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21 "Michel Kahaleh"
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Original Article
Clinical outcomes of nonvariceal upper gastrointestinal bleeding in nonagenarians and octogenarians: a comparative nationwide analysis
Khaled Elfert, James Love, Esraa Elromisy, Fouad Jaber, Suresh Nayudu, Sammy Ho, Michel Kahaleh
Clin Endosc 2024;57(3):342-349.   Published online February 7, 2024
DOI: https://doi.org/10.5946/ce.2023.130
Graphical AbstractGraphical Abstract AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Nonagenarians will purportedly account for 10% of the United States population by 2050. However, no studies have assessed the outcomes of nonvariceal upper gastrointestinal bleeding (NVUGIB) in this age group.
Methods
The National Inpatient Sample database between 2016 and 2020 was used to compare the clinical outcomes of NVUGIB in nonagenarians and octogenarians and evaluate predictors of mortality and the use of esophagogastroduodenoscopy (EGD).
Results
Nonagenarians had higher in-hospital mortality than that of octogenarians (4% vs. 3%, p<0.001). EGD utilization (30% vs. 48%, p<0.001) and blood transfusion (27% vs. 40%, p<0.001) was significantly lower in nonagenarians. Multivariate logistic regression analysis revealed that nonagenarians with NVUGIB had higher odds of mortality (odds ratio [OR], 1.5; 95% confidence interval [CI], 1.3–1.7) and lower odds of EGD utilization (OR, 0.86; 95% CI, 0.83–0.89) than those of octogenarians.
Conclusions
Nonagenarians admitted with NVUGIB have a higher mortality risk than that of octogenarians. EGD is used significantly in managing NVUGIB among nonagenarians; however, its utilization is comparatively lower than in octogenarians. More studies are needed to assess predictors of poor outcomes and the indications of EGD in this growing population.
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Review
Comparing palliative treatment options for cholangiocarcinoma: photodynamic therapy vs. radiofrequency ablation
Tayyaba Mohammad, Michel Kahaleh
Clin Endosc 2022;55(3):347-354.   Published online May 17, 2022
DOI: https://doi.org/10.5946/ce.2021.274
AbstractAbstract PDFPubReaderePub
Referral to an endoscopist is often done once curative resection is no longer an option for cholangiocarcinoma management. In such cases, palliation has become the main objective of the treatment. Photodynamic therapy and radiofrequency ablation can be performed to achieve palliation, with both procedures associated with improved stent patency and survival. Despite the greatly increased cost and association with photosensitivity, photodynamic therapy allows transmission to the entire biliary tree. In contrast, radiofrequency ablation is cheaper and faster to apply but requires intraductal contact. This paper reviews both modalities and compares their efficacy and safety for bile duct cancer palliation.

Citations

Citations to this article as recorded by  
  • Current interventional options for palliative care for patients with advanced-stage cholangiocarcinoma
    Maryam Makki, Malak Bentaleb, Mohammed Abdulrahman, Amal Abdulla Suhool, Salem Al Harthi, Marcelo AF Ribeiro Jr
    World Journal of Clinical Oncology.2024; 15(3): 381.     CrossRef
  • Endoskopisch gesteuerte Diagnostik und Therapie von Cholangiokarzinomen
    Ulrike Denzer, Alexander Dechêne
    Die Gastroenterologie.2023; 18(1): 16.     CrossRef
  • Recent Updates on Local Ablative Therapy Combined with Chemotherapy for Extrahepatic Cholangiocarcinoma: Photodynamic Therapy and Radiofrequency Ablation
    Tadahisa Inoue, Masashi Yoneda
    Current Oncology.2023; 30(2): 2159.     CrossRef
  • Role of radiofrequency ablation in advanced malignant hilar biliary obstruction
    Mamoru Takenaka, Tae Hoon Lee
    Clinical Endoscopy.2023; 56(2): 155.     CrossRef
  • Impact of endobiliary radiofrequency ablation on survival of patients with unresectable cholangiocarcinoma: a narrative review
    Elena Di Girolamo, Andrea Belli, Alessandro Ottaiano, Vincenza Granata, Valentina Borzillo, Luca Tarotto, Fabiana Tatangelo, Raffaele Palaia, Corrado Civiletti, Mauro Piccirillo, Valentina D’Angelo, Francesco Fiore, Pietro Marone, Guglielmo Nasti, Frances
    Frontiers in Oncology.2023;[Epub]     CrossRef
  • Thermal ablative therapies in the gastrointestinal tract
    Hendrik Manner
    Current Opinion in Gastroenterology.2023; 39(5): 370.     CrossRef
  • Photodynamic Therapy: From the Basics to the Current Progress of N-Heterocyclic-Bearing Dyes as Effective Photosensitizers
    Eurico Lima, Lucinda V. Reis
    Molecules.2023; 28(13): 5092.     CrossRef
  • Balloon‐assisted laser application for endoscopic treatment of biliary stricture
    Seonghee Lim, Van Gia Truong, Seok Jeong, Jiho Lee, Byeong‐il Lee, Hyun Wook Kang
    Lasers in Surgery and Medicine.2023; 55(10): 912.     CrossRef
  • Emerging Systemic Therapies in Advanced Unresectable Biliary Tract Cancer: Review and Canadian Perspective
    Vincent C. Tam, Ravi Ramjeesingh, Ronald Burkes, Eric M. Yoshida, Sarah Doucette, Howard J. Lim
    Current Oncology.2022; 29(10): 7072.     CrossRef
  • 3,550 View
  • 220 Download
  • 9 Web of Science
  • 9 Crossref
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Original Articles
The Learning Curve for Peroral Endoscopic Myotomy in Latin America: A Slide to the Right?
Michel Kahaleh, Amy Tyberg, Supriya Suresh, Arnon Lambroza, Fernando Rodriguez Casas, Mario Rey, Jose Nieto, Guadalupe Ma Martínez, Felipe Zamarripa, Vitor Arantes, Maria G Porfilio, Monica Gaidhane, Pietro Familiari, Juan Carlos Carames, Romulo Vargas-Rubio, Raul Canadas, Albis Hani, Guillermo Munoz, Bismarck Castillo, Eduardo T Moura, Farias F Galileu, Hannah P Lukashok, Carlos Robles-Medranda, Eduardo G de Moura
Clin Endosc 2021;54(5):701-705.   Published online June 3, 2021
DOI: https://doi.org/10.5946/ce.2020.290
AbstractAbstract PDFPubReaderePub
Background
/Aims: Peroral endoscopic myotomy (POEM) has been increasingly used for achalasia in Latin America, where Chagas disease is prevalent, and this makes POEM more challenging. The aim of this study was to determine the learning curve for POEM in Latin America.
Methods
Patients undergoing POEM in Latin America with a single operator were included from a prospective registry over 4 years. Non-linear regression and cumulative sum control chart (CUSUM) analyses were conducted for the learning curve.
Results
A total of 125 patients were included (52% male; mean age, 59 years), of which 80 had type II achalasia (64%), and 38 had Chagas disease (30%). The average pre-procedure and post-procedure Eckardt scores were 6.79 and 1.87, respectively. Technical success was achieved in 93.5% of patients, and clinical success was achieved in 88.8%. Adverse events occurred in 27 patients (22%) and included bleeding (4 patients), pneumothorax (4 patients), mucosal perforation (13 patients), mediastinitis (2 patients), and leakage (4 patients).
The CUSUM chart showed a median procedure time of 97 min (range, 45-196 min), which was achieved at the 61st procedure. Procedure duration progressively decreased, with the last 10 procedures under 50 min approaching a plateau (p-value <0.01).
Conclusions
Mastering POEM in Latin America requires approximately 61 procedures for both POEM efficiency and to accomplish the procedure within 97 minutes.

