1,721,052 research outputs found
Contrast-enhanced EUS for the differential diagnosis of lymphadenopathy: technical improvement with defined indications
No full textEU
Factors influencing surgical indication in patients with asymptomatic pancreatic cystic lesion – is EUS always indicated before surgery?
No full textN
Evaluation of a new slim radial echoendoscope: A better option for an aging population
No full textThe radial echoendoscope is still widely used for the investigation of abnormalities in the gastrointestinal wall and for stone detection in the extrahepatic biliary tree. Due to aging patient population, EUS is frequently performed in fragile and elderly individuals. We aimed to compare the maneuverability and image quality of a new thin radial echoendoscope to the current one
Contrast-enhanced harmonic endoscopic ultrasound-guided ethanol injection for a small hepatocellular carcinoma
No full textEU
Role of endoscopy in the conservative management of biliary complications after deceased donor liver transplantation
Full text linkThe clinical outcome of patients receiving liver transplantation could be significantly affected by biliary complications, including strictures, leaks, stones and bilomas; early diagnosis and treatment of these conditions lead to markedly reduction in morbidity and mortality. Therapeutic gold standard is represented by conservative approaches, both endoscopic and percutaneous, based on the type of biliary reconstruction, the local availability of the procedures and specific expertise. In patients with previous transplantation, the difficult biliary access and the possible presence of concomitant complications (mainly strictures) further restrict the efficacy of the endoscopic and percutaneous treatments; on the other hand, surgery should generally be avoided because of the even increased morbidity and mortality due to technical and clinical issues. Here we review the most common biliary complications occurring after liver transplantation and discuss available treatment options including future perspectives such as endoscopic ultrasound-guided biliary access in patients with Rouxen- Y choledocho-jejunostomy or extracorporeal shock wave lithotripsy for difficult stones
Elective home replacement of gastrostomy feeding tubes is safe and cost-effective. Has hospital referral become obsolete?
No full textPercutaneous endoscopic gastrostomy (PEG) is the technique of choice for providing enteral nutrition in patients with functioning gastrointestinal tract. Available guidelines cover indications and procedural management for PEG placement, while there is no consensus about subsequent replacement with gastrostomy feeding tubes (GFT) and their management. We hypothesized that GFT replacement, according to a standardized protocol supervised by a trained gastroenterologist could be integrated into the home health care system
Optimal safety and pooled technical success rate for ERCP performed with single-use duodenoscopes
No full textN
NSAIDs-induced upper gastrointestinal bleeding in hepatitis B virus-positive patient with acute kidney injury - nonocclusive mesenteric ischemia
No full textEndoscop
Role of contrast harmonic-endoscopic ultrasound in pancreatic cystic lesions
Full text linkIncidental pancreatic cysts (PCs) are frequently encountered in the general population often in asymptomatic patients who undergo imaging tests to investigate unrelated conditions. The detection of a PC poses a significant clinical dilemma, as the differential diagnosis is quite broad ranging from benign to malignant conditions. Endoscopic ultrasound (EUS) with fine-needle aspiration (FNA) has been reported to be an accurate tool in the differential diagnosis; however, its sensitivity is suboptimal and false negative results do occur. Contrast harmonic EUS (CH-EUS) was demonstrated to be a useful tool to investigate pancreatic solid lesions to differentiate between benign and malignant ones. In the setting of PCs, CH-EUS could help identify areas of malignant growth inside the cystic cavities. Several studies have reported promising results showing malignant areas in PCs as hyperenhanced lesions. Confirmation of malignancy can then be obtained by FNA, which should be precisely targeted according to the findings of the contrast harmonic study
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