journal
Journals Gastrointestinal Endoscopy Cli...

Gastrointestinal Endoscopy Clinics of North America

https://read.qxmd.com/read/37973229/endoscopic-diagnosis-of-extra-luminal-cancers
#21
REVIEW
Ross C D Buerlein, Vanessa M Shami
The last 2 decades have seen an emergence of endoscopic technologies and techniques allowing for minimally invasive modalities for assessing and sampling lesions outside of the gastrointestinal lumen, including the chest, abdomen, and pelvis. Incorporating these new endoscopic approaches has revolutionized the diagnosis and staging of extra-luminal malignancies and has enabled more accessible and safer tissue acquisition.
January 2024: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37973228/endoscopic-ultrasound-guided-pain-management
#22
REVIEW
Amirali Tavangar, Jason B Samarasena
The diagnosis and management of pancreatic cancer has become a standard role for the endoscopic oncologist. Pancreatic cancer can produce disabling abdominal pain, and the medical management of this pain is often challenging. Endoscopic ultrasound-guided celiac plexus neurolysis and celiac ganglia neurolysis serve as an alternative or adjunct for pain control in these patients. There remains a great deal of practice variability with regard to techniques and approaches. This article summarizes the latest scientific evidence and highlights contemporary best practice advice for these procedures...
January 2024: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37973227/endoscopic-nutrition-of-patients-with-cancer
#23
REVIEW
Kinnari Modi, David Lee
The types of endoscopic interventions available for supporting the nutrition of patients with cancer have expanded in recent years to encompass a wide variety of different techniques and procedures. Many of these procedures reflect refinements of technique that have existed for some time, whereas others are implementations of novel technologies and instruments that have only become available in recent years. In this review, the authors seek to summarize the breadth of endoscopic techniques for maintaining nutrition in patients with cancer...
January 2024: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37973226/endoscopic-management-of-tumor-bleeding-techniques-and-strategies
#24
REVIEW
Frances Dang, Marc Monachese
Endoscopic management of gastrointestinal (GI) tumor-related bleeding is challenging for many reasons including high rebleeding rates, poor tissue response to endoscopic therapies, altered wound healing and underlying coagulopathy. However, endoscopic treatment may help reduce transfusion requirements, avoid surgery, and provide a temporary bridge to oncologic therapy. This article explores various endoscopic techniques in managing tumor bleeding from more traditional approaches of using thermal or mechanical therapy with injection therapy to newer topical agents...
January 2024: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37973225/endoscopic-management-of-colonic-obstruction
#25
REVIEW
Ahmad F Aboelezz, Mohamed O Othman
Large bowel obstruction is a serious event that occurs in approximately 25% of all intestinal obstructions. It is attributed to either benign, malignant, functional (pseudo-obstruction), or mechanical conditions. Benign etiologies of colonic obstructions include colon volvulus, anastomotic strictures, radiation injury, ischemia, inflammatory processes such as Crohn's disease, diverticulitis, bezoars, and intussusception.
January 2024: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37973224/endoscopic-management-of-malignant-biliary-obstruction
#26
REVIEW
Woo Hyun Paik, Do Hyun Park
Endoscopic retrograde cholangiopancreatography (ERCP) is commonly used for managing malignant biliary obstruction; however, it is impossible if the endoscope cannot reach the ampulla of Vater, and it carries a risk of procedure-related pancreatitis. Percutaneous approach is a traditional rescue method when ERCP fails and can be useful in advanced malignant hilar biliary obstruction; however, it is invasive and carries risks of tube dislodgement, recurrent infection, and tract seeding. Endoscopic ultrasound approach may be attempted if ERCP fails and is free from the risk of pancreatitis; however, it is only possible in limited centers, and training is still difficult...
January 2024: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37973223/endoscopic-treatment-of-gastric-outlet-obstruction
#27
REVIEW
Andrew Canakis, Shayan S Irani
Endoscopic management of gastric outlet obstruction includes balloon dilation, enteral stenting, and endoscopic ultrasound-guided gastroenterostomy (EUS-GE) to relieve mechanical blockage and reestablish per oral intake. Based on the degree of obstruction, patients may experience debilitating symptoms that can quickly lead to malnutrition and delays in chemotherapy. Compared with surgery, minimally invasive endoscopic options can provide similar clinical outcomes with fewer adverse events, faster resumption of oral feeding, and shorter hospitalizations...
