IJGII Inernational Journal of Gastrointestinal Intervention

pISSN 2636-0004 eISSN 2636-0012
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January 31, 2023Current Issue Vol. 12 No. 1

    January, 2023 | Volume 12, No. 1
  • Review Article 2023-01-31

    New frontiers for therapeutic endoscopic ultrasound in children

    Valerio Balassone , Simona Faraci , Chiara Imondi et al.

    Abstract : Therapeutic endoscopic ultrasound is a well-established tool for several gastrointestinal disorders in adults. Diffusion in children is still limited but it can represent an effective, non-invasive option. A selection of relevant clinical cases will be presented.

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  • Review Article 2023-01-31

    Endoscopic ultrasound-guided drainage for local complications related to pancreatitis

    Hyung Ku Chon and Seong-Hun Kim

    Abstract : Despite many advances in the treatment of acute pancreatitis, the mortality rate in severe cases is as high as 30%. Therefore, it is very important to treat the local complications of acute pancreatitis. Pancreatic fluid collections (PFCs) are among the most important local complications of acute pancreatitis. According to the Atlanta classification of acute pancreatitis in 2012, PFCs are categorized as acute peripancreatic fluid collections, pancreatic pseudocysts, acute necrotic collections, and walled-off necrosis. In principle, PFCs with complications require an intervention such as drainage. With the recent development of endoscopic ultrasound (EUS)-guided interventions, EUS-guided drainage or necrosectomy has emerged as an important standard treatment for PFCs. In this article, we present recent advances in EUS-guided drainage and necrosectomy for PFCs in acute pancreatitis, along with a literature review.

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  • Review Article 2023-01-31

    Endoscopic ultrasound-guided vascular interventions: An overview of current and emerging techniques

    Ahmed Youssef Altonbary

    Abstract : Endoscopic ultrasound (EUS)‑guided therapeutic interventions have expanded over recent years, especially in the field of endovascular therapy. EUS-guided vascular techniques were developed primarily as less invasive alternatives to surgical and radiological interventions. EUS allows precise vascular access and therapy by providing high-resolution, real-time imaging of the abdominal and mediastinal vascular structures from the gastro-intestinal (GI) tract. This review provides an overview of current and emerging EUS-guided vascular interventions, including management of variceal and nonvariceal GI bleeding, EUS‑guided portal vein interventions, and EUS‑guided cardiac and pulmonary vascular access.

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  • Review Article 2023-01-31

    COVID-19 and pancreatitis: A review of the potential association

    Asad Ali Kerawala , Bhagwan Das , Rabika Fatima et al.

    Abstract : Originally thought to be a respiratory pathogen, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19), has been shown to cause a dizzying array of symptoms, including all major organ systems of the human body. As time elapsed, new strains of the virus have emerged, validating concerns about genetic mutation. No single treatment has proven beneficial in treating the consequences, and the world has been left at the mercy of this deadly pathogen. It has been proven that COVID-19 can cause strokes, myocardial infarcts, mesenteric infarcts, acute limb ischemia, and a wide array of other symptomatology. This review aimed to evaluate whether there exists an association between COVID-19 and pancreatitis. Forty publications (34 case reports and 4 case series) were included in the review. In total, 44 cases of acute pancreatitis (38 cases of acute edematous pancreatitis and 6 cases of necrotizing pancreatitis) in COVID-19 patients without any predisposing factors have been published since January 2020. Fortunately, only 4 (9.1%) of these patients were reported to have died. Although the exact mechanism by which COVID-19 causes pancreatitis is still unclear, studies so far have reported it as a multifactorial phenomenon. COVID-19 associated pancreatic injury is thought to involve direct cellular damage via local replication of SARS-CoV-2 within pancreatic cells, as they express angiotensin-converting enzyme 2 receptors even more strongly than lung cells. Our review concludes that acute pancreatitis should be kept in the differential list of all COVID-19 patients with gastrointestinal manifestations, especially in patients with acute abdomen.

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  • Review Article 2023-01-31

    Radiologic images of complications of Crohn’s disease

    Sungjin Yoon , So Hyun Park , and Jun Seong Kim

    Abstract : Crohn’s disease is a chronic inflammatory disease that may occur in the alimentary tract and has various clinical courses. It is characterized by several complications, including bowel strictures, bowel obstruction, fistulas, abscesses, and hydronephroureterosis. Each complication is related to adjacent bowel involvement in Crohn’s disease, and other complications can require surgical or interventional treatment. Patients with Crohn’s disease who develop intra-abdominal abscess tend to suffer from recurrent intra-abdominal abscess during the follow-up period. Intra-abdominal abscess can often develop at the fistula site. Bowel stricture due to Crohn’s disease leads to bowel obstruction. Radiologic examinations, such as computed tomography and magnetic resonance imaging, play an essential role in evaluating disease severity and complications in patients with Crohn’s disease.

