Overtube-balloon-assisted direct peroral cholangioscopy by using an ultra-slim upper endoscope (with videos).

Abstract:

BACKGROUND:The "mother-baby" endoscope system currently used for peroral cholangioscopy (POC) has several limitations. Endoscopic direct cholangioscopy when using an ultra-slim upper endoscope with a guidewire to maintain access has been reported, but appropriate accessories are required to increase the success rate. Herein, we describe a novel method, overtube-balloon-assisted endoscopy, for direct POC. OBJECTIVE:To evaluate the feasibility and usefulness of direct POC when using an ultra-slim upper endoscope with an overtube balloon to maintain access. SETTING:A single center. DESIGN:Case series. PATIENTS:Twelve patients with biliary disease. INTERVENTIONS:Direct POC by using an ultra-slim upper endoscope and diagnostic and/or therapeutic procedures. MAIN OUTCOME MEASUREMENTS:Success rate of this technique, diagnostic or therapeutic feasibility, and complications. RESULTS:Overtube-balloon-assisted direct POC was performed successfully in 10 of 12 patients (83.3%). The procedure revealed 4 common bile duct (CBD) stones, 4 benign biliary strictures, 1 polypoid tumor, and 1 cholangiocarcinoma. Five patients underwent forceps biopsy under direct visualization of the intraductal lesion. Laser lithotripsy was successfully performed in 1 patient. No procedure-related complication occurred. LIMITATIONS:A small number of patients and no comparison with conventional cholangioscopy. CONCLUSIONS:The overtube balloon appears to be a useful accessory in direct POC when using an ultra-slim upper endoscope. However, further development of a slim overtube or other accessories is necessary to improve the success rate of direct POC.

journal_name

Gastrointest Endosc

authors

Choi HJ,Moon JH,Ko BM,Hong SJ,Koo HC,Cheon YK,Cho YD,Lee JS,Lee MS,Shim CS

doi

10.1016/j.gie.2008.08.043

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

935-40

issue

4

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(08)02501-7

journal_volume

69

pub_type

杂志文章
  • Unilateral placement of metallic stents for malignant hilar obstruction: a prospective study.

    abstract:BACKGROUND:Palliation of patients with malignant hilar stenoses, especially advanced lesions, by stent insertion poses particular difficulties. This study assessed the efficacy of endoscopically inserted unilateral metallic stents for complex malignant hilar obstruction. METHODS:A prospective, uncontrolled, single-cen...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1067/mge.2003.310

    authors: De Palma GD,Pezzullo A,Rega M,Persico M,Patrone F,Mastantuono L,Persico G

    更新日期:2003-07-01 00:00:00

  • Age, anemia, and obesity-associated oxygen desaturation during upper gastrointestinal endoscopy.

    abstract::Although upper gastrointestinal endoscopy is generally a safe procedure, it is known to be associated with arterial oxygen desaturation. We studied 82 patients undergoing diagnostic upper gastrointestinal endoscopy following a standard premedication consisting of xylocaine throat spray and intravenous midazolam. The m...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(92)70564-1

    authors: Dhariwal A,Plevris JN,Lo NT,Finlayson ND,Heading RC,Hayes PC

    更新日期:1992-11-01 00:00:00

  • Histologic results of EMR for esophageal lesions diagnosed as high-grade intraepithelial squamous neoplasia by endoscopic biopsy.

    abstract:BACKGROUND:Biopsy specimens obtained from esophageal lesions detected in endoscopic screening with iodine staining have often been diagnosed as high-grade intraepithelial squamous neoplasia (WHO 2000). However, a management strategy for such lesions has not been established. The purpose of this study was to perform EMR...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2005.09.027

    authors: Shimizu Y,Kato M,Yamamoto J,Ono Y,Katsurada T,Ono S,Mori Y,Nakagawa M,Nakagawa S,Itoh T,Asaka M

    更新日期:2006-01-01 00:00:00

  • A prospective evaluation of catheter probe EUS for the detection of ascites in patients with gastric carcinoma.

    abstract:BACKGROUND:Gastric carcinoma is known for its propensity to spread to the peritoneum. This study assessed the value of EUS in the detection of ascites not visible on CT in patients with gastric carcinoma. METHODS:A total of 402 consecutive patients with histopathologically confirmed gastric adenocarcinoma underwent ca...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(03)02873-6

    authors: Chu KM,Kwok KF,Law S,Wong KH

    更新日期:2004-04-01 00:00:00

  • Multiloop as a novel traction method in accelerating colorectal endoscopic submucosal dissection.