January 2024: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37973222/endoscopic-diagnosis-of-superficial-gastrointestinal-cancer
#28
REVIEW
Atsushi Nakayama, Motohiko Kato, Noriko Matsuura, Naohisa Yahagi
White light image (WLI) findings are important for detection and characterization in the GI tract. However, magnified endoscopic examination with image enhanced endoscopy (IEE-NE) is becoming increasingly important for qualitative diagnosis of GI neoplastic lesions. IEE-ME is extremely useful for diagnosis of invasion depth in esophageal squamous cell cancer (ESCC) and colorectal cancer, whereas macroscopic findings of WLI are still useful in Barrett's adenocarcinoma (BAC) and gastric cancer. IEE-ME is also useful for diagnosis of tumor extent in BAC and gastric cancer, whereas chromoendoscopy with indigo carmine is useful in colorectal cancer and iodine staining is indispensable in ESCC...
January 2024: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709419/pancreatic-interventions-from-the-quill-to-the-sonar
#29
EDITORIAL
Duvvur Nageshwar Reddy, Rupjyoti Talukdar
No abstract text is available yet for this article.
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709418/pancreatic-endotherapy-an-amazing-evolution
#30
EDITORIAL
Charles J Lightdale
No abstract text is available yet for this article.
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709417/endoscopic-interventions-in-pancreatic-cystic-neoplasms
#31
REVIEW
Sung Hyun Cho, Dong-Wan Seo
During the past two decades, there has been a significant evolution in endoscopic interventions in pancreatic cystic neoplasms (PCNs), ranging from diagnostic intervention (endoscopic ultrasound-guided through-the-needle biopsy [EUS-TTNB]) to therapeutic intervention (endoscopic ultrasound-guided pancreatic cystic ablation [EUS-PCA]). They have received attention as alternatives to conventional diagnostic and therapeutic modalities. EUS-TTNB can categorize PCN types accurately by providing histologic diagnoses that conventional diagnostic modalities cannot provide...
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709416/radiofrequency-ablation-of-pancreatic-solid-tumors
#32
REVIEW
Marc Giovannini, Mariola Marx
Today, endoscopic ultrasound-guided radiofrequency ablation has become increasingly accepted for the treatment of different precancerous and neoplastic lesions of the pancreas, particularly in patients who are unfit for surgery. However, thermal ablation has long been suspected to induce pancreatitis or to injure adjacent structures. Published case reports and case series on this topic are of limited size and are often based on a heterogeneous study population, reporting on functional and nonfunctional pancreatic neuroendocrine tumors...
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709415/endoscopic-ultrasound-guided-pancreatic-duct-interventions
#33
REVIEW
Jacques Devière
Endoscopic ultrasound (EUS)-guided pancreatic duct drainage is one of the most challenging procedures in therapeutic endoscopy. Technical success is lower than for other therapeutic EUS procedures. However, when successful in a clear clinical indication, this procedure can offer a useful therapeutic alternative and improves the overall clinical success of the endoscopic approach. Current challenges include the standardization of clinical indications and of the techniques used for accessing the pancreatic duct, the strategy for mid-term and long-term management, and definition of the scope of the training that should be offered to a few highly experienced endoscopists...
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709414/management-of-benign-biliary-stricture-in-chronic-pancreatitis
#34
REVIEW
Mohan Ramchandani, Partha Pal, Guido Costamagna
Endoscopic therapy is the first line of management for chronic pancreatitis (CP)-related benign biliary strictures. Multiple plastic stents (MPS) exchanged at regular intervals and temporary placement of fully covered self-expanding metal stents (FCSEMS) are preferred modalities of endotherapy. FCSEMS placement is non-inferior to MPS and requires fewer sessions of endoscopic retrograde cholangiopancreatography than MPS placement. The presence of head calcifications, severe CP, and length of stricture are predictors of failure or recurrence after endotherapy...
