当前位置： SCI文献检索 > GASTROINTESTINAL ENDOSCOPY期刊下所有文献 > A biodegradable non-covered self-expandable stent to treat pancreatic duct strictures in chronic pancreatitis: a proof of principle.

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 CP were eligible for this proof-of-principle study if at least 6 months of endoscopic dilatation with plastic stents had failed to resolve their PD stricture. The non-covered BD-SESs were expected to degrade within 3 to 6 months. Patients were followed at 3-monthly intervals for 1 year. Placement success and safety were the primary outcome parameters. Stricture resolution was assessed by ERCP after 6 months. RESULTS:BD-SESs were successfully placed in all 19 patients without adverse events. In 2 cases, stent occlusion with sludge and stones was treated by a balloon swipe. One stent disintegrated during this procedure, after which placement of the plastic stent was resumed. A hyperplastic response was observed in 2 patients but did not result in functional obstruction. Stricture resolution was accomplished in 11 patients (technical success rate 58%). Six patients required further treatment of their PD stricture, 4 endoscopically and 2 surgically. Three additional patients underwent surgery for other reasons: 2 Whipple procedures for CP-related adverse events and one tail resection for an intraductal papillary mucinous neoplasm. The remaining 10 patients did not require further PD drainage (clinical success rate 52%). CONCLUSIONS:These preliminary results show that BD-SESs are safe to use and able to resolve fibrotic PD strictures in CP. These encouraging outcomes warrant further testing.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

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

doi

10.1016/j.gie.2017.08.018

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

486-491

issue

2

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(17)32200-9

journal_volume

87

pub_type

杂志文章

相关文献

GASTROINTESTINAL ENDOSCOPY文献大全
  • Predictors of outcome in pancreatic duct disruption managed by endoscopic transpapillary stent placement.

    abstract：BACKGROUND:The aim of this study was to identify predictors of outcome for pancreatic duct (PD) disruption managed by endoscopic transpapillary stent insertion. METHODS:An endoscopy database was used to identify patients with PD disruption, defined as extravasation of contrast from the PD during ERCP. Data collected i...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(04)02832-9

    authors： Varadarajulu S,Noone TC,Tutuian R,Hawes RH,Cotton PB

    更新日期：2005-04-01 00:00:00

  • The PEG-Pedi-PEG technique: a novel method for percutaneous endoscopic gastrojejunostomy tube placement (with video).

    abstract：BACKGROUND AND AIMS:When PEG tube feeding is complicated by anatomic obstruction, dysmotility, or aspiration, a need arises for feeding beyond the pylorus. The currently available percutaneous gastrojejunostomy (PEG-J) kits have issues with the jejunal extension portion migrating back into the stomach. The aim of this ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2016.06.014

    authors： Samarasena JB,Kwak NH,Chang KJ,Lee JG

    更新日期：2016-12-01 00:00:00

  • Diagnosis of colorectal tumorous lesions by magnifying endoscopy.

    abstract：BACKGROUND:The magnifying colonoscope allows 100-fold magnified viewing of the colonic surface. METHODS:We examined 2050 colorectal tumorous lesions by magnifying endoscopy, stereomicroscopy, and histopathology and classified these lesions according to pit pattern. Based on stereomicroscopy, lesions with a type 1 or 2...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(96)70222-5

    authors： Kudo S,Tamura S,Nakajima T,Yamano H,Kusaka H,Watanabe H

    更新日期：1996-07-01 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

  • 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

  • Is esophagoscopy alone sufficient for patients with reflux symptoms?

    abstract：BACKGROUND:Unsedated esophagoscopy with ultrathin endoscopes is a valuable screening modality for Barrett's esophagus, but the stomach and the duodenum cannot be examined completely with the smallest and best tolerated of these endoscopes. There are no data as to how often disease in the stomach and the duodenum would ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(03)02714-7

    authors： Wildi SM,Glenn TF,Woolson RF,Wang W,Hawes RH,Wallace MB

    更新日期：2004-03-01 00:00:00

  • Early endoscopy in upper gastrointestinal hemorrhage: associations with recurrent bleeding, surgery, and length of hospital stay.

    abstract：BACKGROUND:The impact of upper endoscopy in patients with upper gastrointestinal hemorrhage treated in community practice is unknown. Thus we examined the effectiveness of endoscopy performed within 24 hours of admission (early endoscopy). METHODS:Medical records of 909 consecutive hospitalized patients with upper gas...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0016-5107(99)70478-5

    authors： Cooper GS,Chak A,Way LE,Hammar PJ,Harper DL,Rosenthal GE

    更新日期：1999-02-01 00:00:00

  • Effect of Helicobacter pylori eradication and high-density lipoprotein on the risk of de novo gastric cancer development.