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  • Experiencia en miotomía endoscópica peroral en un centro de Bogotá, Colombia, entre 2018 y 2022
    Tatiana P Barragan Briceño, Paola Stephany Gonzalez Ausique, Carlos Fernando Fuentes Díaz, Jesús Antonio Rodríguez Fajardo, Maria Camila Gomez Ayala
    Revista colombiana de Gastroenterología.2024; 39(2): 146.     CrossRef
  • Learning curve for esophageal peroral endoscopic myotomy: a systematic review and meta-analysis
    Srinivas R. Puli, Mihir S. Wagh, David Forcione, Harishankar Gopakumar
    Endoscopy.2023; 55(04): 355.     CrossRef
  • Diagnosis and Management of Achalasia: Updates of the Last Two Years
    Amir Mari, Fadi Abu Baker, Rinaldo Pellicano, Tawfik Khoury
    Journal of Clinical Medicine.2021; 10(16): 3607.     CrossRef
  • Issues to be Considered for Learning Curve for Peroral Endoscopic Myotomy
    Hironari Shiwaku, Haruhiro Inoue
    Clinical Endoscopy.2021; 54(5): 625.     CrossRef
  • 3,816 View
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  • 3 Web of Science
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Endoscopic Therapy for Pancreatic Fluid Collections: A Definitive Management Using a Dedicated Algorithm
Ming Ming Xu, Iman Andalib, Aleksey Novikov, Enad Dawod, Moamen Gabr, Monica Gaidhane, Amy Tyberg, Michel Kahaleh
Clin Endosc 2020;53(3):355-360.   Published online December 3, 2019
DOI: https://doi.org/10.5946/ce.2019.113
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasonography (EUS)-guided drainage is the preferred approach for infected or symptomatic pancreatic fluid collections (PFCs). Here, we developed an algorithm for the management of pancreatitis complicated by PFCs and report on its effcacy and safety.
Methods
Between September 2011 and October 2017, patients were prospectively managed according to the algorithm. PFCs were classified as poorly organized fluid collections (POFCs), pancreatic pseudocysts (PPs), or walled-off pancreatic necrosis (WOPN). Clinical success was defined as a decrease in PFC size by ≥50% of the maximal diameter or to ≤2 cm.
Results
 A total of 108 patients (62% male; mean age, 53 years) were included: 13 had POFCs, 43 had PPs, and 52 had WOPN. Seventytwo patients (66%) required a pancreatic duct (PD) stent, whereas 65 (60%) received enteral feeding. A total of 103 (95%) patients achieved clinical success. Eight patients experienced complications including bleeding (n=6) and surgical intervention (n=2). Patients with enteral feeding were 3.4 times more likely to achieve resolution within 60 days (p=0.0421), whereas those with PD stenting was five times more likely to achieve resolution within 90 days (p=0.0069).
Conclusions
 A high PFC resolution rate can be achieved when a dedicated algorithm encompassing EUS-guided drainage, PD stenting, and early enteral feeding is adopted.

Citations

Citations to this article as recorded by  
  • Novel classification system for walled-off necrosis: a step toward standardized nomenclature and risk-stratification framework
    Serge Baroud, Vinay Chandrasekhara, Andrew C. Storm, Ryan J. Law, Eric J. Vargas, Michael J. Levy, Tala Mahmoud, Fateh Bazerbachi, Aliana Bofill-Garcia, Rabih Ghazi, Daniel B. Maselli, John A. Martin, Santhi Swaroop Vege, Naoki Takahashi, Bret T. Petersen
    Gastrointestinal Endoscopy.2023; 97(2): 300.     CrossRef
  • Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic review
    Liang Chen, Ting Li, Bin Wang, Yunxiao Cheng, Sicong Zhao, Yunxiao Lyu
    Asian Journal of Surgery.2022; 45(8): 1519.     CrossRef
  • Transluminal and retroperitoneal minimally invasive necrosectomy in acute pancreatitis
    A. V. Fedorov, V. N. Ektov, M. A. Khodorkovskiy
    Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery.2022; 27(3): 81.     CrossRef
  • Endoscopic transluminal interventions in the treatment of acute necrotizing pancreatitis
    A.V. Fedorov, V.N. Ektov, M.A. Khodorkovsky
    Khirurgiya. Zhurnal im. N.I. Pirogova.2021; (9): 85.     CrossRef
  • Hydrogen peroxide assisted endoscopic necrosectomy for walled-off pancreatic necrosis: A systematic review and meta-analysis
    Rajat Garg, Shradha Gupta, Amandeep Singh, Marian T. Simonson, Tarun Rustagi, Prabhleen Chahal
    Pancreatology.2021; 21(8): 1540.     CrossRef
  • The Diagnostic Dilemma of Malignant Biliary Strictures
    Robert Dorrell, Swati Pawa, Yi Zhou, Neeraj Lalwani, Rishi Pawa
    Diagnostics.2020; 10(5): 337.     CrossRef
  • Importance of Pancreatic Duct Stenting and Enteral Feeding in Treatment Algorithm of Pancreatic Fluid Collections
    Seong-Hun Kim, Eun Ji Shin
    Clinical Endoscopy.2020; 53(3): 253.     CrossRef
  • Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
    Igor Mendonça Proença, Marcos Eduardo Lera dos Santos, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Sergio Eiji Matuguma, Spencer Cheng, Thomas R McCarty, Epifanio Silvino do Monte Junior, Paulo Sakai, Eduardo Guimarães Hourneaux de Moura
    World Journal of Gastroenterology.2020; 26(45): 7104.     CrossRef
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Case Report
Reverse Endoscopic Ultrasound-Guided Gastrojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: A New Concept
Ming-ming Xu, Enad Dawod, Monica Gaidhane, Amy Tyberg, Michel Kahaleh
Clin Endosc 2020;53(1):94-96.   Published online December 3, 2019
DOI: https://doi.org/10.5946/ce.2018.196
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Superior mesenteric artery syndrome (SMAS) causes compression and partial or complete obstruction of the duodenum, resulting in abdominal pain, nausea, vomiting, and weight loss. If conservative therapy fails, the patient is typically referred for enteral feeding or laparoscopic gastrojejunostomy.
The last few years have seen increasing use of endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) for gastric obstruction indications. EUS-GJ involves the creation of a gastric bypass via an echoendoscope in cases in which the small intestine can be punctured under ultrasonographic visualization, resulting in an incision-free, efficient, and safe procedure.
In this case report, we present the first case of SMAS treated using a reverse EUS-GJ, and describe the steps and advantages of the procedure in this particular case.