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  • Review Article 2023-01-31

    Interventional radiological approaches to non-variceal gastrointestinal bleeding

    Se Hwan Kwon , Seung Yeon Noh , and Joo Hyeong Oh

    Abstract : Although many cases of gastrointestinal bleeding (GIB) respond to medical and endoscopic management, GIB is often a serious clinical dilemma. Massive GIB can lead to significant morbidity and mortality unless appropriate treatment is not performed. Diagnostic and therapeutic approaches to GIB depend on its location, severity, and etiology. Interventional radiological management (intra-arterial infusion of vasopressin and transcatheter arterial embolization) is a safe and effective minimally invasive alternative to surgery for the management of GIB that is refractory to endoscopic treatment. The present review discusses the essential role of interventional radiology in the management of GIB.

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  • Case Report 2023-01-31

    Laparoscopic management of Mirizzi syndrome with liver cirrhosis using indocyanine green mapping: A case report and review of the literature

    Priya Gupta , Vishakha Kalikar , Roy Patankar et al.

    Abstract : Mirizzi syndrome was previously considered an absolute contraindication for laparoscopic cholecystectomy. However, with advances in radiology and increasing familiarity with the pathophysiology, the successful laparoscopic management of Mirizzi syndrome is now increasingly reported. The presence of cirrhosis and periportal collaterals increases the difficulty of performing laparoscopic cholecystectomy. Intraoperative indocyanine green(ICG) imaging is very helpful in these complex situations. We present the first published report of ICG-assisted laparoscopic cholecystectomy in type 1 Mirizzi syndrome with Child-Pugh A cirrhosis.

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  • Case Report 2023-01-31

    Transjugular intrahepatic portosystemic shunt for pyrrolidine-alkaloid-induced hepatic sinusoidal obstruction syndrome in a patient with situs inversus totalis and portal vein thrombus

    Yu-Guan Xie , Chen Xu , Hai-Bin Shi et al.

    Abstract : We here report a rare case of pyrrolidine-alkaloid-induced hepatic sinusoidal obstruction syndrome (PA-HSOS) complicated with situs inversus totalis and portal vein thrombus (PVT). The patient had abdominal distention and ascites, which were not responsive to conservative medical treatment or peritoneal drainage. Transjugular intrahepatic portosystemic shunt (TIPS) was successfully performed in the patient via the left internal jugular vein approach. After the procedure, abdominal distension and ascites gradually resolved. The TIPS procedure could be considered as a useful treatment for PA-HSOS patients with PVT.

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  • Case Report 2023-01-31

    A novel hybrid technique to treat flush mesenteric arterial occlusion in acute-on-chronic mesenteric ischemia

    Rajesh Girdhardas Mundhada , Atul Dharmaraj Rewatkar , Aishwarya Atul Rewatkar et al.

    Abstract : Acute mesenteric occlusion is a life-threatening condition with a significant mortality rate and requires prompt diagnosis and revascularization using open repair, a hybrid procedure, or endovascular intervention. The open approach is associated with significant morbidity and mortality, while endovascular procedures are done by the antegrade or retrograde open mesenteric stent technique and have been observed to improve the prognosis and outcomes of mesenteric ischemia. We report three cases of acute-on-chronic mesenteric ischemia secondary to occlusion with failed percutaneous mesenteric artery stenting. They were successfully treated using a novel hybrid technique, without the need for mesenteric arteriotomy or subsequent arterial repair.

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  • Letters to the Editor 2023-01-31

    The most frequent symptoms of postcholecystectomy syndrome for cholelithiasis patients older than 40 years of age

    Leyla Camila Aquije Eyzaguirre , Arturo Daniel Hernández Aparcana , David Rene Rodriguez Diaz et al.

    Abstract : Although it has been demonstrated that cholecystectomy is successful in relieving symptoms in 90% of cases, some patients continue to experience gastrointestinal symptoms despite surgical intervention; this is known as postcholecystectomy syndrome. For this reason, we decided to investigate this syndrome and, relying on the article by Desai et al entitled "Foreign bodies in common bile duct in postcholecystectomy state—series of 8 cases: an experience of a single center in western India," delve into the different symptoms that appear in the syndrome. Based on an extensive review of articles published about the syndrome, the most common symptoms are dyspepsia, pain in the upper right quadrant of the abdomen, abdominal distension, and gastrointestinal issues. Consequently, it is critical to take these symptoms into consideration because, even though it may not seem like postcholecystectomy syndrome occurs frequently, one needs to be familiar with its clinical picture.

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