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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11361624 | PMC |
| http://dx.doi.org/10.14309/crj.0000000000001485 | DOI Listing |
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Migration of a Duodenoscope to the Esophagus Which Was Successfully Retrieved Using a Recovery Method: A Rare Complication of Endoscopic Retrograde Cholangiopancreatography.
ACG Case Rep J
September 2024
The Third Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Article Synopsis
- * Despite anticoagulation therapy causing increased tumor bleeding, the anemia did not improve, prompting frequent red blood cell transfusions and investigation that ruled out hemobilia as a source of bleeding.
- * The treatment involved placing a fully covered self-expandable metallic stent (SEMS) to achieve hemostasis, demonstrating that this approach can effectively manage bleeding from an ulcerated cancer surface, possibly by compressing the tumor and reducing blood vessel size.
Review of ERCP Techniques in Roux-en-Y Gastric Bypass Patients: Highlight on the Novel EUS-Directed Transgastric ERCP (EGDE) Technique.
Curr Gastroenterol Rep
July 2021
Department of Gastroenterology, University of Rochester Medical Center, Rochester, NY, 14642, USA.
Purpose Of Review: Hepatobiliary complications are common in Roux-en-Y gastric bypass (RYGB) patients. Despite development of multiple surgical and endoscopic access techniques over the years, ERCP using standard duodenoscope remains challenging in these patients due to the altered anatomy.
Recent Findings: Limited success with enteroscope-assisted and laparoscope-assisted ERCP led to the evolution of the novel EUS-directed transgastric ERCP (EDGE) procedure, with variations of this technique termed as Gastric Access Temporary for Endoscopy (GATE), EUS-guided TransGastric ERCP (EUS-TG-ERCP), EUS-guided GastroGastrostomy-assisted ERCP (EUS-GG-ERCP), and EUS-directed transgastric intervention (EDGI).
Maximizing success in single-session EUS-directed transgastric ERCP: a retrospective cohort study to identify predictive factors of stent migration.
Gastrointest Endosc
October 2021
Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Background And Aims: EUS-directed transgastric ERCP (the EDGE procedure) is a simplified method of performing ERCP in Roux-en-Y gastric bypass patients. The EDGE procedure involves placement of a lumen-apposing metal stent (LAMS) into the excluded stomach to serve as a conduit for passage of the duodenoscope for pancreatobiliary intervention. Originally a multistep process, urgent indications for ERCP have led to the development of single-session EDGE (SS-EDGE) with LAMS placement and ERCP performed in the same session.
View Article and Find Full Text PDFEndoscopic cystogastrostomy: Still a viable option in children with symptomatic pancreatic fluid collection.
Pancreatology
June 2021
Department of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Background/objectives: Endoscopic transmural drainage is the preferred method of drainage of pancreatic fluid collections (PFCs) in adults; however, there is scant literature in children. We analyzed our experience of 33 endoscopic cystogastrostomies done in 29 children to find its efficacy and safety.
Methods: We retrospectively analyzed the prospectively collected database of 31 consecutive children (<18 years) who underwent endoscopic cystogastrostomy from June 2013 to December 2017.
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