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Current Gallstone Treatment Methods, State of the Art.
Diseases
August 2024
Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, National Virtual, Reality Experimental Education Center for Medical Morphology (Southern Medical University), National Key Discipline of Human Anatomy School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, China.
Article Synopsis
- - This study provides insights for clinicians on selecting minimally invasive surgical methods for treating biliary tract stones, including a comparison of techniques like PTCS, ERCP, and LCBDE.
- - The paper highlights the rise in gallstone-related diseases and the growing need for innovative, patient-friendly surgical approaches while addressing unique complications associated with each method.
- - The incorporation of artificial intelligence into gallstone procedures is discussed as a promising solution for improving detection, treatment, and prognosis, with recommendations for optimizing preoperative and procedural practices.
Contemporary Outcomes of Transduodenal Sphincteroplasty: the Importance of Surgical Quality.
J Gastrointest Surg
December 2023
Department of Surgery, Indiana University School of Medicine, 545 Barnhill Dr, Emerson Hall 519, Indianapolis, IN, 46202, USA.
Background: Sphincter of Oddi dysfunction (SOD) is managed primarily by endoscopic sphincterotomy (ES); however, surgical transduodenal sphincteroplasty (TDS) is a treatment option for select patients. In our high-volume pancreatico-biliary practice, we have observed variable outcomes among TDS patients; therefore, we sought to determine preoperative predictors of durable improvement in quality of life.
Methods: SOD patients treated by TDS between January 2006 and December 2015 were studied.
Transduodenal Sphincteroplasty: A Visual Case Study.
J Gastrointest Surg
November 2023
Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall 519, Indianapolis, IN, 46202, USA.
Background: Sphincter of Oddi dysfunction is a challenging and rare clinical entity resulting in pancreatobiliary pain and stasis of bile and pancreatic juice. This problem was classically treated with surgical therapy, but as classification of the disease has changed and newer methods of endoscopic evaluation and therapy have evolved, operative transduodenal sphincteroplasty is now generally reserved as a final therapeutic option for these patients. In this video and manuscript, we describe our approach to operative transduodenal sphincteroplasty in a patient with type I Sphincter of Oddi dysfunction.
View Article and Find Full Text PDFTransduodenal ampullectomy for early ampullary cancer: Clinical management, histopathological findings and long-term outcomes at a single center.
Surgery
April 2023
Department of Gastroenterological Surgery, Saitama Cancer Center, Kita-Adachi-gun, Saitama, Japan.
Background: Transduodenal ampullectomy has been attempted in ampullary tumors, including early ampullary cancer. However, the indication and extent of transduodenal ampullectomy with curative intent remain controversial. Herein, we address the perioperative and long-term outcomes of patients with early ampullary cancer who underwent transduodenal ampullectomy at a single center.
View Article and Find Full Text PDFSphincter of Oddi Dysfunction After Gastric Bypass: Surgical or Endoscopic Therapy?
J Surg Res
June 2019
Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address:
Background: Management of Sphincter of Oddi Dysfunction (SOD) requires advanced techniques (endoscopic retrograde cholangiopancreatography via gastrostomy [GERCP]) after Roux-en-Y gastric bypass (RYGB) for obesity. Transduodenal sphincteroplasty (TS) is also performed yet carries the risks of surgery. We hypothesized that TS would have increased morbidity and mortality but provide a more durable remission of symptoms.
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