    abstract:BACKGROUND AND AIMS:Traction methods have been reported to speed up endoscopic submucosal dissection (ESD). We used the multiloop (M-loop) method as a traction method for colorectal ESD and recorded the submucosal dissection time (SDT) and submucosal dissection speed (SDS). METHODS:From January to August 2018, we used...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2019.08.042

    authors: Suzuki Y,Tanuma T,Nojima M,Sudo G,Akahonai M,Hamamoto H,Aoki H,Harada T,Katanuma A,Nakase H

    更新日期:2020-01-01 00:00:00

  • Use of a phased vector array US catheter for EUS.

    abstract:BACKGROUND:Existing EUS catheter probes have limited depth of penetration and lack color flow and Doppler capabilities. This study prospectively assessed the feasibility and safety of using a phased vector array US catheter in the human GI tract. METHODS:Eleven patients underwent EUS with a steerable 9F phased vector ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(02)70056-4

    authors: Shamoun DK,Norton ID,Levy MJ,Vazquez-Sequeiros E,Wiersema MJ

    更新日期:2002-09-01 00:00:00

  • Clinical outcome of endoscopic aspiration mucosectomy for early stage gastric cancer.

    abstract:BACKGROUND:Endoscopic mucosal resection is an established treatment option for early stage gastric cancer. However, several problems with endoscopic mucosal resection remain to be solved, such as appropriate treatment for recurrence and incomplete tumor resection. The outcome for patients undergoing endoscopic aspirati...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.129085

    authors: Tanabe S,Koizumi W,Mitomi H,Nakai H,Murakami S,Nagaba S,Kida M,Oida M,Saigenji K

    更新日期:2002-11-01 00:00:00

  • Gastrointestinal Endoscopy Competency Assessment Tool: development of a procedure-specific assessment tool for colonoscopy.

    abstract:BACKGROUND:Ensuring competence remains a seminal objective of endoscopy training programs, professional organizations, and accreditation bodies; however, no widely accepted measure of endoscopic competence currently exists. OBJECTIVE:By using Delphi methodology, we aimed to develop and establish the content validity o...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2013.10.035

    authors: Walsh CM,Ling SC,Khanna N,Cooper MA,Grover SC,May G,Walters TD,Rabeneck L,Reznick R,Carnahan H

    更新日期:2014-05-01 00:00:00

  • EUS-derived criteria for distinguishing benign from malignant metastatic solid hepatic masses.

    abstract:BACKGROUND:Detection of hepatic metastases during EUS is an important component of tumor staging. OBJECTIVE:To describe our experience with EUS-guided FNA (EUS-FNA) of solid hepatic masses and derive and validate criteria to help distinguish between benign and malignant hepatic masses. DESIGN:Retrospective study, sur...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2014.10.035

    authors: Fujii-Lau LL,Abu Dayyeh BK,Bruno MJ,Chang KJ,DeWitt JM,Fockens P,Forcione D,Napoleon B,Palazzo L,Topazian MD,Wiersema MJ,Chak A,Clain JE,Faigel DO,Gleeson FC,Hawes R,Iyer PG,Rajan E,Stevens T,Wallace MB,Wang KK,

    更新日期:2015-05-01 00:00:00

  • Holmium laser lithotripsy under direct peroral cholangioscopy by using an ultra-slim upper endoscope for patients with retained bile duct stones (with video).

    abstract:BACKGROUND:Direct peroral cholangioscopy (POC) by using an ultra-slim endoscope provides direct visualization of the bile duct and allows for therapeutic intervention. Holmium laser lithotripsy can be effective for retained bile duct stones, but it requires direct visualization during the procedure for safe and effecti...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.07.027

    authors: Kim HI,Moon JH,Choi HJ,Lee JC,Ahn HS,Song AR,Lee TH,Cho YD,Park SH,Kim SJ

    更新日期:2011-11-01 00:00:00

  • Predictors of unsuccessful mechanical lithotripsy and endoscopic clearance of large bile duct stones.

    abstract:BACKGROUND:Mechanical lithotripsy is used to break large bile duct stones. This study investigated the predictors of unsuccessful mechanical lithotripsy. METHODS:Consecutive patients with bile duct stones underwent endoscopic retrograde cholangiography, sphincterotomy, and basket removal of stones. Mechanical lithotri...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)00295-0

    authors: Garg PK,Tandon RK,Ahuja V,Makharia GK,Batra Y

    更新日期:2004-05-01 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

  • Design and instrumentation of new devices for performing appendectomy at colonoscopy (with video).

