Could EUS be useful for evaluating right renal vein and inferior vena cava thrombosis due to renal cell carcinoma? Report of 3 cases.

Abstract:

BACKGROUND:More than 200,000 new cases of kidney cancer are diagnosed annually. The reported incidence of inferior vena cava (IVC) involvement in patients with renal-cell carcinoma (RCC) ranges from 4% to 10%. Standard imaging modalities are unable to distinguish the inner structure of a thrombus and whether the vessel wall is invaded. OBJECTIVE:To assess the utility of EUS for investigating IVC thrombosis because of RCC, particularly the thrombus characteristics and the involvement of the IVC, and the right and left renal veins. DESIGN, SETTING, AND PATIENTS:EUS was used to investigate 3 patients with RCC and IVC involvement. The endosonographer was blinded to the results of other imaging techniques. INTERVENTIONS:A diagnostic EUS was performed with the patient under deep sedation (propofol) in 2 patients, and the third patient was given midazolam and fentanyl intravenously. MAIN OUTCOME MEASUREMENT:EUS identified a possible neoplastic invasion of the renal veins and/or IVC, distinguishing between the neoplastic hypoechoic and non-neoplastic hyperechoic thrombus in the IVC lumen and indicated the solidity of the inner structure of the clot. RESULTS:EUS is useful in the vascular staging of RCC with suspected neoplastic involvement and thrombosis of either the renal veins, the IVC, hepatic veins, or the right atrium. EUS helped establish the consistency of the IVC thrombus and provided useful information to the surgeon for planning the use of a temporary, intraoperative caval filter. LIMITATIONS:The limitation of this study was the small number of patients. More cases are needed before stating that EUS could be useful in the staging of the neoplastic thrombi because of RCC. CONCLUSIONS:Diagnostic EUS can help in the detection and the staging of IVC thrombosis because of RCC. Further data are needed to evaluate its real impact on surgical management.

journal_name

Gastrointest Endosc

authors

Mangiavillano B,Arcidiacono PG,Pasta A,Bertini R,Boemo C,Testoni PA

doi

10.1016/j.gie.2006.12.042

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

154-6

issue

1

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(06)03556-5

journal_volume

66

pub_type

杂志文章
  • Safety experience with the duodenal-jejunal bypass liner: an endoscopic treatment for diabetes and obesity.

    abstract:BACKGROUND:The duodenal-jejunal bypass liner (DJBL) is a new, device-based endoscopic treatment for type 2 diabetes mellitus (T2DM) and obesity. OBJECTIVE:To report serious safety events of subjects treated with the DJBL while offering a simple guideline to mitigate risk. DESIGN:Single-center observational study. SE...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2015.03.1911

    authors: Betzel B,Koehestanie P,Aarts EO,Dogan K,Homan J,Janssen IM,Wahab PJ,Groenen MJ,Berends FJ

    更新日期:2015-11-01 00:00:00

  • Managing the post-liver transplantation anastomotic biliary stricture: multiple plastic versus metal stents: a systematic review.

    abstract:BACKGROUND:Anastomotic biliary strictures (ABSs) are common after liver transplantation, especially with living donors. The strategy of balloon dilation and multiple plastic stents (MPSs) is effective in treating ABSs, but requires multiple ERCPs with the associated risks, cost, and patient burden. Covered self-expanda...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2013.01.015

    authors: Kao D,Zepeda-Gomez S,Tandon P,Bain VG

    更新日期:2013-05-01 00:00:00

  • Improved model for teaching interventional EUS.

    abstract:BACKGROUND:A swine model was previously developed for teaching endoscopic ultrasound (EUS). The purpose of this study was to improve this model and develop a method for creating focal lesions for EUS imaging and intervention. METHODS:Experiments were performed in farm pigs (Sus scrofa) under general anesthesia. Under ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2000.108408

    authors: Bhutani MS,Aveyard M,Stills HF Jr

    更新日期:2000-09-01 00:00:00

  • Ongoing colorectal cancer risk despite surveillance colonoscopy: the Polyp Prevention Trial Continued Follow-up Study.

