8 results match your criteria: "Digestive Diseases Center Showa University Koto Toyosu Hospital Tokyo Japan.[Affiliation]"
Objectives: Appropriate sedative and analgesic selection is essential to reduce patient discomfort and body movement to safely conduct endoscopic ultrasonography (EUS). However, few cases have examined sedation with propofol in EUS, and few studies the need for combined analgesia. In this study, we retrospectively evaluated the usefulness and safety of propofol without analgesics for sedation in biliopancreatic observational EUS.
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- A multicenter study assessed the safety and mid-term outcomes of classical laparoscopic and endoscopic cooperative surgery (LECS) for treating gastric submucosal tumors (G-SMTs) following national health insurance coverage.
- The study involved 201 patients across 21 institutions from April 2014 to March 2016, identifying classical LECS as the most common procedure performed, with a good resection rate and manageable complications.
- Results indicated that while most surgeries had favorable outcomes, postoperative complications occurred in 5% of cases, emphasizing the general effectiveness of these methods in clinical practice.
Introduction: We report a case of rectal perforation following SpaceOAR placement utilized with iodine-125 low-dose-rate brachytherapy for prostate cancer.
Case Presentation: A 65-year-old patient with localized prostate cancer underwent SpaceOAR placement following LDR-BT. No significant issues occurred with the SpaceOAR procedure, and no abnormalities were found on the next day's T2-weighted magnetic resonance imaging.
Objectives: Endoscopic resection (ER) for gastric submucosal tumors (SMTs) has gained prominence in recent years, with studies emerging from various countries. However, there is a paucity of reports from Japan. We aimed to elucidate the efficacy and safety of ER for gastric SMT in Japan.
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- Esophageal intramural hematoma (EIH) occurs when there is bleeding within the wall of the esophagus, and there's limited information on its occurrence in achalasia patients.
- This report presents a unique case where per-oral endoscopic myotomy (POEM) successfully treated a patient with achalasia and EIH, despite the usual absence of lower esophageal sphincter relaxation leading to complications.
- The patient showed significant improvement in swallowing difficulties (dysphagia) and healing of the hematoma over a follow-up period, indicating that POEM could be beneficial for both symptom relief and healing in similar cases.
Article Synopsis
- - POEM (Peroral Endoscopic Myotomy) has proven to be a safe and effective minimally invasive treatment for achalasia, even in patients with situs inversus totalis, a rare condition where internal organs are mirrored.
- - In a reported case, the procedure was successfully carried out despite the reversed anatomy, with the operator maintaining awareness of the anatomical landmarks and performing the submucosal tunneling from a 10 o'clock position.
- - Follow-up results revealed significant improvement in symptoms and esophageal function, demonstrating that POEM can be effectively adapted for patients with situs inversus totalis without major procedural changes.
Article Synopsis
- This study investigates the relationship between the lower esophageal sphincter (LES) and a new endoscopic sign called the scope holding sign (SHS) in patients with gastroesophageal reflux disease (GERD).
- Researchers performed high-resolution manometry (HRM) and endoscopy on GERD patients to measure resting LES pressure while observing SHS, comparing pressures when the lower esophagus held or released the endoscope.
- Results showed that LES pressure was significantly higher when SHS was positive, suggesting the sphincter can be visualized during endoscopy, paving the way for better evaluation of LES function in GERD patients.
Article Synopsis
- Killian-Jamieson diverticulum (KJD) is a less common type of esophageal diverticulum compared to Zenker's diverticulum (ZD), and endoscopic treatments for these conditions are advancing rapidly.
- The first-line treatment for symptomatic ZD is flexible endoscopic septum division, but it has a recurrence rate over 10%; a newer technique called Z-POEM is now being used for ZD as a minimally invasive option.
- A case report shows that performing Z-POEM for KJD via a submucosal tunnel approach led to complete resolution of difficulty swallowing without complications, suggesting this technique may be a promising option for treatment even though more studies are needed for confirmation.