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pISSN 2636-0004
eISSN 2636-0012
pISSN 2636-0004
eISSN 2636-0012
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Articles
Abstract : Esophageal perforation carries with it a high morbidity and mortality if not treated appropriately and aggressively. Three approaches are available for the treatment of esophageal perforation: conservative, endotherapy, and surgery. The location viz. cervical, thoracic, or abdominal portions of the esophagus and size of the perforation influence treatment choice. Cervical perforations are usually small and can be treated conservatively as the perforation or leak is also contained within the triangle of Killian in the neck. Most cervical perforations have a good outcome with conservative treatment with intravenous antibiotics and nil by mouth. Treatment of thoracic perforations depends very much on the size of the perforation. Small perforations due to sclerotherapy injection, for example, can be treated conservatively. Endotherapy can help avoid surgery in other cases: small tears from endoscopic insertion can be clipped and esophageal fistulae can be injected with fibrin glue. Larger perforations can be treated with stent placement if the dehiscence of the lumen circumference does not exceed 70%. Stent placement with self-expandable fully-covered plastic and metallic stents or partially-covered metallic stents has been used with fairly good success. One of the problems with stent placement is the migration of these stents. Perforation of the intra-abdominal portion of the esophagus often results in a very rapid development of peritonitis and sepsis and surgery is usually recommended. Surgery is mandatory in any part of the esophagus when the perforation is large or when patients do not improve with conservative or endoscopic treatment. In very ill patients, esophageal exclusion surgery can be carried out until the patient’s general condition stabilizes. In cases of a diseased esophagus such as corrosive injury related perforations or cancer of the esophagus, esophageal replacement surgery should be contemplated with total esophagectomy and gastric pull-up surgery or creation of a neoesophagus with colonic interposition.
Abstract : Balloon dilation and stent placement are increasingly being used when treating patients with benign gastrointestinal tract strictures, as surgery carries a high risk of morbidity and mortality. Fluoroscopically guided intervention permits precise fluoroscopic control of the balloon catheter and stent placement. This article reviews the techniques and outcomes of balloon dilation and stent placement for the management of benign gastroduodenal and colonic strictures.
Abstract : A prototype forward-viewing echoendoscope has been developed for therapeutic endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). The hard tip of the forward-viewing echoendoscope, which is shorter than that of the convex type echoendoscope, can be maneuvered flexibly. Using the forward-viewing echoendoscope, the gastrointestinal wall can be vertically punctured along the same axis as the scope, and this process is done more easily than with an oblique-viewing echoendoscope. The diagnostic accuracy of EUS-FNA with the forward-viewing echoendoscope is 97.4%, which is not significantly different to that of the oblique-viewing echoendoscope. The forward-viewing echoendoscope may be useful in situations where the location and procedure are difficult with the oblique-viewing scope, The forward-viewing echoendoscope is able to puncture the gastrointestinal wall vertically with minimal effort, therefore allowing therapeutic EUS procedures such as pseudocyst and abscess drainage, biliary drainage, and pancreatic duct drainage to be performed easily. However, a significant difference between the forward-viewing and oblique-viewing echoendoscopes in pseudocyst drainage has been reported recently. In the future, the forward-viewing and oblique-viewing echoendoscopes will probably be selectively used depending on not only lesion site but also the procedure required in individual patients, thereby facilitating various processes including puncture, tissue collection, and diagnosis, as well as therapeutic procedures.
Abstract : Pancreatic cancer is one of the most common causes of cancer-related death worldwide. Most patients have advanced disease at diagnosis, resulting in a very poor prognosis. Hence there is a need for newer therapeutic strategies and novel approaches to the management of these tumors. Advances in endoscopic ultrasound have brought a change in its role from being solely a diagnostic tool to having a therapeutic role in gastrointestinal malignancies. Interventional endoscopic ultrasound is useful in the palliation of pancreatic adenocarcinoma as well as in the treatment of cystic tumors of the pancreas. This review focuses on the present status of interventional endoscopic ultrasound for pancreatic tumor.
Abstract : Endoscopic ultrasound (EUS)-guided transmural drainage has evolved as an important treatment modality for peripancreatic fluid collections (PFCs). Recently, self-expandable metal stents (SEMS) have been introduced as an alternative for the traditionally used double-pigtail plastic stents, for endoscopic drainage. Due to the larger diameter (>10 mm) of SEMS, a wide drainage opening can be created, with a potentially reduced risk of stent occlusion and associated complications, and a direct access route if endoscopic necrosectomy is indicated. The use of different types of SEMS has been reported in several case reports and small case series. Although the results of these studies seem promising, the available results to date are limited and need critical appraisal. Large prospective and randomized trials are needed to evaluate the efficacy and safety of the placement of SEMS for endoscopic drainage of PFCs.