Citations

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  • Endoscopic Treatment of Gastric Outlet Obstruction
    Andrew Canakis, Shayan S. Irani
    Gastrointestinal Endoscopy Clinics of North America.2024; 34(1): 111.     CrossRef
  • New frontiers for therapeutic endoscopic ultrasound in children
    Valerio Balassone, Simona Faraci, Chiara Imondi, Paola De Angelis, Tamara Caldaro, Luigi Dall'Oglio
    International Journal of Gastrointestinal Intervention.2023; 12(1): 1.     CrossRef
  • Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
    Schalk W. van der Merwe, Roy L. J. van Wanrooij, Michiel Bronswijk, Simon Everett, Sundeep Lakhtakia, Mihai Rimbas, Tomas Hucl, Rastislav Kunda, Abdenor Badaoui, Ryan Law, Paolo G. Arcidiacono, Alberto Larghi, Marc Giovannini, Mouen A. Khashab, Kenneth F.
    Endoscopy.2022; 54(02): 185.     CrossRef
  • Wilkie’s syndrome as a cause of anxiety-depressive disorder: A case report and review of literature
    Raluca Cristina Apostu, Lucian Chira, Doina Colcear, Andrei Lebovici, Georgiana Nagy, Radu Razvan Scurtu, Radu Drasovean
    World Journal of Clinical Cases.2022; 10(5): 1654.     CrossRef
  • The Complication Of Decrease In Aorto-Mesenteric Angle And Distance Its Diagnosis And Treatment: Case Report
    O. V. Galimov, V. O. Khanov, H.M. H. Karkhani, Sh. Bhawna, T. R. Ibragimov
    Creative surgery and oncology.2022; 12(2): 123.     CrossRef
  • Endoscopic Ultrasound-Guided Gastrojejunostomy for Superior Mesenteric Artery Syndrome Secondary to Rapid Weight Loss
    Andrew C. Storm, Tala Mahmoud, Karl Akiki, Ryan J. Law
    ACG Case Reports Journal.2022; 9(10): e00868.     CrossRef
  • Futures perspectives and therapeutic applications
    Laurent Monino, Marc Barthet
    Best Practice & Research Clinical Gastroenterology.2022; 60-61: 101816.     CrossRef
  • EUS-guided gastroenterostomy for duodenal obstruction secondary to superior mesenteric artery syndrome
    Abdul Kouanda, Rabindra Watson, Kenneth F. Binmoeller, Andrew Nett, Christopher Hamerski
    VideoGIE.2021; 6(1): 14.     CrossRef
  • Novel Uses of Lumen-apposing Metal Stents
    Prashant Bhenswala, Muhddesa Lakhana, Frank G. Gress, Iman Andalib
    Journal of Clinical Gastroenterology.2021; 55(8): 641.     CrossRef
  • 4,328 View
  • 131 Download
  • 9 Web of Science
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Brief Report
Case Series Review of the Safety and Efficacy of Endoscopic Ultrasound-Guided Splenic Mass Core Biopsy
Sammy Saab, Youssef Challita, David Holloman, Kelli Hathaway, Michel Kahaleh, Jose Nieto
Clin Endosc 2018;51(6):600-601.   Published online October 4, 2018
DOI: https://doi.org/10.5946/ce.2017.174
PDFPubReaderePub

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  • WFUMB Position Paper—Incidental Findings, How to Manage: Spleen
    Corinna Trenker, Christian Görg, Simon Freeman, Christian Jenssen, Yi Dong, Cosmin Caraiani, Elena Simona Ioanițescu, Christoph F. Dietrich
    Ultrasound in Medicine & Biology.2021; 47(8): 2017.     CrossRef
  • Hepatosplenic T-Cell Lymphoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Biopsy
    Yoshiaki Shibata, Mayuko Miyamoto, Wataru Shinomiya, Kumiko Kirita, Sayuri Motomura, Hiroko Hidai, Takeshi Hagino, Yuji Ito
    Clinical Endoscopy.2020; 53(3): 374.     CrossRef
  • Endoscopic Ultrasound-Guided Transgastric Fine Needle Aspiration of Splenic Metastasis
    Avinash Bhat Balekuduru, Aravind Subramani Kapali, Suneetha Parandhamaiah Kurella, Satyaprakash Bonthala Subbaraj
    Journal of Digestive Endoscopy.2020; 11(03): 238.     CrossRef
  • 3,994 View
  • 76 Download
  • 4 Web of Science
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Review
Management of Benign and Malignant Pancreatic Duct Strictures
Enad Dawod, Michel Kahaleh
Clin Endosc 2018;51(2):156-160.   Published online July 20, 2017
DOI: https://doi.org/10.5946/ce.2017.085
AbstractAbstract PDFPubReaderePub
The diagnosis and management of pancreatic strictures, whether malignant or benign, remain challenging. The last 2 decades have seen dramatic progress in terms of both advanced imaging and endoscopic therapy. While plastic stents remain the cornerstone of the treatment of benign strictures, the advent of fully covered metal stents has initiated a new wave of interest in calibrating the pancreatic duct with fewer sessions. In malignant disease, palliation remains the priority and further data are necessary before offering systematic pancreatic stenting.