    abstract:BACKGROUND:Despite regular colonoscopy, interval colorectal cancer (CRC) may occur. Long-term studies examining CRC rates in patients with previous colonoscopy are lacking. OBJECTIVE:We examined the rate of interval CRC in the Polyp Prevention Trial Continued Follow-up Study (PPT-CFS), an observational study of PPT pa...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.gie.2009.05.010

    authors: Leung K,Pinsky P,Laiyemo AO,Lanza E,Schatzkin A,Schoen RE

    更新日期:2010-01-01 00:00:00

  • The role of colonoscopy in the diagnosis of appendicitis in patients with atypical presentations.

    abstract:BACKGROUND:Acute appendicitis is one of the most common causes of acute abdomen. Despite recent advances in radiologic imaging, the diagnosis of acute appendicitis may be difficult on occasion. The aims of this study were to describe the colonoscopic features of appendicitis and to determine whether colonoscopy can be ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(02)70036-9

    authors: Chang HS,Yang SK,Myung SJ,Jung HY,Hong WS,Kim JH,Min YI,Ha HK,Kim JC,Yu CS,Kim HC,Kim JS

    更新日期:2002-09-01 00:00:00

  • Bacteremia during esophageal variceal sclerotherapy: its cause and prevention.

    abstract::Eleven consecutive patients underwent a total of 34 esophageal variceal sclerotherapy (EVS) sessions for bleeding esophageal varices. Blood cultures were drawn pre-, intra-, and post-EVS. All pre- and post-EVS blood cultures were negative. Five of the initial nine patients studied were found to have positive blood cul...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(85)71955-4

    authors: Brayko CM,Kozarek RA,Sanowski RA,Testa AW

    更新日期:1985-02-01 00:00:00

  • Gastric endoscopic submucosal dissection assisted by a new traction method: the clip-band technique. A feasibility study in a porcine model (with video).

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) is the standard of care for treating gastric intramucosal neoplasias in Japan. However, it is seldom performed in Western countries, mainly because it is technically very challenging. Several traction methods have been proposed to facilitate submucosal dissection, but t...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.07.037

    authors: Parra-Blanco A,Nicolas D,Arnau MR,Gimeno-Garcia AZ,Rodrigo L,Quintero E

    更新日期:2011-11-01 00:00:00

  • Endoscopic gallbladder drainage for management of acute cholecystitis.

    abstract:BACKGROUND:Nonoperative gallbladder drainage methods for acute cholecystitis include percutaneous transhepatic gallbladder drainage and percutaneous transhepatic gallbladder aspiration, endoscopic nasogallbladder drainage and gallbladder stenting via a transpapillary endoscopic approach, and EUS-guided nasogallbladder ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2010.01.026

    authors: Itoi T,Coelho-Prabhu N,Baron TH

    更新日期:2010-05-01 00:00:00

  • Adequacy of flexible sigmoidoscopy with biopsy for diarrhea in patients under age 50 without features of proximal disease.

    abstract:BACKGROUND:The optimal endoscopic investigation of diarrhea in patients under age 50 without specific features of right-sided colonic/ileal disease is inadequately defined. OBJECTIVE:To assess the potential additional yield of colonoscopy over flexible sigmoidoscopy (FS) in this group. DESIGN:Retrospective cohort stu...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2010.11.037

    authors: Shale MJ,Walters JR,Westaby D

    更新日期:2011-04-01 00:00:00

  • A prospective, randomized trial of endoscopic band ligation vs. epinephrine injection for actively bleeding Mallory-Weiss syndrome.

    abstract:BACKGROUND:Effective hemostatic treatment is mandatory for patients with actively bleeding Mallory-Weiss syndrome. This study evaluated the respective efficacy and the safety of endoscopic band ligation and endoscopic epinephrine injection in Mallory-Weiss syndrome. METHODS:Thirty-four consecutive patients with active...

