBO). EUS-BD can be achieved from different routes, including the common bile duct (choledochoduodenostomy), intrahepatic bile ducts (hepaticogastrostomy), and gallbladder as a rescue (cholecystogastrostomy/cholecystoduodenostomy). EUS-guided hepaticogastrostomy (EUS-HGS) is a valuable option for biliary drainage in MBO when ERCP fails or is not feasible.
View Article and Find Full Text PDFComplex Organ Injury Management in Abdominal Trauma: Case of a Heavy Iron Plate Accident.
Am J Case Rep
December 2024
Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
BACKGROUND Open injury of multiple organs in the chest and abdomen, such as the colon, duodenum, kidney, liver and diaphragm, is relatively rare. The rescue of such a patient is difficult, and the results are often unsatisfactory. It is also a challenge for the hospital and doctors.
View Article and Find Full Text PDFWhich is the best timing for performing a cholecystectomy after percutaneous cholecystostomy?
Surg Endosc
January 2025
Hospital Universitario Mayor - Méderi, Calle 24 #29 - 45, Bogotá, Colombia.
Article Synopsis
- Laparoscopic cholecystectomy is the preferred method for treating acute cholecystitis, but percutaneous cholecystostomy is often used for high-risk surgical patients as a temporary solution or definitive treatment.
- A review of existing literature, particularly focusing on a study by Spaniolas et al., was conducted to determine the best timing for laparoscopic cholecystectomy after cholecystostomy, but findings were inconclusive due to variability in study thresholds and limitations in the Spaniolas study.
- The conclusion emphasizes that timing the laparoscopic procedure for when it is least technically challenging can help reduce complications and need for additional surgeries, although solid scientific backing is still lacking.
Updates on therapeutic endoscopic ultrasound.
Curr Opin Gastroenterol
January 2025
Department of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Purpose Of Review: Multiple endoscopic ultrasound (EUS) guided therapeutic interventions have been developed for the management of benign and malignant pancreaticobiliary and gastrointestinal luminal pathology. Recent high-quality evidence is increasingly validating these interventions and positioning them within evidence-based therapeutic algorithms.
Recent Findings: Here we review therapeutic EUS-guided interventions including pancreatic fluid collection drainage, gastroenterostomy, biliary drainage, pancreatic duct drainage and gallbladder drainage.
Ideal Local Anesthetic for Intraperitoneal Gallbladder Bed Infiltration Following Laparoscopic Cholecystectomy: A Randomized Controlled Trial.
Cureus
October 2024
General Surgery, Pakistan Air Force Hospital, Islamabad, PAK.
Background Laparoscopic cholecystectomy is the gold standard operation for symptomatic cholelithiasis; however, pain remains a major factor in increasing morbidity and length of hospital stay. Infiltration of the gallbladder bed with a local anesthetic has been shown to improve postoperative pain after laparoscopic cholecystectomy, although it is unclear which local anesthetic provides superior pain relief. Objective The aim of this study was to compare the efficacy of various local anesthetics on postoperative pain when instilled intraperitoneally in the gallbladder bed following laparoscopic cholecystectomy.
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