Citations

Citations to this article as recorded by  
  • EUS-guided pancreatic duct drainage: a single-center observational study
    Elodie Romailler, Anouk Voutaz, Sarra Oumrani, Mariola Marx, Maxime Robert, Fabrice Caillol, Alain Schoepfer, Sébastien Godat
    iGIE.2024; 3(2): 237.     CrossRef
  • Role of peroral cholangioscopy and pancreatoscopy in the diagnosis and treatment of biliary and pancreatic disease: past, present, and future
    Harishankar Gopakumar, Neil R. Sharma
    Frontiers in Gastroenterology.2023;[Epub]     CrossRef
  • EUS-guided drainage of the pancreatic duct for the treatment of postoperative stenosis of pancreatico-digestive anastomosis or pancreatic duct stenosis complicating chronic pancreatitis: Experience at a tertiary care center
    Franz Rudler, Fabrice Caillol, Jean-Philippe Ratone, Christian Pesenti, Jean-Christophe Valats, Alexei Soloveyv, Marc Giovannini
    Endoscopic Ultrasound.2022; 11(4): 296.     CrossRef
  • Ruptured Splenic Artery Pseudoaneurysm Causing Hemorrhage Into a Pancreatic Pseudocyst
    Zo C. Overton-Hennessy, A. Michael Devane, Steve Fiester, Noah Schammel, Christine Schammel, James W. Fulcher
    American Journal of Forensic Medicine & Pathology.2022; 43(1): 76.     CrossRef
  • Percutaneous transluminal angioplasty balloons for endoscopic ultrasound-guided pancreatic duct interventions
    Jad P AbiMansour, Barham K Abu Dayyeh, Michael J Levy, Andrew C Storm, John A Martin, Bret T Petersen, Ryan J Law, Mark D Topazian, Vinay Chandrasekhara
    World Journal of Gastrointestinal Endoscopy.2022; 14(8): 487.     CrossRef
  • Image-Guided Percutaneous Pancreatic Duct Drainage: A 10-Year Observational Study
    Malkhaz Mizandari, Tamta Azrumelashvili, Pedram Keshavarz, Nagy Habib
    Journal of Vascular and Interventional Radiology.2021; 32(7): 1075.     CrossRef
  • Long-term outcomes of fully covered self-expandable metal stents versus plastic stents in chronic pancreatitis
    Sang Hoon Lee, Yeon Suk Kim, Eui Joo Kim, Hee Seung Lee, Jeong Youp Park, Seung Woo Park, Si Young Song, Jae Hee Cho, Seungmin Bang
    Scientific Reports.2021;[Epub]     CrossRef
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    Vaneet Jearth, Suprabhat Giri, Sridhar Sundaram
    Clinical Journal of Gastroenterology.2021; 14(6): 1587.     CrossRef
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    Masayuki Kitano, Thomas M. Gress, Pramod K. Garg, Takao Itoi, Atsushi Irisawa, Hiroyuki Isayama, Atsushi Kanno, Kei Takase, Michael Levy, Ichiro Yasuda, Phillipe Lévy, Shuiji Isaji, Carlos Fernandez-Del Castillo, Asbjørn M. Drewes, Andrea R.G. Sheel, John
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    Alexander Waldthaler, Roberto Valente, Urban Arnelo, J.-Matthias Löhr
    Visceral Medicine.2019; 35(2): 98.     CrossRef
  • 38,372 View
  • 264 Download
  • 11 Web of Science
  • 11 Crossref
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Focused Review Series: Expanding the Indication with Safety Issue of Endoscopic Ultrasound
Safety and Complications of Interventional Endoscopic Ultrasound
Monica Saumoy, Michel Kahaleh
Clin Endosc 2018;51(3):235-238.   Published online July 19, 2017
DOI: https://doi.org/10.5946/ce.2017.081
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasound (EUS) has become an essential tool for the diagnostic and therapeutic intervention of gastrointestinal diseases. Beyond the drainage of fluid collections, it enables decompression of inaccessible bile and pancreatic ducts, the gallbladder, and the creation of anastomosis within the gastrointestinal tract using fully lumen-apposing stents. This review explored the safety and efficacy of these novel procedures and discussed the training pathway that is necessary to perform them efficiently and safely.

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  • Semiautomated electronic medical record based system for monitoring delayed adverse events in pediatric endoscopy and sedation
    Jonathan Wong, Tea Abazi, Rob Thielke, Diana Lerner
    Journal of Pediatric Gastroenterology and Nutrition.2024; 79(1): 154.     CrossRef
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    V. V. Boyko, A. O. Merkulov, O. M. Shevchenko, С. V. Tkach, A. S. Moiseenko, E. O. Bilodid, I. A. Kulyk
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    Hyung Ku Chon, Keum Ha Choi, Sang Hyun Seo, Tae Hyeon Kim
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    Tom K. Lin, Maisam Abu-El-Haija, Juan P. Gurria, Michelle Saad, David S. Vitale
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    Michelle Saad, David S. Vitale
    Frontiers in Pediatrics.2022;[Epub]     CrossRef
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    Resheed Alkhiari, Michel Kahaleh
    Saudi Journal of Gastroenterology.2021; 27(5): 259.     CrossRef
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    Reno Rudiman
    Annals of Medicine and Surgery.2021; 72: 103041.     CrossRef
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    Catherine F. Vozzo, Madhusudhan R. Sanaka
    Surgical Clinics of North America.2020; 100(6): 1151.     CrossRef
  • The Utility of Endoscopic Ultrasound in Patients with Isolated Elevations in Serum Amylase and/or Lipase
    Lalitha M. Sitaraman, Amit H. Sachdev, Tamas A. Gonda, Amrita Sethi, John M. Poneros, Frank G. Gress
    Clinical Endoscopy.2019; 52(2): 175.     CrossRef
  • Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases
    Yousuke Nakai, Hirofumi Kogure, Hiroyuki Isayama, Kazuhiko Koike
    Clinical Endoscopy.2019; 52(3): 212.     CrossRef
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Reviews
Necrotizing Pancreatitis: Current Management and Therapies
Christine Boumitri, Elizabeth Brown, Michel Kahaleh
Clin Endosc 2017;50(4):357-365.   Published online May 16, 2017
DOI: https://doi.org/10.5946/ce.2016.152
AbstractAbstract PDFPubReaderePub
Acute necrotizing pancreatitis accounts for 10% of acute pancreatitis (AP) cases and is associated with a higher mortality and morbidity. Necrosis within the first 4 weeks of disease onset is defined as an acute necrotic collection (ANC), while walled off pancreatic necrosis (WOPN) develops after 4 weeks of disease onset. An infected or symptomatic WOPN requires drainage. The management of pancreatic necrosis has shifted away from open necrosectomy, as it is associated with a high morbidity, to less invasive techniques. In this review, we summarize the current management and therapies for acute necrotizing pancreatitis.

