Clinical Endoscopy

Kazuki Hayashi

3 Articles

Practical Experiences of Unsuccessful Hemostasis with Covered Self-Expandable Metal Stent Placement for Post-Endoscopic Sphincterotomy Bleeding: Michihiro Yoshida, Tadahisa Inoue, Itaru Naitoh, Kazuki Hayashi, Yasuki Hori, Makoto Natsume, Naoki Atsuta, Hiromi Kataoka; Clin Endosc 2022;55(1):150-155. Published online November 19, 2020; DOI: https://doi.org/10.5946/ce.2020.217

We reviewed 7 patients with unsuccessful endoscopic hemostasis using covered self-expandable metal stent (CSEMS) placement for post-endoscopic sphincterotomy (ES) bleeding. ES with a medium incision was performed in 6 and with a large incision in 1 patient. All but 1 of them (86%) showed delayed bleeding, warranting second endoscopic therapies followed by CSEMS placement 1–5 days after the initial ES. Subsequent CSEMS placement did not achieve complete hemostasis in any of the patients. Lateral-side incision lines (3 or 9 o’clock) had more frequent bleeding points (71%) than oral-side incision lines (11–12 o’clock; 29%). Additional endoscopic hemostatic procedures with hemostatic forceps, hypertonic saline epinephrine, or hemoclip achieved excellent hemostasis, resulting in complete hemostasis in all patients. These experiences provide an alert: CSEMS placement is not an ultimate treatment for post-ES bleeding, despite its effectiveness. The lateral-side of the incision line, as well as the oral-most side, should be carefully examined for bleeding points, even after the CSEMS placement.

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Application of a New Hemostatic Clip to Prevent Delayed Bleeding After Endoscopic Sphincterotomy
Jinpei Dong, Qiushi Feng, Guigen Teng, Haixia Niu, Dapeng Bian
Journal of Clinical Gastroenterology.2024; 58(6): 614. CrossRef
Effectiveness and safety of a new clip for delivery using a duodenoscope for bleeding after endoscopic sphincterotomy
Atsushi Yamaguchi, Hiroki Kamada, Shigeaki Semba, Naohiro Kato, Yasuhiro Okuda, Yuji Teraoka, Takeshi Mizumoto, Yuzuru Tamaru, Tsuyoshi Hatakeyama, Hirotaka Kouno, Shigeto Yoshida
Endoscopy International Open.2024; 12(10): E1190. CrossRef
Multiple drugs

Reactions Weekly.2022; 1907(1): 314. CrossRef

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Endoscopic Approach via the Minor Papilla for the Treatment of Pancreatic Stones: Takahiro Nakazawa, Kazuki Hayashi, Itaru Naitoh, Fumihiro Okumura, Takashi Joh; Clin Endosc 2012;45(3):189-193. Published online August 22, 2012; DOI: https://doi.org/10.5946/ce.2012.45.3.189

Abstract PDF PubReader ePub

Background/Aims

We aimed to evaluate whether the advanced techniques have influenced the minor papilla approach.

Methods

We studied the success rate of guide wire insertion by using ordinary techniques and advanced techniques (rendezvous method and precut method) in 30 patients via the minor papilla. We compared the selection of the access routes between before (52 patients) and after (28 patients) the introduction of the Soehendra stent retriever.

Results

In 19 out of 30 patients (63%), guide wire insertion via the minor papilla could be achieved by using ordinary techniques. In total, the guide wire could be inserted in 27 patients (90%) by using the advanced techniques. Before introduction of the Soehendra stent retriever, the major papilla approach was chosen in 38 cases (73%), and the minor papilla approach in 14 cases (27%). After introduction of the Soehendra stent retriever, the major papilla approach was used in 26 cases (93%) and the minor papilla in 2 cases (7%). The frequency of selecting the minor papilla approach has significantly decreased (p<0.05).

Conclusions

The advanced techniques have contributed to the improvement of endoscopic approaches via the minor papilla, and decreased the frequency of selecting the minor papilla approach.

