Focused Review Series: Endoscopic Management for Biliary Stricture after Liver Transplantation
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Magnetic Compression Anastomosis for the Treatment of Post-Transplant Biliary Stricture
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Sung Ill Jang, Jae Hee Cho, Dong Ki Lee
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Clin Endosc 2020;53(3):266-275. Published online May 29, 2020
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DOI: https://doi.org/10.5946/ce.2020.095
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Abstract
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- A number of different conditions can lead to a bile duct stricture. These strictures are particularly common after biliary operations, including living-donor liver transplantation. Endoscopic and percutaneous methods have high success rates in treating benign biliary strictures. However, these conventional methods are difficult to manage when a guidewire cannot be passed through areas of severe stenosis or complete obstruction. Magnetic compression anastomosis has emerged as an alternative nonsurgical treatment method to avoid the mortality and morbidity risks of reoperation. The feasibility and safety of magnetic compression anastomosis have been reported in several experimental and clinical studies in patients with biliobiliary and bilioenteric strictures. Magnetic compression anastomosis is a minimally traumatic and highly effective procedure, and represents a new paradigm for benign biliary strictures that are difficult to treat with conventional methods.
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Journal of Gastroenterology and Hepatology.2024;[Epub] CrossRef - Magnetic compression anastomosis of post-cholecystectomy benign biliary stricture using modified accessories (with video)
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Gut and Liver.2022; 16(2): 145. CrossRef - Role of ERCP in Benign Biliary Strictures
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Focused Review Series: Updates on Gastrointestinal and Pancreaticobiliary Stents
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Update on Pancreatobiliary Stents: Stent Placement in Advanced Hilar Tumors
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Sung Ill Jang, Dong Ki Lee
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Clin Endosc 2015;48(3):201-208. Published online May 29, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.3.201
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Abstract
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Palliative drainage is the main treatment option for inoperable hilar cholangiocarcinoma to improve symptoms, which include cholangitis, pruritus, high-grade jaundice, and abdominal pain. Although there is no consensus on the optimal method for biliary drainage due to the paucity of large-scale randomized control studies, several important aspects of any optimal method have been studied. In this review article, we discuss the liver volume to be drained, stent type, techniques to insert self-expanding metal stents, and approaches for proper and effective biliary drainage based on previous studies and personal experience.
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Journal of Laparoendoscopic & Advanced Surgical Techniques.2021; 31(2): 203. CrossRef - A preliminary single-center investigation of percutaneous biliary stenting in malignant hilar biliary obstruction: what impacts the clinical success and the long-term outcomes?
Xiaonan Mao, Feng Wen, Hongyuan Liang, Wei Sun, Zaiming Lu
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Xue Yin, Dong-Mei Li, Fang Yang, Tong-Gang Liu, Feng-Fei Xia, Yu-Fei Fu
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Focused Review Series: Endoscopic Intervention in Pancreatitis
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Endoscopic Treatment of Pancreatic Calculi
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Yong Hoon Kim, Sung Ill Jang, Kwangwon Rhee, Dong Ki Lee
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Clin Endosc 2014;47(3):227-235. Published online May 31, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.3.227
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Abstract
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Chronic pancreatitis is a progressive inflammatory disease that destroys pancreatic parenchyma and alters ductal stricture, leading to ductal destruction and abdominal pain. Pancreatic duct stones (PDSs) are a common complication of chronic pancreatitis that requires treatment to relieve abdominal pain and improve pancreas function. Endoscopic therapy, extracorporeal shock wave lithotripsy (ESWL), and surgery are treatment modalities of PDSs, although lingering controversies have hindered a consensus recommendation. Many comparative studies have reported that surgery is the superior treatment because of reduced duration and frequency of hospitalization, cost, pain relief, and reintervention, while endoscopic therapy is effective and less invasive but cannot be used in all patients. Surgery is the treatment of choice when endoscopic therapy has failed, malignancy is suspected, or duodenal stricture is present. However, in patients with the appropriate indications or at high-risk for surgery, endoscopic therapy in combination with ESWL can be considered a first-line treatment. We expect that the development of advanced endoscopic techniques and equipment will expand the role of endoscopic treatment in PDS removal.
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