Citations

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  • Prediction and evaluation of a nomogram model for recurrent acute pancreatitis
    Yuan Chen, Shu Huang, Bei Luo, Jiao Jiang, Wensen Ren, Kang Zou, Xiaolin Zhong, Muhan Lü, Xiaowei Tang
    European Journal of Gastroenterology & Hepatology.2024; 36(5): 554.     CrossRef
  • Hypertriglyceridemia‐induced acute necrotizing pancreatitis: Poor clinical outcomes requiring revisiting management modalities
    Yazan Abboud, Meet Shah, Benjamin Simmons, Kranthi Mandava, John E M Morales, Fouad Jaber, Saqer Alsakarneh, Mohamed Ismail, Kaveh Hajifathalian
    JGH Open.2024;[Epub]     CrossRef
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    Jia Yang, Yu-Hong Jiang, Xin Zhou, Jia-Qi Yao, Yang-Yang Wang, Jian-Qin Liu, Peng-Cheng Zhang, Wen-Fu Tang, Zhi Li
    Frontiers in Immunology.2024;[Epub]     CrossRef
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Endoscopic Management of Anastomotic Strictures after Liver Transplantation
Dong Wook Lee, Hyeong Ho Jo, Juveria Abdullah, Michel Kahaleh
Clin Endosc 2016;49(5):457-461.   Published online September 30, 2016
DOI: https://doi.org/10.5946/ce.2016.130
AbstractAbstract PDFPubReaderePub
Endoscopic treatment of biliary strictures involving plastic stent placement has been used widely. The use of self-expandable metal stents (SEMSs) has been described for anastomotic strictures following liver transplantation (LT). This review aimed to assess and compare the efficacy of plastic stents with SEMS in LT patients. Information was retrieved regarding technical success, stricture resolution, the number of endoscopic retrograde cholangiography procedures, follow-up, immediate, and late complications. Eight studies involving plastic stents had a stricture resolution rate of 84.5%, with the rates ranging from 63% to 100%. These rates are comparable with the stricture resolution rate of 75% determined from six studies that involved 236 patients who received metal stents and the rates ranged from 53% to 81%. The observed success rate for metal stents used to manage post-LT anastomotic biliary strictures was below the reported rate for multiple plastic stents. Hence, the currently available metal stents should not be offered for the management of post-LT anastomotic biliary strictures.

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A Review of Probe-Based Confocal Laser Endomicroscopy for Pancreaticobiliary Disease
Kunal Karia, Michel Kahaleh
Clin Endosc 2016;49(5):462-466.   Published online September 19, 2016
DOI: https://doi.org/10.5946/ce.2016.086
AbstractAbstract PDFPubReaderePub
Confocal laser endomicroscopy (CLE) is a novel in vivo imaging technique that can provide real-time optical biopsies in the evaluation of pancreaticobiliary strictures and pancreatic cystic lesions (PCLs), both of which are plagued by low sensitivities of routine evaluation techniques. Compared to pathology alone, CLE is associated with a higher sensitivity and accuracy for the evaluation of indeterminate pancreaticobiliary strictures. CLE has the ability to determine the malignant potential of PCLs. As such, CLE can increase the diagnostic yield of endoscopic retrograde cholangiopancreatography and endoscopic ultrasound, reducing the need for repeat procedures. It has been shown to be safe, with an adverse event rate of ≤1%. Published literature regarding its cost-effectiveness is needed.

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Original Articles
Endoscopic Ultrasound (EUS)-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography or EUS: Mid-Term Analysis of an Emerging Procedure
Amy Tyberg, Jose Nieto, Sanjay Salgado, Kristen Weaver, Prashant Kedia, Reem Z. Sharaiha, Monica Gaidhane, Michel Kahaleh
Clin Endosc 2017;50(2):185-190.   Published online September 19, 2016
DOI: https://doi.org/10.5946/ce.2016.030
AbstractAbstract PDFPubReaderePub
Background
/Aims: Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients who have undergone Rouxen-Y gastric bypass (RYGB) is challenging. Standard ERCP and enteroscopy-assisted ERCP are associated with limited success rates. Laparoscopy- or laparotomy-assisted ERCP yields improved efficacy rates, but with higher complication rates and costs. We present the first multicenter experience regarding the efficacy and safety of endoscopic ultrasound (EUS)-directed transgastric ERCP (EDGE) or EUS.
Methods
All patients who underwent EDGE at two academic centers were included. Clinical success was defined as successful ERCP and/or EUS through the use of lumen-apposing metal stents (LAMS). Adverse events related to EDGE were separated from ERCP- or EUS-related complications and were defined as bleeding, stent migration, perforation, and infection.
Results
Sixteen patients were included in the study. Technical success was 100%. Clinical success was 90% (n=10); five patients were awaiting maturation of the fistula tract prior to ERCP or EUS, and one patient had an aborted ERCP due to perforation. One perforation occurred, which was managed endoscopically. Three patients experienced stent dislodgement; all stents were successfully repositioned or bridged with a second stent. Ten patients (62.5%) had their LAMS removed. The average weight change from LAMS insertion to removal was negative 2.85 kg.
Conclusions
EDGE is an effective, minimally invasive, single-team solution to the difficulties associated with ERCP in patients with RYGB.

Citations

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Endoscopic Gallbladder Drainage for Acute Cholecystitis
Jessica Widmer, Paloma Alvarez, Reem Z. Sharaiha, Sonia Gossain, Prashant Kedia, Savreet Sarkaria, Amrita Sethi, Brian G. Turner, Jennifer Millman, Michael Lieberman, Govind Nandakumar, Hiren Umrania, Monica Gaidhane, Michel Kahaleh
Clin Endosc 2015;48(5):411-420.   Published online September 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.5.411
AbstractAbstract PDFPubReaderePub
Background/Aims

Surgery is the mainstay of treatment for cholecystitis. However, gallbladder stenting (GBS) has shown promise in debilitated or high-risk patients. Endoscopic transpapillary GBS and endoscopic ultrasound-guided GBS (EUS-GBS) have been proposed as safe and effective modalities for gallbladder drainage.

Methods

Data from patients with cholecystitis were prospectively collected from August 2004 to May 2013 from two United States academic university hospitals and analyzed retrospectively. The following treatment algorithm was adopted. Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and cystic duct stenting was initially attempted. If deemed feasible by the endoscopist, EUS-GBS was then pursued.