    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(04)01284-2

    authors: Park CH,Min SW,Sohn YH,Lee WS,Joo YE,Kim HS,Choi SK,Rew JS,Kim SJ

    更新日期:2004-07-01 00:00:00

  • EUS characteristics of celiac ganglia with cytologic and histologic confirmation.

    abstract:BACKGROUND:Celiac ganglia have not been previously identified by EUS. OBJECTIVE:To assess whether celiac ganglia can be detected by EUS and to define their characteristics. DESIGN:Retrospective review followed by prospective study. METHODS:Retrospective characterization was performed of all celiac ganglia that were ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2006.01.071

    authors: Gerke H,Silva RG Jr,Shamoun D,Johnson CJ,Jensen CS

    更新日期:2006-07-01 00:00:00

  • Palliation of patients with dysphagia due to advanced esophageal cancer by endoscopic injection of cisplatin/epinephrine injectable gel.

    abstract:BACKGROUND:The aim of therapy for advanced esophageal cancer is relief of dysphagia with minimal treatment-related morbidity. This study assessed the efficacy of endoscopic intratumoral injection of cisplatin/epinephrine gel to relieve obstruction and improve swallowing. The gel is designed to minimize diffusion of act...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1067/mge.2002.129212

    authors: Harbord M,Dawes RF,Barr H,Giovannini M,Viens P,Eysselein V,Mishra L,Orenberg EK,Bown SG

    更新日期:2002-11-01 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

  • Comparative costs of metal versus plastic biliary stent strategies for malignant obstructive jaundice by decision analysis.

    abstract:BACKGROUND:For palliation of patients with malignant obstructive jaundice, expansile metal stents provide longer patency than plastic stents but are more expensive. The optimal cost-effective strategy has not been established. Our aim was to compare the relative costs of 3 strategies: (1) plastic stent, with exchange o...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)70044-1

    authors: Yeoh KG,Zimmerman MJ,Cunningham JT,Cotton PB

    更新日期:1999-04-01 00:00:00

  • Endoscopic retrieval of magnetic foreign body ingestions with a nasal bridle: description of a novel technique (with video).

    abstract:BACKGROUND AND AIMS:Accidental and intentional foreign body ingestions are common and frequently require endoscopic intervention. Sharp metallic objects pose a risk of perforation to the entire GI tract and are often difficult to visualize among food and other matter in the stomach. METHODS:Three patients with histori...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2019.10.023

    authors: Flynn DJ,Howell D,Rolshud D

    更新日期:2020-02-01 00:00:00

  • Endoscopic submucosal dissection by using a grasping-type scissors forceps: a preliminary clinical study (with video).

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) with a knife is a technically demanding procedure associated with a high complication rate. The shortcoming of this method is the difficulty of fixing the knife to the target lesion. It can lead to an unexpected incision and result in major complications, such as perfor...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.gie.2007.12.007

    authors: Akahoshi K,Honda K,Akahane H,Akiba H,Matsui N,Motomura Y,Kubokawa M,Endo S,Higuchi N,Oya M

    更新日期:2008-06-01 00:00:00

  • Nitrous oxide for colonoscopy: a randomized controlled study.

    abstract:BACKGROUND:Intravenous sedation/analgesia for colonoscopy is accompanied with certain risks and postprocedure drowsiness. We sought to determine whether inhaled nitrous oxide (Entonox: 50% nitrous oxide, 50% oxygen) provides adequate analgesia for colonoscopy and the impact of this agent on recovery. METHODS:All patie...