    abstract：BACKGROUND AND AIMS:The effect of Helicobacter pylori eradication on de novo gastric cancer is controversial, although meta-analyses suggest a reduction in gastric cancer after eradication. The effect of high-density lipoprotein (HDL) on gastric cancer has been rarely reported. METHODS:In this large retrospective coho...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2019.04.232

    authors： Nam SY,Park BJ,Nam JH,Kook MC

    更新日期：2019-09-01 00:00:00

  • Patient experience and preferences toward colon cancer screening: a comparison of virtual colonoscopy and conventional colonoscopy.

    abstract：BACKGROUND:Virtual colonoscopy has excellent sensitivity for the detection of cancer and polyps greater than 1 cm in diameter. For virtual colonoscopy to succeed as a screening test for colorectal neoplasia, it must be well tolerated and accepted by patients. Patients' experiences with virtual colonoscopy and conventio...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2001.117595

    authors： Akerkar GA,Yee J,Hung R,McQuaid K

    更新日期：2001-09-01 00:00:00

  • Endoscopic treatment of upper GI hemorrhage with a novel irrigating hood attached to the endoscope.

    abstract：BACKGROUND:Despite advances in endoscopic treatment methods for upper GI hemorrhage, hemostasis is often difficult to achieve, particularly when the endoscopic view at the site of hemorrhage is poor because of the presence of mucus and blood. The investigators developed an end hood that facilitates endoscopic hemostati...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2003.206

    authors： Kume K,Yoshikawa I,Otsuki M

    更新日期：2003-05-01 00:00:00

  • The ASGE guidelines for the appropriate use of colonoscopy in an open access system.

    abstract：BACKGROUND:Appropriateness of indications is essential to the rational utilization of resources. The aim of this study was to evaluate the appropriate use of colonoscopy in an open access system and to assess whether the American Society for Gastrointestinal Endoscopy (ASGE) guidelines are useful in clinical practice. ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1067/mge.2000.106683

    authors： Minoli G,Meucci G,Bortoli A,Garripoli A,Gullotta R,Leo P,Pera A,Prada A,Rocca F,Zambelli A

    更新日期：2000-07-01 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

  • Phase I evaluation of TNFerade biologic plus chemoradiotherapy before esophagectomy for locally advanced resectable esophageal cancer.

    abstract：BACKGROUND:Neoadjuvant chemoradiotherapy followed by surgery is the primary treatment option for patients with locally advanced esophageal cancer. This multicenter phase I trial examined intratumoral injection of TNFerade biologic, an adenoviral vector that expresses the human tumor necrosis factor-α gene, with chemora...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.gie.2012.01.042

    authors： Chang KJ,Reid T,Senzer N,Swisher S,Pinto H,Hanna N,Chak A,Soetikno R

    更新日期：2012-06-01 00:00:00

  • Double balloon endoscopy for pancreatic and biliary access in altered anatomy (with videos).

    abstract：BACKGROUND:Access to the papilla of Vater or enteral anastomoses to the biliary tract or pancreatic duct is difficult in patients with altered anatomy. The usual approach to the papilla of Vater with a side-viewing duodenoscope, designed for passage through the stomach, pyloric channel, and proximal duodenum, is not su...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2007.06.017

    authors： Haber GB

    更新日期：2007-09-01 00:00:00

  • Prospective comparison of contact with noncontact Nd:Yag laser therapy for palliation of esophageal carcinoma.

    abstract：:Twenty patients with dysphagia due to inoperable esophageal cancer were randomized to receive either contact or noncontact endoscopic laser treatment. Treatment groups were similar with respect to age, dysphagia score, and tumor dimensions. The median number of initial treatment sessions was two in both groups, and th...

    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(89)72842-x

    authors： Radford CM,Ahlquist DA,Gostout CJ,Viggiano TR,Balm RK,Zinsmeister AR

    更新日期：1989-09-01 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

  • 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 FNA for diagnosis of solid pancreatic neoplasms: a meta-analysis.

    abstract：BACKGROUND:Preoperative diagnosis of solid pancreatic lesions remains challenging despite advancement in imaging technologies. EUS has the benefit of being a minimally invasive, well-tolerated procedure, although results are operator-dependent. The addition of FNA (EUS-guided FNA) provides samples for cytopathologic an...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.gie.2011.08.049

    authors： Hewitt MJ,McPhail MJ,Possamai L,Dhar A,Vlavianos P,Monahan KJ

    更新日期：2012-02-01 00:00:00

  • Standard needle versus needleless injection modality: animal study on different fluids for submucosal elevation.