Results

During the study period, 139 patients underwent endoscopic gallbladder drainage. Among these, drainage was performed in 94 and 45 cases for benign and malignant indications, respectively. Successful endoscopic gallbladder drainage was defined as decompression of the gallbladder without incidence of cholecystitis, and was achieved with ERCP and cystic duct stenting in 117 of 128 cases (91%). Successful endoscopic gallbladder drainage was also achieved with EUS-guided gallbladder drainage using transmural stent placement in 11 of 11 cases (100%). Complications occurred in 11 cases (8%).

Conclusions

Endoscopic gallbladder drainage techniques are safe and efficacious methods for gallbladder decompression in non-surgical patients with comorbidities.

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  • Cerrahi için yüksek riskli bir hastada akut kolesistitin endoskopik transpapiller drenajı
    Sinem İPOR, Mehmet ÇETİN, Atilla ÖNMEZ, Alper İPOR, Serkan TORUN
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  • Successful Cholecystectomy After Endoscopic Ultrasound Gallbladder Drainage Compared With Percutaneous Cholecystostomy, Can it Be Done?
    Monica Saumoy, Amy Tyberg, Elizabeth Brown, Soumitra R. Eachempati, Michael Lieberman, Cheguevara Afaneh, Rastislav Kunda, Natalie Cosgrove, Ali Siddiqui, Monica Gaidhane, Michel Kahaleh
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    Amy Tyberg, Monica Saumoy, Enrique V. Sequeiros, Marc Giovannini, Everson Artifon, Anthony Teoh, Jose Nieto, Amit P. Desai, Nikhil A. Kumta, Monica Gaidhane, Reem Z. Sharaiha, Michel Kahaleh
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  • Endoskopik transpapiller safra kesesi drenajı: Tek merkez deneyimi
    Mustafa KAPLAN, Bülent ÖDEMİŞ, Selçuk DİŞİBEYAZ, Erkan PARLAK, Erkin ÖZTAŞ, Volkan GÖKBULUT, Orhan COŞKUN
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    Muhammad Ali Khan, Omair Atiq, Nisa Kubiliun, Bilal Ali, Faisal Kamal, Richard Nollan, Mohammad Kashif Ismail, Claudio Tombazzi, Michel Kahaleh, Todd H. Baron
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    A.J. Small, S. Irani
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    Leonardo Solaini, Barbara Paro, Paolo Marcianò, Giacomo V. Pennacchio, Roberto Farfaglia
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  • 28,120 View
  • 164 Download
  • 38 Web of Science
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Review
Peroral Endoscopic Myotomy: Establishing a New Program
Nikhil A. Kumta, Shivani Mehta, Prashant Kedia, Kristen Weaver, Reem Z. Sharaiha, Norio Fukami, Hitomi Minami, Fernando Casas, Monica Gaidhane, Arnon Lambroza, Michel Kahaleh
Clin Endosc 2014;47(5):389-397.   Published online September 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.5.389
AbstractAbstract PDFPubReaderePub

Achalasia is an esophageal motility disorder characterized by incomplete relaxation of the lower esophageal sphincter (LES) and aperistalsis of the esophageal body. Treatment of achalasia is aimed at decreasing the resting pressure in the LES. Peroral endoscopic myotomy (POEM), derived from natural orifice transluminal endoscopic surgery (NOTES) and advances in endoscopic submucosal dissection (ESD), presents a novel, minimally invasive, and curative endoscopic treatment for achalasia. POEM involves an esophageal mucosal incision followed by creation of a submucosal tunnel crossing the esophagogastric junction and myotomy before closure of the mucosal incision. Although the procedure is technically demanding and requires a certain degree of skill and competency, treatment success is high (90%) with low complication rates. Since the first described POEM in humans in 2010, it has been used increasingly at centers worldwide. This article reviews available published clinical studies demonstrating POEM efficacy and safety in order to present a proposal on how to establish a dedicated POEM program and reach base proficiency for the procedure.

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  • 10,267 View
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Special Issue Articles of IDEN 2013
Technical Advances in Endoscopic Ultrasound (EUS)-Guided Tissue Acquisition for Pancreatic Cancers: How Can We Get the Best Results with EUS-Guided Fine Needle Aspiration?
Prashant Kedia, Monica Gaidhane, Michel Kahaleh
Clin Endosc 2013;46(5):552-562.   Published online September 30, 2013
DOI: https://doi.org/10.5946/ce.2013.46.5.552
AbstractAbstract PDFPubReaderePub

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is one of the least invasive and most effective modality in diagnosing pancreatic adenocarcinoma in solid pancreatic lesions, with a higher diagnostic accuracy than cystic tumors. EUS-FNA has been shown to detect tumors less than 3 mm, due to high spatial resolution allowing the detection of very small lesions and vascular invasion, particularly in the pancreatic head and neck, which may not be detected on transverse computed tomography. Furthermore, this minimally invasive procedure is often ideal in the endoscopic procurement of tissue in patients with unresectable tumors. While EUS-FNA has been increasingly used as a diagnostic tool, most studies have collectively looked at all primary pancreatic solid lesions, including lymphomas and pancreatic neuroendocrine neoplasms, whereas very few studies have examined the diagnostic utility of EUS-FNA of pancreatic ductal carcinoma only. As with any novel and advanced endoscopic procedure that may incorporate several practices and approaches, endoscopists have adopted diverse techniques to improve the tissue procurement practice and increase diagnostic accuracy. In this article, we present a review of literature to date and discuss currently practiced EUS-FNA technique, including indications, technical details, equipment, patient selection, and diagnostic accuracy.