    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(00)70354-3

    authors: Forbes GM,Collins BJ

    更新日期:2000-03-01 00:00:00

  • Pancreatic tissue sampling guided by EUS, CT/US, and surgery: a comparison of sensitivity and specificity.

    abstract:BACKGROUND:Needle aspiration of the pancreas is performed to differentiate pancreatic malignancy, focal chronic pancreatitis, and metastasis to the pancreas. Biopsies may be directed by using EUS, CT, US, or surgery. This study retrospectively compared the accuracy of EUS-guided, CT/US-guided, and surgical tissue sampl...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(02)70181-8

    authors: Mallery JS,Centeno BA,Hahn PF,Chang Y,Warshaw AL,Brugge WR

    更新日期:2002-08-01 00:00:00

  • The role of polymeric surface smoothness of biliary stents in bacterial adherence, biofilm deposition, and stent occlusion.

    abstract::Bacterial adherence and biofilm deposition onto the surface of polymers used for biliary stents are the initial events that ultimately lead to stent occlusion. Vivathane is a new polymer with an ultrasmooth surface. In this study, stents made from Vivathane were compared to standard plastic stents in an in vitro model...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(93)70120-0

    authors: McAllister EW,Carey LC,Brady PG,Heller R,Kovacs SG

    更新日期:1993-05-01 00:00:00

  • Extent of Barrett's metaplasia: a prospective study of the serial change in area of Barrett's measured by quantitative endoscopic imaging.

    abstract:BACKGROUND:An accurate determination of the extent of Barrett's metaplasia is critical to the study of its natural history and response to therapy. Our hypothesis is that area calculations offer advantages over length estimates of Barrett's. METHODS:Changes in both measures and estimates of progression or regression b...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(97)70173-1

    authors: Kim R,Rose S,Shar AO,Weiner M,Reynolds JC

    更新日期:1997-06-01 00:00:00

  • An update on the management of implanted cardiac devices during electrosurgical procedures.

    abstract::To date, the major guidelines for the management of implanted cardiac devices during electrosurgical procedures have come from 1 of several major medical societies.These most recent guidelines are from the ACCF/AHA in 2009, a combined consensus statement from the Heart Rhythm Society and the American Society of Anesth...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2013.08.013

    authors: Parekh PJ,Buerlein RC,Shams R,Herre J,Johnson DA

    更新日期:2013-12-01 00:00:00

  • Lymph sampling and lymphangiography via EUS-guided transesophageal thoracic duct puncture in a swine model.

    abstract:BACKGROUND:The thoracic duct plays an important role in fluid balance, lipid absorption, and transport of immunologically active cells. The thoracic duct is difficult to access but is readily identified by EUS. The present study assessed the feasibility of EUS identification and EUS-guided puncture of the thoracic duct...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(03)02880-3

    authors: Parasher VK,Hernandez LV,Leveen RF,Mladinich CR,Nonabur V,Bhutani MS

    更新日期:2004-04-01 00:00:00

  • Endoscopic submucosal dissection for early gastric cancer in the remnant stomach after gastrectomy.

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) after surgical gastrectomy is a technically difficult procedure because of the limited working space in the remnant stomach as well as the presence of severe gastric fibrosis and staples under the suture line. OBJECTIVE:We evaluated clini...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2013.02.006

    authors: Nonaka S,Oda I,Makazu M,Haruyama S,Abe S,Suzuki H,Yoshinaga S,Nakajima T,Kushima R,Saito Y

    更新日期:2013-07-01 00:00:00

  • A prospective multicenter study using a new multiband mucosectomy device for endoscopic resection of early neoplasia in Barrett's esophagus.

    abstract:BACKGROUND AND AIMS:Early neoplasia in Barrett's esophagus (BE) can be effectively and safely removed by endoscopic resection (ER) using multiband mucosectomy (MBM). This study aimed to document performance of a novel MBM device designed for improved visualization, easier passage of accessories, and better suction powe...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2018.06.030

    authors: Pouw RE,Beyna T,Belghazi K,Koch AD,Schoon EJ,Haidry R,Weusten BL,Bisschops R,Shaheen NJ,Wallace MB,Marcon N,Heise-Ginsburg R,Gotink AW,Wang KK,Leggett CL,Ortiz-Fernández-Sordo J,Ragunath K,DiPietro M,Pech O,Neuhaus