    abstract：BACKGROUND AND AIMS:Submucosal injection is currently used in GI endoscopy to reduce resection risks and to perform submucosal dissection; it is usually performed via an injection needle or a needleless device. The aim of the study was to compare 2 submucosal injection modalities (needle-assisted vs needleless) by usin...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2017.01.029

    authors： Repici A,Maselli R,Carrara S,Anderloni A,Enderle M,Hassan C

    更新日期：2017-09-01 00:00:00

  • Patient tolerance and acceptance of unsedated ultrathin esophagoscopy.

    abstract：BACKGROUND:Unsedated endoscopy has not gained wide acceptance in the United States. Factors that may predict tolerance and acceptance of unsedated endoscopy are ill defined. METHODS:Outpatients referred for standard EGD were recruited to undergo unsedated ultrathin esophagoscopy (UUE) with a new 3.1-mm battery-powered...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2002.123274

    authors： Faulx AL,Catanzaro A,Zyzanski S,Cooper GS,Pfau PR,Isenberg G,Wong RC,Sivak MV Jr,Chak A

    更新日期：2002-05-01 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

  • Disposable versus reusable biopsy forceps in GI endoscopy: a cost-minimization analysis.

    abstract：BACKGROUND:The use of disposable biopsy forceps seems to be effective and safer than reusable biopsy forceps with respect to the risk of infection transmission. The results of cost analysis studies comparing reusable versus disposable biopsy forceps are conflicting. This study compared the cost of reusable versus dispo...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2003.341

    authors： Bourguignon C,Destrumelle AS,Koch S,Grumblat A,Carayon P,Chopard C,Woronoff-Lemsi MC

    更新日期：2003-08-01 00:00:00

  • Ballooning of the papilla during contrast injection: the semaphore of a choledochocele.

    abstract：BACKGROUND:Choledochocele is a rare abnormality involving the intramural segment of the common bile duct. ERCP is essential to demonstrate a choledochocele. The aim of this study was to investigate the duodenoscopic and cholangiographic findings during ERCP. METHODS:Over a 4-year period, 17 symptomatic patients (8 men...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0016-5107(98)70187-7

    authors： Kim MH,Myung SJ,Lee SK,Yoo BM,Seo DW,Lee MH,Jung SA,Kim YS,Min YI

    更新日期：1998-09-01 00:00:00

  • Negative capsule endoscopy in patients with obscure GI bleeding predicts low rebleeding rates.

    abstract：BACKGROUND:Wireless capsule endoscopy (CE) is the investigation of choice in obscure GI bleeding (OGIB), with a high diagnostic yield when compared with other modalities. It enables specific treatment to be instigated in a significant proportion of cases, with the aim of reducing rebleeding rates. Little evidence is cu...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2008.06.054

    authors： Macdonald J,Porter V,McNamara D

    更新日期：2008-12-01 00:00:00

  • Endoscopic features of celiac disease in children.

    abstract：BACKGROUND:Endoscopic abnormalities have been described in adult patients with celiac disease that may suggest the diagnosis, especially when the presentation is atypical. METHODS:The duodenum of 140 children undergoing EGD for various different indications was evaluated macroscopically and histologically. RESULTS:Hi...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2001.119217

    authors： Ravelli AM,Tobanelli P,Minelli L,Villanacci V,Cestari R

    更新日期：2001-12-01 00:00:00

  • Stent-guided sphincterotomy.

    abstract：:Performing sphincterotomy when either Billroth II gastrectomy or complicated periampullary diverticula are present may increase the risk of complications. In addition a sphincterotomy on the main pancreatic sphincter or the papilla of Santorini presents complicated problems. Stent-guided sphincterotomy has been utiliz...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(94)70254-3

    authors： Siegel JH,Cohen SA,Kasmin FE,Veerappan A

    更新日期：1994-09-01 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

  • 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

  • Immunohistologic analysis of the duodenal bulb: a new method for celiac disease diagnosis in children.

    abstract：BACKGROUND AND AIMS:Anti-tissue transglutaminase antibodies (anti-tTG) have simplified celiac disease (CD) diagnosis. However, in atypical forms of CD, intestinal biopsy sampling is still required. This prospective study investigates whether histologic analysis of the duodenal bulb combined with intestinal IgA anti-tTG...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2018.05.014

    authors： De Leo L,Villanacci V,Ziberna F,Vatta S,Martelossi S,Di Leo G,Zanchi C,Bramuzzo M,Giudici F,Ventura A,Not T

    更新日期：2018-09-01 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