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709413/management-of-pancreatic-duct-stones-nonextracorporeal-approach
#35
REVIEW
Christian Gerges, Torsten Beyna, Horst Neuhaus
Chronic pancreatitis (CP) is an ongoing inflammatory disease with most patients developing pancreatic calculi during their course of disease. Extracorporeal shock wave lithotripsy (ESWL) is a first-line treatment option in patients with large lumen obstructing pancreatic duct (PD) stones. In patients with CP and PD dilatation, digital single-operator pancreatoscopy (DSOP)-guided lithotripsy seems to be an appealing option to ESWL and surgery. DSOP-guided lithotripsy for the treatment of large symptomatic PD-stones has been demonstrated to be safe, technically, and clinically effective, and should be regarded as an alternative endoscopic treatment of certain patients...
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709412/management-of-pancreatic-duct-stones-extracorporeal-approach
#36
REVIEW
Manu Tandan, Partha Pal, Duvvuru Nageshwar Reddy
Stone clearance with extracorporeal shock wave lithotripsy is a safe and effective procedure for large pancreatic calculi not extractable by the standard endoscopic retrograde cholangiopancreatography techniques. In properly selected patients, this minimally invasive approach should be offered as the first line of therapy instead of surgery. Complete stone clearance can be achieved in three-fourths with long-term pain relief in two-thirds of patients. Re-intervention is required in less than half of the patients...
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709411/endotherapy-for-pancreas-divisum
#37
REVIEW
Sumant Inamdar, Gregory A Cote, Dhiraj Yadav
Pancreas divisum (PD) is a common anatomic variant of the pancreatic duct. Causal association between PD and pancreatitis has been debated for many years. Minor papilla sphincterotomy (miES) is offered in clinical practice to patients with idiopathic acute recurrent pancreatitis (iRAP) and PD. However, available data originate mainly from observational studies with many limitations. An ongoing international, multicenter, sham-controlled trial is evaluating the efficacy of miES in iRAP and PD. Endoscopic therapy for pain relief has limited to no benefit in patients with chronic abdominal pain or chronic pancreatitis who have PD and is not recommended...
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709410/postendoscopic-retrograde-cholangiopancreatography-pancreatitis-pathophysiology-and-prevention
#38
REVIEW
Venkata S Akshintala, Vikesh K Singh
Endoscopic retrograde cholangiopancreatography (ERCP) is an essential procedure for the management of pancreato-biliary disorders. Pancreatitis remains the most frequent complication of the ERCP procedure, and it is, therefore, necessary to recognize the pathophysiology and risk factors contributing to the development of pancreatitis and understand the methods to prevent this complication.
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709409/management-of-disconnected-pancreatic-duct
#39
REVIEW
Jahangeer Basha, Sundeep Lakhtakia
Disconnected pancreatic duct (DPD) is common after acute necrotizing pancreatitis (ANP). Its clinical implications vary according to the course of disease. In the early phase of ANP, parenchymal necrosis along with disruption of pancreatic duct cause acute necrotic collection that evolves into walled-off necrosis (WON). In the later phase, DPD becomes evident as confirmed by magnetic resonance cholangiopancreatography. Clinical manifestations of DPD can vary from being asymptomatic, recurrent pain, recurrent pancreatic fluid collection (PFC), obstructive pancreatitis, or external pancreatic fistula (EPF)...
October 2023: Gastrointestinal Endoscopy Clinics of North America
https://read.qxmd.com/read/37709408/percutaneous-endoscopic-necrosectomy
#40
REVIEW
Soumya Jagannath Mahapatra, Pramod Kumar Garg
Patients with acute pancreatitis might develop infected necrotic fluid collections which are associated with significant morbidity and mortality. Patients with infected necrotizing pancreatitis not responding to antibiotics require drainage and subsequent necrosectomy (Step-up approach). Percutaneous endoscopic necrosectomy (PEN) has evolved as a minimally invasive approach for necrosectomy through the percutaneous catheter route using a flexible endoscope and can be done under conscious sedation. It is best suited for predominantly laterally placed infected necrotic fluid collections and also can be performed at the bedside for sick patients admitted to an ICU...
October 2023: Gastrointestinal Endoscopy Clinics of North America
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