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Efficacy of pancreatic stenting prior to extracorporeal shock wave lithotripsy for pancreatic stones
Hiromu Kondo, Itaru Naitoh, Hirotaka Ohara, Takahiro Nakazawa, Kazuki Hayashi, Fumihiro Okumura, Katsuyuki Miyabe, Shuya Shimizu, Yuji Nishi, Michihiro Yoshida, Hiroaki Yamashita, Shuichiro Umemura, Yasuki Hori, Akihisa Kato, Takashi Joh
Digestive and Liver Disease.2014; 46(7): 639. CrossRef

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Usefulness of Intraductal Ultrasonography in the Diagnosis of Cholangiocarcinoma and IgG4-Related Sclerosing Cholangitis: Takahiro Nakazawa, Itaru Naitoh, Kazuki Hayashi; Clin Endosc 2012;45(3):331-336. Published online August 22, 2012; DOI: https://doi.org/10.5946/ce.2012.45.3.331

Abstract PDF PubReader ePub

The technique of intraductal ultrasonography (IDUS) of the bile duct with a thin-caliber probe and a ropeway system has provided excellent images of the bile duct and periductal structures and is an easy transpapillary approach. In addition, once the guide wire is inserted into the bile duct, IDUS and transpapillary biopsy after endoscopic retrograde cholangiopancreatography can be performed in a single session. Here, we review the usefulness of IDUS in the diagnosis of cholangiocarcinoma and IgG4-related sclerosing cholangitis.

Citations

Citations to this article as recorded by

Mimickers of immunoglobulin G4-related hepatobiliary disease on biopsy
Byoung Uk Park, Hee Eun Lee, Lizhi Zhang
Seminars in Diagnostic Pathology.2024; 41(2): 95. CrossRef
IgG4-related sclerosing cholangitis overlapping with autoimmune hepatitis: Report of a case
Hongyan Li, Li Sun, David R. Brigstock, Lina Qi, Runping Gao
Pathology - Research and Practice.2017; 213(5): 565. CrossRef
Percutaneous transluminal forceps biopsy in patients suspected of having malignant biliary obstruction: factors influencing the outcomes of 271 patients
Jung Gu Park, Gyoo-Sik Jung, Jong Hyouk Yun, Byung Chul Yun, Sang Uk Lee, Byung Hoon Han, Ji Ho Ko
European Radiology.2017; 27(10): 4291. CrossRef
IgG4-related sclerosing cholangitis and chronic sclerosing sialadenitis mimicking cholangiocarcinoma and neck malignancy
Li Sun, Hong-Yan Li, David R Brigstock, Run-Ping Gao
Hepatobiliary & Pancreatic Diseases International.2017; 16(4): 443. CrossRef
Two cases of immunoglobulin G4-related sclerosing cholangitis in which transabdominal ultrasonography was useful in diagnosis and follow-up observation
Ikuhiro Kobori, Toshikuni Suda, Akihiro Nakamoto, Hiroki Saito, Osamu Okawa, Rion Sudo, Yoshinori Gyotoku, Yasumi Katayama, Masaya Tamano
Journal of Medical Ultrasonics.2016; 43(2): 271. CrossRef
IgG4-related hepatobiliary disease: an overview
Emma L. Culver, Roger W. Chapman
Nature Reviews Gastroenterology & Hepatology.2016; 13(10): 601. CrossRef
UEG Week 2016 Oral Presentations

United European Gastroenterology Journal.2016; 4(5_suppl): A1. CrossRef
Immunoglobulin G4–Related Sclerosing Cholangitis Mimicking Hilar Cholangiocarcinoma Diagnosed With Following Bile Duct Resection: Report of a Case
Atsushi Miki, Yasunaru Sakuma, Hideyuki Ohzawa, Yukihiro Sanada, Hideki Sasanuma, Alan T. Lefor, Naohiro Sata, Yoshikazu Yasuda
International Surgery.2015; 100(3): 480. CrossRef
Endoscopic diagnosis of cholangiocarcinoma: From endoscopic retrograde cholangiography to bile proteomics
Torsten Voigtländer, Tim O. Lankisch
Best Practice & Research Clinical Gastroenterology.2015; 29(2): 267. CrossRef

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