    abstract:BACKGROUND:There is increasing interest in natural orifice surgery (NOS). Because the lumen of the appendix is connected to the cecum, a minimally invasive method for removing the appendix by colonoscopy may be feasible. OBJECTIVES:Our purpose was to design, develop, and test new devices for inverting and removing the...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.02.024

    authors: Silberhumer GR,Birsan T,Noda W,Unger E,Mayr W,Lang S,Prager G,Gasche C

    更新日期:2008-07-01 00:00:00

  • Width and depth of resection for small colorectal polyps: hot versus cold snare polypectomy.

    abstract:BACKGROUND AND AIMS:Curability is associated with resection width and depth in polypectomy. We evaluated the resection width and depth achieved with hot snare polypectomy (HSP) and cold snare polypectomy (CSP) for small colorectal polyps. METHODS:In this single-center, prospective, randomized controlled study, patient...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2017.10.041

    authors: Suzuki S,Gotoda T,Kusano C,Ikehara H,Sugita A,Yamauchi M,Moriyama M

    更新日期:2018-04-01 00:00:00

  • Impact of reducing duodenobiliary reflux on biliary stent patency: an in vitro evaluation and a prospective randomized clinical trial that used a biliary stent with an antireflux valve.

    abstract:BACKGROUND:The mechanisms leading to occlusion of plastic biliary stents (PBS) are not known. OBJECTIVE:To evaluate the impact of reducing duodenobiliary reflux on stent patency rate. DESIGN:A newly designed antireflux PBS (AR-PBS) was tested in vitro by using ox bile. A prospective randomized trial in human beings w...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2006.09.011

    authors: Dua KS,Reddy ND,Rao VG,Banerjee R,Medda B,Lang I

    更新日期:2007-05-01 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

  • Biliary changes in extrahepatic portal venous obstruction: compression by collaterals or ischemic?

    abstract:BACKGROUND:The postulated mechanisms of biliary abnormalities in extrahepatic portal venous obstruction (EHPVO) are either extrinsic compression by collaterals or ischemic injury due to venous thrombosis. If the former hypothesis is correct, then biliary changes should revert to normal after portasystemic shunt surgery...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)80013-3

    authors: Dhiman RK,Puri P,Chawla Y,Minz M,Bapuraj JR,Gupta S,Nagi B,Suri S

    更新日期:1999-11-01 00:00:00

  • Endoscopic cryotherapy for the treatment of bleeding mucosal vascular lesions of the GI tract: a pilot study.

    abstract:BACKGROUND:Thermal therapy is the cornerstone of endoscopic treatment of bleeding mucosal lesions of the GI tract. However, there is a 20% failure rate and contact devices may be cumbersome in the treatment of large bleeding areas. A pilot study was conducted to evaluate the safety and efficacy of endoscopic cryotherap...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2003.115

    authors: Kantsevoy SV,Cruz-Correa MR,Vaughn CA,Jagannath SB,Pasricha PJ,Kalloo AN

    更新日期:2003-03-01 00:00:00

  • Can rebamipide and proton pump inhibitor combination therapy promote the healing of endoscopic submucosal dissection-induced ulcers? A randomized, prospective, multicenter study.

    abstract:BACKGROUND:There has been no consensus regarding the optimal treatment durations and drug regimens in patients with endoscopic submucosal dissection (ESD)-induced ulcers. OBJECTIVE:To assess the efficacy of proton pump inhibitor (PPI) and rebamipide combination therapy compared with PPI monotherapy for ESD-induced ulc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.gie.2011.11.004

    authors: Shin WG,Kim SJ,Choi MH,Kim KO,Jang HJ,Park CH,Baek IH,Kim KH,Baik GH,Kae SH,Kim JH,Kim HY

    更新日期:2012-04-01 00:00:00

  • The rate of false-positive results with EUS-guided fine-needle aspiration.

    abstract:BACKGROUND:The aims of this study were to determine the rate of false-positive diagnosis with EUS-guided fine-needle aspiration and to identify factors contributing to this type of error. METHODS:The records of 577 patients undergoing EUS-guided fine-needle aspiration were reviewed and a subset of 188 patients with ma...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.129610

    authors: Schwartz DA,Unni KK,Levy MJ,Clain JE,Wiersema MJ

    更新日期:2002-12-01 00:00:00

  • Choledocholithiasis: a prospective study of spontaneous common bile duct stone migration.