Abstract : Percutaneous transhepatic gallbladder drainage (PTGBD) is a less invasive standard procedure to decompress the inflamed gallbladder in patients who are at high risk for emergency cholecystectomy. Recently, endoscopic ultrasonography-guided transmural gallbladder drainage (EUS-GBD) has been proposed as an alternative effective treatment modality for the management of acute cholecystitis in high-risk patients. EUS-GBD includes EUS-guided nasogallbladder drainage, gallbladder aspiration, and gallbladder stenting via a transmural endoscopic approach. Several investigators have reported high technical success with acceptable complication rates. Further prospective evaluation of the feasibility, safety, and efficacy of EUS-GBD will help identify the most suitable indications for this procedure. This article is a detailed review of the use of EUS for gallbladder drainage, with an emphasis on its technical aspects.
Abstract : Acute pancreatitis is a common disorder in the USA. Its diagnosis, prognosis and management, both in the short and long term, have long presented significant challenges to clinicians, surgeons, and diagnostic and interventional radiologists. This article reviews historical and current concepts in the diagnosis and management of acute pancreatitis and its complications, including radiological diagnosis and percutaneous intervention, as well as endoscopic and surgical management.
Abstract : Laparoscopic cholecystectomy has recently been accepted as the standard treatment for acute cholecystitis patients. The major role of percutaneous transhepatic gallbladder drainage has been temporarily stabilizing the patient’s acute debilitating condition prior to cholecystectomy. However, there have not been any evidence-based treatment guidelines for acute cholecystitis patients. In this article, the author restates the role of percutaneous transhepatic gallbladder drainage in patients with acute cholecystitis in the era of minimally invasive medicine.
Abstract : The optimal management of patients suffering from acute cholecystitis presenting in the emergency room is cholecystectomy, preferably laparoscopic. However, the operation mandates a general anesthesia, and some patients are considered to be at high risk for the procedure. However, cholecystectomy is not without complications, among which inadvertent bile duct injury is the most serious, because it can be a cause of mortality. Alternatively, the patient can be managed conservatively with or without drainage procedures, either interventional radiologic or endoscopic, and cholecystectomy can be delayed after the risk factors are corrected or acute inflammation has subsided. The best timing and sequence of treatment remain to be determined and will be discussed briefly, mainly from a surgical point of view.
Abstract : Over the past decade, the development of natural orifice translumenal endoscopic surgery (NOTES) has progressed from preclinical animal studies to clinical human trials in Asia. Due to the difference in culture and disease prevalence, most of these human studies focused on NOTES-related procedures, including endoscopic full-thickness resection and peroral endoscopic myotomy as well as submucosal endoscopic tumor resection. This article reviews the research works on NOTES originated from Asia to obtain insight into future development.
Hyung Ku Chon 
and Seong-Hun Kim
Int J Gastrointest Interv 2023; 12(1): 7-15
https://doi.org/10.18528/ijgii220037
Se Hwan Kwon , Seung Yeon Noh , and Joo Hyeong Oh
Int J Gastrointest Interv 2023; 12(1): 37-42
https://doi.org/10.18528/ijgii220005
Nam Hee Kim and Hong Joo Kim
Int J Gastrointest Interv 2023; 12(2): 57-63
https://doi.org/10.18528/ijgii220004
Partha Mandal , Barrett P. O'Donnell , Eric Reuben Smith , Osamah Al-Bayati , Adam Khalil , Serena Jen , Mario Vela , and Jorge Lopera
Int J Gastrointest Interv 2022; 11(1): 18-23
https://doi.org/10.18528/ijgii210028
Young Koog Cheon
Int J Gastrointest Interv 2021; 10(3): 96-100
https://doi.org/10.18528/ijgii210032
Dominic Andre Staudenmann , Ellie Patricia Skacel , Tatiana Tsoutsman , Arthur John Kaffes , and Payal Saxena
Int J Gastrointest Interv 2021; 10(3): 128-132
https://doi.org/10.18528/ijgii200050
pISSN 2636-0004
eISSN 2636-0012
| TODAY | 98 |
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| TOTAL | 226,309 |
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