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, 9 women; age range 45 to 83 years) were identified as having choledochoceles. The diagnosis of choledochocele was made by both duodenoscopic and cholangiographic findings. RESULTS:As a characteristic duodenoscopic finding, the enlarged bulging papilla was noted in 8 patients (47%), whereas a normal-appearing papilla was noted in 9 patients (53%) before the injection of contrast media. However, in all 17 patients progressive enlargement or ballooning of the papilla was noted during contrast injection. The maximum diameter of the choledochocele, determined by cholangiography, was significantly larger (19 +/-4 mm) in patients with initially bulging papilla than in those with normal-appearing papilla (9+/-3 mm) (p < 0.05). CONCLUSIONS:Ballooning of the papilla during contrast injection may be a specific duodenoscopic finding for choledochocele. To avoid missing the diagnosis of a choledochocele, especially when it is small, it is important to watch the papilla carefully during contrast injection.

journal_name

Gastrointest Endosc

authors

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

doi

10.1016/s0016-5107(98)70187-7

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

258-62

issue

3

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(98)70187-7

journal_volume

48

pub_type

临床试验,杂志文章
  • Endoscopic training in the academic GI program. Program Directors Workshop, March 29 and 30, 1984, Atlanta, Georgia. How the GI pathologist can interact best with the GI trainee.

    abstract::Effective collaboration between endoscopists is essential if optimal results from gastrointestinal biopsy are to be achieved. Agreed upon ways to enhance communication should be established, such as special requisition forms and regular conferences to discuss biopsy findings. Endoscopists and pathologists should know ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(84)72460-6

    authors: Yardley JH,Hamilton SR,Hutcheon DF

    更新日期:1984-12-01 00:00:00

  • Trends in utilization of diagnostic and therapeutic ERCP and cholecystectomy over the past 25 years: a population-based study.

    abstract:BACKGROUND:Comprehensive, population-based data on ERCP use over the last 30 years in North America are lacking. OBJECTIVE:To establish crude and age-adjusted population-based rates of ERCP, evaluate for changing indications for ERCP, and evaluate for interactions between cholecystectomy technique and ERCP use from 19...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2013.08.028

    authors: Moffatt DC,Yu BN,Yie W,Bernstein CN

    更新日期:2014-04-01 00:00:00

  • Performance characteristics of unsedated ultrathin video endoscopy in the assessment of the upper GI tract: systematic review and meta-analysis.

    abstract:BACKGROUND AND AIMS:Reports on the performance of unsedated ultrathin endoscopy via the transnasal (uTNE) and transoral (uTOE) routes are conflicting. We aimed to estimate the technical success rate, patient preference, and acceptability of uTNE and uTOE alone and in comparison with conventional EGD (cEGD; with or with...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.gie.2015.07.016

    authors: Sami SS,Subramanian V,Ortiz-Fernández-Sordo J,Saeed A,Singh S,Guha IN,Iyer PG,Ragunath K

    更新日期:2015-11-01 00:00:00

  • Optimization of light dosimetry for photodynamic therapy of Barrett's esophagus: efficacy vs. incidence of stricture after treatment.

    abstract:BACKGROUND:Photodynamic therapy (PDT) may be used to ablate high-grade dysplasia/early stage cancer (HGD/T1) in patients with Barrett's esophagus. PDT may result in esophageal stricture. This nonrandomized, unblinded, dose de-escalation study in consecutive patients was designed to determine the lowest light dose effec...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(04)02394-6

    authors: Panjehpour M,Overholt BF,Phan MN,Haydek JM

    更新日期:2005-01-01 00:00:00

  • Decision analysis of prophylactic treatment for patients with high-risk esophageal varices.

    abstract:BACKGROUND:Clinical decision analyses were conducted to quantify the uncertainty and to identify important factors in selection of prophylactic therapy for patients with esophageal varices. METHODS:A Markov model compared variceal ligation, beta-blockers, and "watchful waiting" strategies in terms of bleeding-free lif...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2000.110729

    authors: Aoki N,Kajiyama T,Beck JR,Cone RW,Soma K,Fukui T

    更新日期:2000-12-01 00:00:00

  • The use of clinical, histologic, and serologic parameters to predict the intragastric extent of intestinal metaplasia: a recommendation for routine practice.

    abstract:BACKGROUND:Surveillance of intestinal metaplasia (IM) of the gastric mucosa should be limited to patients at high risk of gastric cancer. Patients with extensive IM are at increased cancer risk; however, the intragastric extent of IM is usually unknown at the time of the initial diagnosis. OBJECTIVE:To assess the pred...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2008.08.041

    authors: de Vries AC,Haringsma J,de Vries RA,ter Borg F,Nagtzaam NM,Steyerberg EW,van Dekken H,Kuipers EJ

    更新日期:2009-07-01 00:00:00

  • Endotherapy versus surgery for early neoplasia in Barrett's esophagus: a meta-analysis.

    abstract:BACKGROUND:Esophagectomy is the conventional treatment for Barrett's esophagus with high-grade dysplasia and intramucosal cancer. Endotherapy is an alternative treatment. OBJECTIVE:To compare the efficacy and safety of these 2 treatments. DESIGN:PubMed, Web of Science, EMBASE, Cochrane Library and momentous meeting a...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.gie.2013.08.005

    authors: Wu J,Pan YM,Wang TT,Gao DJ,Hu B

    更新日期:2014-02-01 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

  • Antegrade and retrograde endoscopic approach in the establishment of a neo-esophagus: a novel technique.

    abstract:BACKGROUND:Although total obstruction or secondary atresia of the esophagus is extremely rare, high-grade strictures are not uncommon. The retrograde approach was previously described to achieve dilation when the conventional antegrade method fails. SETTING:Gastroenterology laboratory in a tertiary referral center. P...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2006.08.008

    authors: Al-Haddad M,Pungpapong S,Wallace MB,Raimondo M,Woodward TA

    更新日期:2007-02-01 00:00:00

  • