Endoscopic therapy of a splenic abscess: definitive treatment via EUS-guided transgastric drainage.

Abstract:

BACKGROUND:Splenic complications of pancreatitis are exceedingly rare, occurring in only 2.2% of cases. Patients typically present in a dramatic fashion and often need an urgent procedure to prevent overwhelming infection or hemorrhage. Historically, the procedures involve surgery (distal pancreatectomy and splenectomy) or percutaneous drainage. SETTING:Walter Reed Army Medical Center. PATIENT:A patient with acute or chronic pancreatitis presented with pleuritic chest pain and fever up to 105 degrees F (40.6 degrees C). A CT of the abdomen and the pelvis demonstrated a splenic abscess. INTERVENTION:Because of the technical inability to perform transpapillary drainage, EUS-guided transgastric drainage resolved the splenic abscess. CONCLUSIONS:This is the first reported case of a splenic abscess treated definitively with endoscopic therapy. In the face of a worsening clinical picture and reported morbidities up to 79% with surgical and percutaneous drainage procedures, endoscopic therapies should be considered in the management of splenic complications of pancreatitis.

journal_name

Gastrointest Endosc

authors

Lee DH,Cash BD,Womeldorph CM,Horwhat JD

doi

10.1016/j.gie.2006.04.031

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

631-4

issue

4

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(06)01900-6

journal_volume

64

pub_type

杂志文章
  • Placement of self-expanding metallic stents in the pancreatic duct for treatment of obstructive complications of pancreatic cancer.

    abstract:BACKGROUND:Stents have been placed through malignant pancreatic strictures, mainly to alleviate pain of presumed obstructive origin. Self-expanding metallic stents have major advantages over plastic stents when used for treatment of malignant biliary strictures. However, there are few reports of their use in patients w...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2003.198

    authors: Keeley SP,Freeman ML

    更新日期:2003-05-01 00:00:00

  • Electronic chromoendoscopy.

    abstract::Electronic chromoendoscopy technologies provide image enhancement and may improve the diagnosis of mucosal lesions. Although strides have been made in standardization of image characterization, especially with NBI, further image-to-pathology correlation and validation are required. There is promise for the development...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2014.06.020

    authors: ASGE Technology Committee.,Manfredi MA,Abu Dayyeh BK,Bhat YM,Chauhan SS,Gottlieb KT,Hwang JH,Komanduri S,Konda V,Lo SK,Maple JT,Murad FM,Siddiqui UD,Wallace MB,Banerjee S

    更新日期:2015-02-01 00:00:00

  • Methylene blue staining for intestinal metaplasia of the gastric cardia with follow-up for dysplasia.

    abstract:BACKGROUND:Previous studies by our group have identified a 23% prevalence of intestinal metaplasia involving the gastric cardia in patients undergoing elective esophagogastroduodenoscopy (EGD). The current study evaluates the potential clinical utility of vital staining with methylene blue for detecting intestinal meta...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(98)70124-5

    authors: Morales TG,Bhattacharyya A,Camargo E,Johnson C,Sampliner RE

    更新日期:1998-07-01 00:00:00

  • Endoscopic balloon dilation of colonic and ileo-colonic Crohn's strictures: long-term results.

    abstract::The long-term effects of endoscopic dilation of colonic or ileo-colonic Crohn's disease strictures were analyzed. In 18 patients with a Crohn's disease-related low gastrointestinal stricture, the stenosis was dilated using through-the-scope (TTS) balloon catheters. A dilation to a diameter of 18 mm was always attempte...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(92)70379-4

    authors: Breysem Y,Janssens JF,Coremans G,Vantrappen G,Hendrickx G,Rutgeerts P

    更新日期:1992-03-01 00:00:00

  • EUS-guided cholecystenterostomy: a new technique (with videos).

    abstract:BACKGROUND:The cornerstone of management for acute cholecystitis is cholecystectomy. However, surgical intervention is contraindicated in the occasional patient. EUS-guided transduodenal gallbladder drainage may represent an effective minimally invasive alternative. OBJECTIVES:To describe a new technique, EUS-guided c...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2007.02.065

    authors: Kwan V,Eisendrath P,Antaki F,Le Moine O,Devière J

    更新日期:2007-09-01 00:00:00

  • The role of parallel stent insertion in patients with esophagorespiratory fistulas.

    abstract:BACKGROUND:Patients with malignant esophagorespiratory fistulas have a poor prognosis. Treatment is palliative and involves restoration of the ability to ingest food and prevention of aspiration by insertion of esophageal or tracheobronchial stents. Because insertion of a single stent may be insufficient for palliation...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.119731

    authors: van den Bongard HJ,Boot H,Baas P,Taal BG

    更新日期:2002-01-01 00:00:00

  • Endoscopic assessment of mucosal hemodynamic changes in a canine model of gastric ulcer.

    abstract::In studying the side effects of sclerosants injected into the gastric submucosa in dogs (N = 7), we noted that 3 ml of absolute ethanol induced a large gastric ulceration. We describe the time course of change in the ulcer size, and suggest that such ulceration can be used for the endoscopic assessment of factors impo...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(91)70721-9

    authors: Chung SC,Sung JY,Suen MW,Leung JW,Leung FW

    更新日期:1991-05-01 00:00:00

  • Progressive learning in endoscopy simulation training improves clinical performance: a blinded randomized trial.

    abstract:BACKGROUND AND AIMS:A structured comprehensive curriculum (SCC) that uses simulation-based training (SBT) can improve clinical colonoscopy performance. This curriculum may be enhanced through the application of progressive learning, a training strategy centered on incrementally challenging learners. We aimed to determi...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2017.03.1529

    authors: Grover SC,Scaffidi MA,Khan R,Garg A,Al-Mazroui A,Alomani T,Yu JJ,Plener IS,Al-Awamy M,Yong EL,Cino M,Ravindran NC,Zasowski M,Grantcharov TP,Walsh CM

    更新日期:2017-11-01 00:00:00

  • A novel balloon pull-through technique for esophageal dilation in eosinophilic esophagitis (with video).

    abstract:BACKGROUND:Eosinophilic esophagitis (EoE) is a chronic inflammatory condition that can be complicated by esophageal strictures requiring endoscopic dilation. Whereas recent data have advanced the notion that dilation can be done effectively with minimal morbidity, issues concerning safety and tolerability remain. OBJE...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2010.09.034

    authors: Madanick RD,Shaheen NJ,Dellon ES

    更新日期:2011-01-01 00:00:00

  • Antral nodularity identifies children infected with Helicobacter pylori with higher grades of gastric inflammation.

    abstract:BACKGROUND:The endoscopic pattern of antral nodularity is a peculiar finding in children with Helicobacter pylori infection. The aim of this study was to determine whether this finding is related to more severe gastritis. METHODS:One hundred seventy-four consecutive children (median age 8.7 years) referred for gastros...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2001.111043

    authors: Luzza F,Pensabene L,Imeneo M,Mancuso M,Contaldo A,Giancotti L,La Vecchia AM,Costa MC,Strisciuglio P,Docimo C,Pallone F,Guandalini S

    更新日期:2001-01-01 00:00:00

  • Abdominal compression during endoscopy (the Bolster technique) demonstrates hidden Schatzki rings (with videos).

    abstract:BACKGROUND AND AIMS:Schatzki rings are found in the distal esophagus, are associated with hiatal hernias, and present with intermittent dysphagia to solid foods. They can be identified by radiology (GI series or barium swallow studies) or endoscopy. Rings are not always visualized during endoscopy in patients in whom t...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2015.10.041

    authors: Jouhourian C,Bonis PA,Guelrud M

    更新日期:2016-05-01 00:00:00

  • Adjuvant sclerotherapy after ligation for the treatment of esophageal varices: a prospective, randomized long-term study.

    abstract:BACKGROUND:To assess the efficacy of adjuvant sclerotherapy after banding for the treatment of esophageal varices, a randomized trial was carried out of endoscopic variceal ligation (EVL) alone with sequential sclerotherapy versus sequential ligation-sclerotherapy (SLS) after banding with respect to variceal eradicatio...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1067/mge.2001.114061

    authors: Cheng YS,Pan S,Lien GS,Suk FM,Wu MS,Chen JN,Chen SH

    更新日期:2001-05-01 00:00:00

  • Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.

    abstract:BACKGROUND:The risk of exacerbating subclinical hepatic encephalopathy associated with the administration of sedative drugs in patients with cirrhosis undergoing diagnostic upper gastrointestinal (GI) endoscopy for portal hypertension remains to be determined. METHODS:Ten adult patients with cirrhosis completed number...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(99)70283-x

    authors: Assy N,Rosser BG,Grahame GR,Minuk GY

    更新日期:1999-06-01 00:00:00

  • EUS-guided confocal laser endomicroscopy: prediction of dysplasia in intraductal papillary mucinous neoplasms (with video).

    abstract:BACKGROUND AND AIMS:Previous studies have validated EUS-guided needle-based confocal laser endomicroscopy (nCLE) diagnosis of intraductal papillary mucinous neoplasms (IPMNs). We sought to derive EUS-guided nCLE criteria for differentiating IPMNs with high-grade dysplasia/adenocarcinoma (HGD-Ca) from those with low/int...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2019.09.014

    authors: Krishna SG,Hart PA,DeWitt JM,DiMaio CJ,Kongkam P,Napoleon B,Othman MO,Yew Tan DM,Strobel SG,Stanich PP,Patel A,Luthra AK,Chan MQ,Blaszczak AM,Lee D,El-Dika S,McCarthy ST,Walker JP,Arnold CA,Porter K,Conwell DL

    更新日期:2020-03-01 00:00:00

  • A biodegradable non-covered self-expandable stent to treat pancreatic duct strictures in chronic pancreatitis: a proof of principle.

    abstract:BACKGROUND AND AIMS:In chronic pancreatitis (CP), fibrotic pancreatic duct (PD) strictures pose a therapeutic challenge, because endoscopic dilatation requires multiple procedures with suboptimal results. Biodegradable self-expandable stents (BD-SESs) may serve as an alternative in this setting. METHODS:Patients with ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2017.08.018

    authors: Cahen DL,van der Merwe SW,Laleman W,Poley JW,Bruno MJ

    更新日期:2018-02-01 00:00:00

  • Endoscopic retrograde cholangiography in the diagnosis of biliary malformations in infants.

    abstract::The differentiation of infantile biliary malformations from primary parenchymal diseases is difficult. The recent development of a pediatric side-viewing endoscope (PJF Endoscope; Olympus Corporation of America) provided an opportunity to investigate the usefulness of endoscopic retrograde cholangiography (ERC) for pr...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(88)71432-7

    authors: Heyman MB,Shapiro HA,Thaler MM

    更新日期:1988-11-01 00:00:00

  • Management of persistent gastroesophageal anastomotic strictures with removable self-expandable polyester silicon-covered (Polyflex) stents: an alternative to serial dilation.

    abstract:BACKGROUND:A benign gastroesophageal anastomotic stricture occurs in up to 42% of patients after transhiatal esophagectomy for esophageal cancer. Management of anastomotic strictures may require extended periods of serial endoscopic dilation, with significant risk, cost, and inconvenience for the patient. OBJECTIVE:To...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2007.10.047

    authors: Barthel JS,Kelley ST,Klapman JB

    更新日期:2008-03-01 00:00:00

  • Annular pancreas: endoscopic and pancreatographic findings from a tertiary referral ERCP center.

    abstract:BACKGROUND AND AIMS:Annular pancreas is a congenital anomaly whereby pancreatic tissue encircles the duodenum. Current knowledge of endoscopic findings of annular pancreas is limited to small case series. The aim of this study was to describe the endoscopic and pancreatographic findings of patients with annular pancrea...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2018.09.008

    authors: Gromski MA,Lehman GA,Zyromski NJ,Watkins JL,El Hajj II,Tan D,McHenry L,Easler JJ,Tirkes T,Sherman S,Fogel EL

    更新日期:2019-02-01 00:00:00

  • EUS-guided trucut needle biopsies in patients with solid pancreatic masses: a prospective study.

    abstract:BACKGROUND:A trucut needle biopsy device that can be used to obtain specimens from the pancreas and other perigastric organs under EUS guidance has been developed and successfully tested in animals. Moreover, EUS-guided trucut needle biopsy has been used safely in humans and appears to provide more accurate results tha...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(03)02538-0

    authors: Larghi A,Verna EC,Stavropoulos SN,Rotterdam H,Lightdale CJ,Stevens PD

    更新日期:2004-02-01 00:00:00

  • Endoscopic ultrasound staging criteria for esophageal cancer.

    abstract:BACKGROUND:Malignant esophageal masses can be staged with endoscopic ultrasound (EUS) using the TNM staging classification. Several criteria for differentiating between intraesophageal (T1-2) and extraesophageal (T3-4) masses have been described, but highly accurate staging remains difficult. METHODS:This is a blinded...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(97)70238-4

    authors: Brugge WR,Lee MJ,Carey RW,Mathisen DJ

    更新日期:1997-02-01 00:00:00

  • Endoscopic screening for early esophageal cancer by iodine staining in patients with other current or prior primary cancers.

    abstract:BACKGROUND:Although early diagnosis of esophageal carcinoma is an important determinant of outcome, early stage carcinomas are rarely detected on routine endoscopic examination. Iodine staining may be useful in the detection of early stage esophageal carcinoma, especially in high-risk populations. In a prior study, 29....

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1067/mge.2001.111387

    authors: Shimizu Y,Tukagoshi H,Fujita M,Hosokawa M,Kato M,Asaka M

    更新日期:2001-01-01 00:00:00

  • Extracorporeal shock wave lithotripsy of pancreatic stones in chronic pancreatitis: immediate and medium-term results.

    abstract:BACKGROUND:Obstruction of the main pancreatic duct with upstream hypertension and dilation is a cause of pain in patients with chronic pancreatitis. Pancreatic ductal drainage can be achieved endoscopically by intraductal stone removal after endoscopic pancreatic sphincterotomy and/or by insertion of a pancreatic stent...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(97)70092-0

    authors: Costamagna G,Gabbrielli A,Mutignani M,Perri V,Pandolfi M,Boscaini M,Crucitti F

    更新日期:1997-09-01 00:00:00

  • Natural history of bleeding peptic ulcers with a tightly adherent blood clot: a prospective observation.

    abstract:BACKGROUND:The natural history of a bleeding peptic ulcer with a tightly adherent blood clot remains uncertain. Controversy exists concerning removal of such blood clots at the bleeding ulcer base. This article presents the natural history of a bleeding peptic ulcer with a tightly adherent clot and defines the characte...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70288-2

    authors: Lin HJ,Wang K,Perng CL,Lee FY,Lee CH,Lee SD

    更新日期:1996-05-01 00:00:00

  • Which landmark results in a more consistent diagnosis of Barrett's esophagus, the gastric folds or the palisade vessels?

    abstract:BACKGROUND:The endoscopic landmark used to diagnose Barrett's esophagus differs between Japanese and Western endoscopists. OBJECTIVE:To compare the degree of diagnostic variation in results achieved by Japanese endoscopists when using the palisade vessels as a landmark of the distal esophagus and when using the gastri...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2006.04.029

    authors: Amano Y,Ishimura N,Furuta K,Takahashi Y,Chinuki D,Mishima Y,Moriyama I,Fukuhara H,Ishihara S,Adachi K,Kinoshita Y

    更新日期:2006-08-01 00:00:00

  • Prevalence of open-access gastrointestinal endoscopy in the United States.

    abstract:OBJECTIVE:Open-access endoscopy allows physicians who are not gastroenterologists to directly schedule patients for endoscopic procedures without having them first seen in the gastrointestinal clinic. We sought to determine the prevalence of open-access endoscopy in the United States and to examine endoscopists' attitu...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(97)70204-9

    authors: Mahajan RJ,Marshall JB

    更新日期:1997-07-01 00:00:00

  • Bacterial adherence to hydrophilic polymer-coated polyurethane stents.

    abstract::Biliary stent blockage by adherence of bacteria and formation of biofilm is a major problem in endoscopic stenting procedures. We have investigated bacterial adherence to hydrophilic polymer (Hydromer)-coated polyurethane stents in stationary and perfusion experiments. Adherence of gram negative and gram positive orga...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(93)70220-5

    authors: Jansen B,Goodman LP,Ruiten D

    更新日期:1993-09-01 00:00:00

  • Patient-administered nitrous oxide/oxygen inhalation provides effective sedation and analgesia for colonoscopy.

    abstract::In a double-blind, randomized, placebo-controlled study of patients undergoing colonoscopy, sedation with an inhaled mixture of nitrous oxide/oxygen was compared with conventional intravenous sedation (pethidine 50 mg, midazolam 2.5 mg). In the patients studied, no significant differences were noted in number of pain ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(94)70203-9

    authors: Saunders BP,Fukumoto M,Halligan S,Masaki T,Love S,Williams CB

    更新日期:1994-07-01 00:00:00

  • Endoscopic spray cryotherapy: a new technique for mucosal ablation in the esophagus.

    abstract:BACKGROUND:A simple and safe method for controlled ablation of esophageal mucosa is not currently available. Therefore, an endoscopic cryotherapy device was developed and its efficacy and safety were assessed in a swine model. METHODS:The device consists of a cryogenic system that delivers cold nitrogen gas via a cath...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)70352-4

    authors: Johnston CM,Schoenfeld LP,Mysore JV,Dubois A

    更新日期:1999-07-01 00:00:00

  • Combined use of a magnifying endoscope with a narrow band imaging system and a multibending endoscope for en bloc EMR of early stage gastric cancer.

    abstract:BACKGROUND:En bloc EMR is performed in Japan as a curative treatment for early stage gastric cancer. However, current methods of EMR are technically difficult and require proficiency in determining the extent of the cancer. This study assessed the feasibility of a new method to obviate these problems and to facilitate ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)01285-4

    authors: Sumiyama K,Kaise M,Nakayoshi T,Kato M,Mashiko T,Uchiyama Y,Goda K,Hino S,Nakamura Y,Matsuda K,Mochizuki K,Kawamura M,Tajiri H

    更新日期:2004-07-01 00:00:00

  • Snare cautery debridement prior to Nd:YAG photoablation improves treatment efficiency of broad-based adenomas of the colorectum.

    abstract::Forty-six patients who underwent piecemeal resection of large, sessile villous adenomas followed by immediate laser photoablative therapy are presented. In contrast to previously published series utilizing laser alone, prior snare resection of such lesions provides copious tissue for histologic analysis, decreases the...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(89)72793-0

    authors: Low DE,Kozarek RA

    更新日期:1989-07-01 00:00:00