Citations

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  • Diagnostic Yield of Transabdominal Ultrasound-Guided Core Needle Method in Biopsies of Pancreatic Lesions
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    Ultrasound Quarterly.2023; 39(2): 109.     CrossRef
  • EUS-guided fine-needle biopsy sampling of solid pancreatic tumors with 3 versus 12 to-and-fro movements: a multicenter prospective randomized controlled study
    Kosuke Takahashi, Ichiro Yasuda, Nobuhiko Hayashi, Takuji Iwashita, Mitsuru Okuno, Tsuyoshi Mukai, Masatoshi Mabuchi, Seiji Adachi, Shinpei Doi, Johji Imura, Eisuke Ozawa, Hisamitsu Miyaaki, Kazuhiko Nakao
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    Nam Hee Kim, Hong Joo Kim
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    Seong‐Hun Kim, Kai Ding, Avani Rao, Jin He, Manoop S. Bhutani, Joseph M. Herman, Amol Narang, Eun Ji Shin
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    Jian-Han Lai, Hsiang-Hung Lin, Ching-Chung Lin
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    Seung Yup Lee, Julia M. Pakela, Kyounghwan Na, Jiaqi Shi, Barbara J. McKenna, Diane M. Simeone, Euisik Yoon, James M. Scheiman, Mary-Ann Mycek
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    Dong Wook Lee, Eun Young Kim
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    Hyung Ku Chon, Hee Chan Yang, Keum Ha Choi, Tae Hyeon Kim
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    Theodore W. James, Todd H. Baron
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    Mitsuru Sugimoto, Tadayuki Takagi, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Yuki Sato, Hiroki Irie, Ko Watanabe, Jun Nakamura, Hitomi Kikuchi, Yuichi Waragai, Mika Takasumi, Minami Hashimoto, Yuko Hashimoto, Takuto Hikichi, Hiromasa Ohira
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    Seok Hoo Jeong, Hyun Hwa Yoon, Eui Joo Kim, Yoon Jae Kim, Yeon Suk Kim, Jae Hee Cho
    Medicine.2017; 96(2): e5782.     CrossRef
  • Risk factors associated with adverse events during endoscopic ultrasound-guided tissue sampling
    Kwang Hyuck Lee, Eun Young Kim, Juhee Cho, Danbee Kang, Seungmin Bang, Hyung Kil Kim, Gwang Ha Kim, Hyun Jong Choi, Joung-Ho Han, Seong Woo Jeon, Ji Kon Ryu, Jeong Seop Moon, Tae Hee Lee, Jin Woong Cho, Tae Hyeon Kim, Young Koog Cheon, Chang-Hwan Park, Jo
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  • Endoscopic ultrasound-guided fine-needle aspiration and cytology for differentiating benign from malignant lymph nodes
    Hussein Okasha, Shaimaa Elkholy, Mohamed Sayed, Ahmed Salman, Yahia Elsherif, Emad El-Gemeie
    Arab Journal of Gastroenterology.2017; 18(2): 74.     CrossRef
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    Yongtao Yang, Lianyong Li, Changmin Qu, Shuwen Liang, Bolun Zeng, Zhiwen Luo
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    Chaoqun Han, Rong Lin, Qin Zhang, Jun Liu, Zhen Ding, Xiaohua Hou
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  • Pancreatic cancer: diagnosis and treatments
    Hong-Yu Li, Zhong-Min Cui, Jiang Chen, Xiao-Zhong Guo, Ying-Yi Li
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  • Contrast-Enhanced Harmonic Endoscopic Ultrasound-Guided Fine-Needle Aspiration in the Diagnosis of Solid Pancreatic Lesions: A Retrospective Study
    Xiaojia Hou, Zhendong Jin, Can Xu, Minmin Zhang, Jianwei Zhu, Fei Jiang, Zhaoshen Li, Robert Lane Schmidt
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  • Key endoscopic ultrasound features of pancreatic ductal adenocarcinoma smaller than 20 mm
    Akira Aso, Eikichi Ihara, Takashi Osoegawa, Kazuhiko Nakamura, Soichi Itaba, Hisato Igarashi, Tetsuhide Ito, Shinichi Aishima, Yoshinao Oda, Masao Tanaka, Ryoichi Takayanagi
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    Yeon Suk Kim
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    Eun Young Kim
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  • 9,133 View
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Endoscopic Guided Biliary Drainage: How Can We Achieve Efficient Biliary Drainage?
Prashant Kedia, Monica Gaidhane, Michel Kahaleh
Clin Endosc 2013;46(5):543-551.   Published online September 30, 2013
DOI: https://doi.org/10.5946/ce.2013.46.5.543
AbstractAbstract PDFPubReaderePub

Currently, endoscopic retrograde cholangiopancreatography (ERCP) is the preferred procedure for biliary drainage for various pancreatico-biliary disorders. ERCP is successful in 90% of the cases, but is unsuccessful in cases with altered anatomy or with tumors obstructing access to the duodenum. Due to the morbidity and mortality associated with surgical or percutaneous approaches in unsuccessful ERCP cases, biliary endoscopists have been using endoscopic ultrasound-guided biliary drainage (EUS-BD) more frequently within the last decade in different countries. As with any novel advanced endoscopic procedure that incorporates various approaches, advanced endoscopists all over the world have innovated and adopted diverse EUS-BD techniques. Indications for EUS-BD include failed conventional ERCP, altered anatomy, tumor preventing access into the biliary tree and contraindication to percutaneous access (i.e., ascites, etc.). EUS-BD utilizing EUS-guided rendezvous technique is conducted by creating a tract from either the stomach or the duodenum into the bile duct. Although EUS-BD has rapidly been gaining attraction and popularity in the endoscopic world, the indications and methods have yet to be standardized. There are several access routes and techniques that are employed by advanced endoscopists throughout the world for BD. This article reviews the indications and currently practiced EUS-BD techniques, including indications, technical details (intrahepatic or extrahepatic approach), equipment, patient selection, complications, and overall advantages and limitations.

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    Tanyaporn Chantarojanasiri, Thawee Ratanachu-Ek, Nonthalee Pausawasdi
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    Jeremy S. Nussbaum, Nikhil A. Kumta
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Pancreatic Fluid Collection Drainage by Endoscopic Ultrasound: An Update
Shashideep Singhal, Stephen R. Rotman, Monica Gaidhane, Michel Kahaleh
Clin Endosc 2013;46(5):506-514.   Published online September 30, 2013
DOI: https://doi.org/10.5946/ce.2013.46.5.506
AbstractAbstract PDFPubReaderePub

Endoscopic management of symptomatic pancreatic fluid collections (PFCs) is now considered to be first line therapy. Expanded use of endoscopic ultrasound (EUS) techniques has resulted in increased applicability, safety, and efficacy of endoscopic transluminal PFC drainage. Steps include EUS-guided trangastric or transduodenal fistula creation into the PFC followed by stent placement or nasocystic drain deployment in order to decompress the collection. With the remarkable improvement in the available accessories and stents and development of exchange free access device; EUS drainage techniques have become simpler and less time consuming. The use of self-expandable metal stents with modifications to drain PFC has helped in overcoming some previously encountered challenges. PFCs considered suitable for endoscopic drainage include collection present for greater than 4 weeks, possessing a well-formed wall, position accessible endoscopically and located within 1 cm of the duodenal or gastric walls. Indications for EUS-guided drainage have been increasing which include unusual location of the collection, small window of entry, nonbulging collections, coagulopathy, intervening varices, failed conventional transmural drainage, indeterminate adherence of PFC to the luminal wall or suspicion of malignancy. In this article, we present a review of literature to date and discuss the recent developments in EUS-guided PFC drainage.