    abstract:BACKGROUND:The rate of spontaneous migration of bile duct stones through the duodenal papilla is not well known. Endoscopic retrograde cholangiography (ERC) has been the standard method to diagnose bile duct stones, but accumulating data show there is a good agreement between ERC and endoscopic ultrasonography (EUS). T...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(00)70414-7

    authors: Frossard JL,Hadengue A,Amouyal G,Choury A,Marty O,Giostra E,Sivignon F,Sosa L,Amouyal P

    更新日期:2000-02-01 00:00:00

  • Bacteria-free rinse water for endoscope disinfection.

    abstract:BACKGROUND:Most breaches of endoscope disinfection result from inadequate manual cleaning or improper use of disinfectants. This is a description of how a quality assurance program identified rinse water as a source of bacterial contamination and how it facilitated the introduction of a novel means of delivering rinse ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(02)70046-1

    authors: Pang J,Perry P,Ross A,Forbes GM

    更新日期:2002-09-01 00:00:00

  • Systemic absorption of epinephrine after endoscopic submucosal injection in patients with bleeding peptic ulcers.

    abstract::Epinephrine injection is an effective, simple, and economical method of endoscopic hemostasis for bleeding peptic ulcers. We measured catecholamine levels in 18 patients with actively bleeding ulcers (8 gastric ulcers and 10 duodenal ulcers) treated by endoscopic injection. Injection of epinephrine (1:10,000 IU) was g...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(93)70004-8

    authors: Sung JY,Chung SC,Low JM,Cocks R,Ip SM,Tan P,Leung JW,Li AK,Oh TE

    更新日期:1993-01-01 00:00:00

  • Involvement of trainees in routine unsedated colonoscopy: review of a pilot experience.

    abstract:BACKGROUND:Unsedated colonoscopy is not required by the Accreditation Council of Graduate Medical Education in the curriculum of GI trainees. OBJECTIVE:We describe our pilot experience with trainee participation in unsedated colonoscopy. DESIGN:A retrospective review of a performance improvement program to provide ac...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2007.11.040

    authors: Leung FW,Aharonian HS,Guth PH,Chu SK,Nguyen BD,Simpson P

    更新日期:2008-04-01 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

  • Transluminal endosurgery: single lumen access anastomotic device for flexible endoscopy.

    abstract:BACKGROUND:Forming anastomoses between two hollow organs at flexible endoscopy might reduce the need for surgery for obstructing malignancy. Current methods require access to both lumens. The aim of this work was to develop methods of forming an anastomosis at flexible endoscopy, such as a gastrojejunostomy or cholecys...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/s0016-5107(03)02006-6

    authors: Fritscher-Ravens A,Mosse CA,Mukherjee D,Mills T,Park PO,Swain CP

    更新日期:2003-10-01 00:00:00

  • A blinded comparison of the safety and efficacy of hot biopsy forceps electrocauterization and conventional snare polypectomy for diminutive colonic polypectomy in a porcine model.

    abstract:BACKGROUND:Although linked with perforation, serositis, delayed bleeding, and incomplete resection, hot biopsy forceps electrocauterization (HBF) is still widely used for diminutive colonic polypectomy. OBJECTIVE:To evaluate the safety and efficacy of HBF in comparison with conventional snare polypectomy (CSP). DESIG...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2012.09.014

    authors: Metz AJ,Moss A,McLeod D,Tran K,Godfrey C,Chandra A,Bourke MJ

    更新日期:2013-03-01 00:00:00

  • Prevalence of adenomas and advanced adenomas in patients in the 40- to 49-year age group undergoing screening colonoscopy because of a family history of adenoma/polyp in a first-degree relative.

    abstract:BACKGROUND:Per current guidelines, patients with a first-degree relative (FDR) with adenomas should get screened at age 40. Data on the prevalence of adenomas and advanced adenomas (AAs) in these patients are lacking. OBJECTIVE:To examine the prevalence of adenomas and AAs in 40- to 49-year-old individuals undergoing ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2012.01.046

    authors: Gupta A,Samadder J,Elliott E,Sethi S,Schoenfeld P

    更新日期:2012-04-01 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 management of dumping syndrome after Roux-en-Y gastric bypass: a large international series and proposed management strategy.

    abstract:BACKGROUND AND AIMS:Roux-en-Y gastric bypass (RYGB) is refractory to lifestyle and pharmacotherapy measures, requiring reversal of the patient's bariatric surgery. Reversal can lead to weight regain and recrudescence of their comorbidities. Our aim was to report a multicenter experience on the endoscopic management of ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.02.029

    authors: Vargas EJ,Abu Dayyeh BK,Storm AC,Bazerbachi F,Matar R,Vella A,Kellogg T,Stier C

    更新日期:2020-07-01 00:00:00