A5064439667- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Esophageal and GI Pathology
- Gastrointestinal disorders and treatments
- Pediatric Hepatobiliary Diseases and Treatments
- Pancreatitis Pathology and Treatment
- Biliary and Gastrointestinal Fistulas
- Gastrointestinal Tumor Research and Treatment
- Gastric Cancer Management and Outcomes
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Abdominal Surgery and Complications
- Gastrointestinal Bleeding Diagnosis and Treatment
- Clinical Nutrition and Gastroenterology
- Tracheal and airway disorders
- Organ Transplantation Techniques and Outcomes
- Vascular Malformations and Hemangiomas
- Abdominal vascular conditions and treatments
- Pleural and Pulmonary Diseases
- Cervical and Thoracic Myelopathy
- Pain Management and Treatment
- Platelet Disorders and Treatments
- Esophageal Cancer Research and Treatment
- Renal function and acid-base balance
- Occupational health in dentistry
- Helicobacter pylori-related gastroenterology studies
Institut d'Investigació Biomédica de Bellvitge
2014-2023
Bellvitge University Hospital
2014-2023
Universitat de Barcelona
2018-2023
Abstract Background The aim of this study was to evaluate whether the placement a coaxial double-pigtail plastic stent (DPS) within lumen-apposing metal (LAMS) may improve safety endoscopic ultrasound (EUS)-guided drainage pancreatic fluid collections (PFCs). Methods This retrospective cohort including patients with PFCs and an indication for transmural drainage. Two strategies (LAMS alone or LAMS plus DPS) were used at endoscopist’s discretion. Results A total 41 treated (21 alone; 20 DPS)....
Treatment of locally advanced esophageal cancers with high-dose definitive concomitant chemoradiotherapy can lead to high-grade strictures, or, rarely, total obliteration the lumen. Strictures be successfully treated various endoscopic techniques; however, complete obstruction is a technically challenging problem. Anterograde techniques carry risk perforation or bleeding. A combined anterograde–retrograde dilation technique, described in few reports, another option but requires retrograde...
Endoscopic ultrasound (EUS)-guided pancreatic duct drainage remains one of the most technically challenging endosonography interventions. There is a lack specific devices for technique, and question which kind stent should be used controversial: plastic (straight, single or double pigtail) self-expanding metal [1] [2] [3] [4].
A 51-year-old man who had undergone liver transplantation developed a symptomatic anastomotic biliary stricture 23 months after surgery. Endoscopic therapy via endoscopic retrograde cholangiopancreatography (ERCP) was planned. Progressive balloon dilation of the stenosis performed, with placement three coaxial plastic stents (8.5-Fr × 12 cm, 8.5-Fr 9 and 10-Fr cm; Advanix, Boston Scientific, Natick, Massachusetts, USA).
A 56-year-old woman with unresectable pancreatic cancer causing obstructive jaundice and anorexia was referred to our unit for tissue diagnosis biliary drainage before undergoing evaluation by a medical oncologist. Previous endoscopic retrograde cholangiopancreatography (ERCP) attempt cannulation because of signs severe tumoral invasion in the papilla area had failed, biopsy specimens were negative malignancy.
Background and study aims: the use of endoscopic ultrasound-guided biliary drainage (EUS-BD) has increased in cases failed retrograde cholangiopancreatography (ERCP) there are some concerns.The main aim was to determine role EUS-BD a palliative case cohort.The secondary compare efficacy, safety survival ERCP procedures.Patients methods: this an observational at single tertiary institution, with consecutive inclusion from January 2015 December 2016.The criteria were unresectable tumors...
Complete gastrointestinal strictures are a technically demanding problem. In this setting, an anterograde technique is associated with high risk of complications and combined anterograde-retrograde requires prior ostomy. Our aim was to assess the outcome first case series for management complete using endoscopic ultrasound (EUS)-guided puncture as novel approach.This retrospective case-series describes four cases that were referred treatment benign strictures, three upper one lower....
EUS-guided fine-needle ethanol injection (FNI) therapy of some types cystic and solid tumors has been documented. However, reported cases to date gastrointestinal-stromal (GIST) treated with this technique are scarce. Ethanol ablation is an alternative treatment a low rate adverse events in selected cases.
A 61-year-old man was referred for an iron-deficiency anemia diagnostic process. Upper gastrointestinal endoscopy performed and fortuitously revealed a small gastric subepithelial lesion. Endoscopic ultrasound (EUS) characterization solid lesion, with fusiform morphology, well-defined by smooth edges hypoechoic homogeneous internal pattern, measuring 12.3 × 5.8 mm, originating in the muscularis propria layer, which confirmed tumor ([Fig. 1]). With aim of avoiding EUS surveillance tumor,...
Recently, we reported a successful endoscopic ultrasound-guided pancreatic duct (PD) drainage using lumen-apposing metal stent (LAMS) plus pigtail in 44-year-old man with chronic pancreatitis and PD stricture [1]. The patient's course was satisfactory 5 months later conversion of the transmural to transpapillary planned.
the appearance of lumen-apposing metal stent (LAMS) has meant an authentic revolution. To date, results are promising but it is necessary to note technical incidents and LAMS-related complications.an EUS-transmural guided drainage using a HotAXIOS was planned for 36-year-old man with oral intolerance due voluminous walled-off necrosis. The distal flange left in collection, total malposition occurred during proximal delivery, despite correct apposition visualization black mark. A rescue...
The main reasons for dislodgement of the distal flange a lumen-apposing metal stent (LAMS) into peritoneum during endoscopic ultrasound (EUS)-guided gastroenterostomy are that delivery catheter pushes away small bowel without entering it, or else advancement preloaded guidewire tents jejunal loop (in both cases, EUS window is lost).
To facilitate the safe and simple introduction of an endoscopic ultrasound (EUS)-guided gastroenterostomy technique, we present a step-by-step teaching video variant technique for direct EUS-guided using feeding tube ([Video 1]). The stages involved are as follows.
Endoscopic ultrasound (EUS)-guided biliary drainage is an increasingly popular technique for cases of previously unsuccessful endoscopic retrograde cholangiopancreatography (ERCP). It has good results in expert hands, but a challenging procedure with significant rate adverse events [1].
Introducción: El Ki-67 es un factor pronóstico en los tumores pancreáticos neuroendocrinos (TPNE), necesario para determinar su grado de malignidad. Su estudio prequirúrgico comporta impacto clínico significativo. La obtención del mediante USE-PAAF aún no está aclarada.
A 54-year-old patient with a supposed 9-cm pseudocyst located in the pancreatic tail was referred to our unit for endoscopic ultrasound (EUS)-guided transmural drainage ([Fig. 1]). The fluoroscopic image showed immediate creation of pneumoperitoneum when cystotome used, because cystic lesion not adherent gastric wall 2 a]). First, we attempted seal ostomy (or iatrogenic perforation), purpose preventing leakage fluids peritoneal cavity, by using 'diabolo'-shaped self-expanding metal stent...