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Original Article
Photodynamic Therapy in Unresectable Cholangiocarcinoma: Not for the Uncommitted
Jayant P. Talreja, Marisa DeGaetani, Kristi Ellen, Timothy Schmitt, Monica Gaidhane, Michel Kahaleh
Clin Endosc 2013;46(4):390-394.   Published online July 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.4.390
AbstractAbstract PDFPubReaderePub
Background/Aims

Photodynamic therapy (PDT) in unresectable cholangiocarcinoma has been associated with improved survival. We report a single tertiary care center experience over the past 6 years.

Methods

Fifty-five patients with unresectable cholangiocarcinoma received PDT between 2004 and 2010. Plastic stents were placed after PDT to prevent cholangitis.

Results

Twenty-seven patients (49%) showed Bismuth type IV, 22 (41%) showed Bismuth type III, and six (10%) showed Bismuth type I and II. Twenty patients (37%) received chemotherapy and radiation therapy, five (9%) received chemotherapy only; and one (2%) received radiation therapy only. Mean number of PDT sessions was 1.9±1.5 sessions (range, 1 to 9). Mean survival duration was 293±266 days (median, 190; range, 25 to 1,332). PDT related complications included three (5%) facial burn, three (5%) photosensitivity, and two (3%) rash. Kaplan-Meier analysis comparing the survival means of patients who received PDT and chemotherapy/radiation therapy (median survival 257 days; 95% confidence interval [CI], 166 to 528) versus who received PDT only (median survival 183 days; 95% CI, 129 to 224) showed no significant difference (log-rank p=0.20).

Conclusions

PDT has a measurable impact on survival in unresectable cholangiocarcinoma but requires aggressive stenting posttherapy.

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Special Issue Articleses of IDEN 2012
Spyglass Direct Visualization System
Michel Kahaleh
Clin Endosc 2012;45(3):316-318.   Published online August 22, 2012
DOI: https://doi.org/10.5946/ce.2012.45.3.316
AbstractAbstract PDFPubReaderePub

Although endoscopic retrograde cholangiopancreatography is considered the gold standard to manage biliary disorders, it has its own limitations. The single-operator cholangioscopy (SOC) system (Spyglass) may offer an interesting compromise for most advanced biliary endoscopists, in terms of size (10 Fr diameter) and complexity of use. SOC is a great step toward intraductal visualization and therapy but the best is yet to come.

Citations

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    Sini Vehviläinen, Niklas Fagerström, Roberto Valente, Hanna Seppänen, Marianne Udd, Outi Lindström, Harri Mustonen, Fredrik Swahn, Urban Arnelo, Leena Kylänpää
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  • Endoscopic direct visualization of gallbladder polypoid lesion using peroral digital single-operator cholangioscopy
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  • Efficacy of digital single-operator cholangioscopy and factors affecting its accuracy in the evaluation of indeterminate biliary stricture
    Sunguk Jang, Tyler Stevens, Lei Kou, John J. Vargo, Mansour A. Parsi
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    Felicia Turowski, Ulrich Hügle, Arno Dormann, Matthias Bechtler, Ralf Jakobs, Uwe Gottschalk, Ellen Nötzel, Dirk Hartmann, Albrecht Lorenz, Frank Kolligs, Wilfried Veltzke-Schlieker, Andreas Adler, Olaf Becker, Bertram Wiedenmann, Nataly Bürgel, Hanno Trö
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    C. Bojarski, F. Turowski
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    Hiren Vallabh, William Hsueh, Jon Cardinal, Barbara Ducatman, John Nasr
    American Journal of Gastroenterology.2017; 112: S1116.     CrossRef
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  • CHOLANGIOSCOPY IN BILE DUCT DISEASE: a case series
    Eduardo Guimarães Hourneaux de MOURA, Tomazo FRANZINI, Renata Nobre MOURA, Fred Olavo Aragão Andrade CARNEIRO, Everson Luiz de Almeida ARTIFON, Paulo SAKAI
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  • Highlights of Pancreatobiliary Endoscopy in International Digestive Endoscopy Network 2012: How Much Has It Advanced?
    Seok Ho Dong
    Clinical Endoscopy.2012; 45(3): 297.     CrossRef
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  • 11 Crossref
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Endoscopic Necrosectomy for Walled-Off Pancreatic Necrosis
Michel Kahaleh
Clin Endosc 2012;45(3):313-315.   Published online August 22, 2012
DOI: https://doi.org/10.5946/ce.2012.45.3.313
AbstractAbstract PDFPubReaderePub

Approximately 20% of patients with acute pancreatitis develop pancreatic necrosis with significant mortality. Surgical debridement is the traditional management of necrotizing pancreatitis, but it is associated with significant morbidity and mortality. Endoscopic necrosectomy using repeats session of debridement and stent insertion has been more frequently used within the last decade and half. This technique continues to evolve as we attempt to optimize the post-procedural outcomes.

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    Minsu Kim, Eun Kyung Kang, Su Young Kim, Ji-Yeon Kim, Song Mi Moon, Yiel-Hea Seo, Jae Hee Cho, Yoon Soo Park
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  • Highlights of Pancreatobiliary Endoscopy in International Digestive Endoscopy Network 2012: How Much Has It Advanced?
    Seok Ho Dong
    Clinical Endoscopy.2012; 45(3): 297.     CrossRef
  • 5,628 View
  • 44 Download
  • 3 Crossref
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Prevention and Management of Post-Endoscopic Retrograde Cholangiopancreatography Complications
Michel Kahaleh, Martin Freeman
Clin Endosc 2012;45(3):305-312.   Published online August 22, 2012
DOI: https://doi.org/10.5946/ce.2012.45.3.305
AbstractAbstract PDFPubReaderePub

Endoscopic retrograde cholangiopancreatography (ERCP) is associated with a spectrum of complications such as pancreatitis, hemorrhage, perforation, and cardiopulmonary events. These complications can range from mild to severe resulting in extended hospitalization, requiring surgical intervention, and leading to permanent disability or even death. Complications of ERCP have been better understood in the past decade, with adoption of standardized consensus-based definitions of complications and introduction of new recommendations to minimize risks of ERCP. Adequate selection of patients undergoing ERCP, skilled operators using novel techniques and prompt identification and treatment are key to successful prevention and management.

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