    更新日期:2018-10-01 00:00:00

  • Recanalization of tube overgrowth: a useful new indication for laser in palliation of malignant dysphagia.

    abstract::Overgrowth of an esophageal prosthesis by cancer is a late complication of insertion which presents a difficult management problem. We have treated 14 such patients; 9 had Celestin tubes and 5 Atkinson tubes in situ for a median of 7 months. The median patient age was 75 years; 3 had squamous cell carcinomas and 11 ad...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(92)70383-6

    authors: Sargeant IR,Loizou LA,Tulloch M,Thorpe S,Brown SG

    更新日期:1992-03-01 00:00:00

  • Implementation of a systematic culturing program to monitor the efficacy of endoscope reprocessing: outcomes and costs.

    abstract:BACKGROUND AND AIMS:In 2015, the U.S. Food and Drug Administration and Centers for Disease Control and Prevention (CDC) issued guidance for duodenoscope culturing and reprocessing in response to outbreaks of carbapenem-resistant Enterobacteriaceae (CRE) duodenoscope-related infections. Based on this guidance, we implem...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2017.05.001

    authors: Ma GK,Pegues DA,Kochman ML,Alby K,Fishman NO,Saunders M,Grous C,Dempsey DT,Ginsberg GG

    更新日期:2018-01-01 00:00:00

  • Preoperative predictors of choledocholithiasis in patients presenting with acute calculous cholecystitis.

    abstract:BACKGROUND AND AIMS:Markedly increased liver chemistries in patients presenting with acute calculous cholecystitis (AC) often prompt an evaluation for concomitant choledocholithiasis (CDL). However, current guidelines directing the workup for CDL fail to address this unique population. The aims of this study are to def...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2018.11.017

    authors: Chisholm PR,Patel AH,Law RJ,Schulman AR,Bedi AO,Kwon RS,Wamsteker EJ,Anderson MA,Elta GH,Govani SM,Prabhu A

    更新日期:2019-05-01 00:00:00

  • Side-by-side comparison of next-generation sequencing, cytology, and histology in diagnosing locally advanced pancreatic adenocarcinoma.

    abstract:BACKGROUND AND AIMS:EUS-guided biopsy sampling is the method of choice for obtaining pancreatic tissue. Next-generation sequencing (NGS) has been applied to EUS-guided biopsy sampling and may classify patients based on specific molecular profiles. Our study aimed to compare side-by-side the diagnostic yield achievable ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.06.069

    authors: Carrara S,Soldà G,Di Leo M,Rahal D,Peano C,Giunta M,Lamonaca L,Auriemma F,Anderloni A,Fugazza A,Maselli R,Malesci A,Laghi L,Repici A

    更新日期:2020-07-05 00:00:00

  • Propofol for endoscopic sedation: A protocol for safe and effective administration by the gastroenterologist.

    abstract:BACKGROUND:There is increasing interest in the use of propofol, an ultrashort-acting hypnotic agent, for sedation during endoscopic examinations. A protocol was developed for administration of propofol, combined with small doses of midazolam and meperidine, for endoscopic sedation under the direction of a gastroenterol...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(03)02010-8

    authors: Cohen LB,Dubovsky AN,Aisenberg J,Miller KM

    更新日期:2003-11-01 00:00:00

  • EUS elastography to predict pancreatic exocrine insufficiency in patients with chronic pancreatitis.

    abstract:BACKGROUND:Diagnosis of pancreatic exocrine insufficiency (PEI) is hindered by methodological difficulties of pancreatic function tests. The probability of PEI in chronic pancreatitis (CP) increases as pancreatic fibrosis develops. Pancreatic fibrosis in CP may be quantified by EUS elastography. OBJECTIVE:To evaluate ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2014.06.040

    authors: Dominguez-Muñoz JE,Iglesias-Garcia J,Castiñeira Alvariño M,Luaces Regueira M,Lariño-Noia J

    更新日期:2015-01-01 00:00:00