- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Esophageal and GI Pathology
- Pediatric Hepatobiliary Diseases and Treatments
- Pancreatitis Pathology and Treatment
- Aortic aneurysm repair treatments
- Intestinal Malrotation and Obstruction Disorders
- Anorectal Disease Treatments and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Liver Disease Diagnosis and Treatment
- Cholangiocarcinoma and Gallbladder Cancer Studies
- 3D Printing in Biomedical Research
- Liver Disease and Transplantation
- Cancer Cells and Metastasis
- Biliary and Gastrointestinal Fistulas
- Peripheral Artery Disease Management
- Dialysis and Renal Disease Management
- Chronic Kidney Disease and Diabetes
Vita-Salute San Raffaele University
2023-2024
Istituti di Ricovero e Cura a Carattere Scientifico
2023-2024
Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele
2024
Abstract Objectives Malignant double obstruction, defined as the simultaneous presence of biliary and gastric outlet represents a challenging clinical scenario. Previous retrospective experiences have demonstrated shorter dysfunction‐free survival (DyFS) endoscopic ultrasound‐guided choledochoduodenostomy (EUS‐CDS) versus EUS‐hepaticogastrostomy (EUS‐HGS) in this setting, but no prospective evidence is available. Methods Twenty consecutive patients with malignant treated...
Although outcomes of lumen-apposing metal stents (LAMS) placement in native anatomy have been reported, data on LAMS surgically altered (SAA) are sparse. We aimed to assess patients with SAA for different indications.
Abstract Background and study aims Besides increasing adequacy, rapid on-site evaluation (ROSE) during endoscopic ultrasound (EUS) or retrograde cholangiopancreatography (ERCP) may impact choices timing of subsequent therapeutic procedures, yet has been unexplored. Patients methods This was a retrospective prospectively maintained database tertiary, academic centre with availability ROSE hybrid EUS-ERCP suites. All consecutive patients referred for pathological confirmation suspected...
Aims Post-surgical fluid collections (pS-FC) following gastrointestinal and pancreatobiliary surgeries are commonly suitable for EUS-guided drainage (FCD). However, no prospective evidence exists, including comparisons with post-pancreatitis (pP-FC).
Aims Lumen apposing metal stents (LAMS) have been increasingly used to manage patients with surgically altered anatomy (SAA), who would otherwise required percutaneous or surgical interventions. Via the creation of de-novo anastomoses, LAMS provides a conduit access distal parts gastrointestinal tract perform various
Aims Combined Biliary (BO) and Gastric Outlet Obstruction (GOO) represent a challenging clinical scenario. Previous retrospective experiences have demonstrated higher risk of Dysfunction-Free survival (DFS) EUS-guided Choledochoduodenostomy (EUS-CDS) versus EUS-Hepaticogastrostomy (EUS-HGS) in this scenario, but no prospective evidence is available.
Abstract Text A 29-year-old woman with former abdominal trauma underwent surgical Roux-en-Y hepatico-jejunostomy (RYHJ) and subsequent cholechysto-jejunostomy on the same loop due to stricture. Eleven years later, she was admitted for cholangitis. Magnetic Resonance showed three biliary stones above biliodigestive anastomosis. percutaneous external drainage initially placed, but endoscopic recanalization proposed. EUS-guided hepatico-duodenostomy performed by over-the-wire placement of a...
Aims Endoscopic biliary drainage (BD) in patients with altered anatomy is a challenging scenario, reducing the chance of clinical success compared to standard anatomy. The choice between different BD approaches still not standardized and relies on local availability expertise. Aim this study was explore approach Italian centers, including number attempts.