International Journal of Gastrointestinal Intervention

pISSN 2636-0004 eISSN 2636-0012

Articles

home

All Articles

Articles

< Previous Next >Int J Gastrointest Interv 2019; 8(1): 1~61

Case Report 2019-01-31

Balloon catheter cannulation for route identification and axis stabilization during direct freehand cholangioscopy

Vincent Zimmer

https://doi.org/10.18528/ijgii180002

Abstract : Freehand techniques for direct cholangioscopy access have received little attention, given disappointing initial results and high perceived and/or real technical challenges. However, while pure freehand intubation appears feasible in a significant proportion of individuals, technical advancements and tricks of the trade are being developed. Along these lines, herein I present another rescue technique assisting in freehand access for direct cholangioscopy, the “balloon-catheter-cannulation technique”, which may be instrumental in overcoming two major hurdles of the procedure, i.e., stable intubation of the papillary orifice with adequate orientation and scope advancement in the common bile duct vis-à-vis gastric loop formation. To further disseminate direct cholangioscopy in the endoscopy community, technical beyond technological advancements, as for instance dedicated next-generation cholangioscopes, appear essential. Herein, I present a technical case report focussing on the limitations of the pure freehand and relative advantages of the “balloon catheter cannulation-assisted” approach for direct cholangioscopy access.

Cited By: 0

Show More
Full Text PDF PubReader
Case Report 2019-01-31

Ileus tube placement combined with laparoscopy in the treatment of refractory small bowel obstruction: Case series and literature review

Wei-Hai Shi, Hao-Qiang Chao, Nian-Yuan Ye, Hong-Jian Shi

https://doi.org/10.18528/ijgii170020

Abstract : Post-surgery small bowel obstruction (SBO) has substantial morbidity and mortality. Even with refinement of surgical technique, SBO still remains challenging with the most common causes of acute hospital admission. Most SBOs can be managed with conservative treatment. However, the palliative methods may fail to relieve the symptoms in some clinical settings. Currently, laparotomy is the standard of care for difficult SBO. And laparoscopy offers an alternative approach for operative intervention in SBO and was first described by Bastug et al in 1991. Emerging literature demonstrated that laparoscopic surgery for SBO is less invasive, resulting in a shorter hospital stay than open surgery. And most recurrent adhesive SBO can be managed with ileus tube placement. This case series is to evaluate the efficacy of transnasal ileus tube placement combined with laparoscopic surgery in the treatment of consecutive 5 cases of refractory SBO post oncologic gastrointestinal surgery.

Cited By: 0

Show More
Full Text PDF PubReader
Complication Forum 2019-01-31

Iatrogenic pyriform sinus perforation during endoscopic ultrasonography

Young Min Kim, Jae Jun Park , Young Hoon Youn

https://doi.org/10.18528/ijgii190004

Abstract : Summary of Event A 65-year-old women underwent endoscopic ultrasonography (EUS) to evaluate the gastric submucosal tumor. The EUS scope was inserted into the esophagus after two attempts. A neck computed tomography (CT) scan showed a pneumomediastinum and an air bubble deep in the neck, suggesting an esophageal rupture. The patient was hospitalized and maintained conservative treatment including broad-spectrum antibiotics and withholding oral feeding. Teaching Point Endoscopists should consider an imaging modality when a patient complains of moderate to severe neck pain after an upper endoscopy. Prompt surgical management should be considered in patients with a delayed diagnosis (> 24 hours), those with signs of systemic toxicity, and those who have eaten between the time of the procedure and when the perforation was detected.

Cited By: 4

Show More
Full Text PDF PubReader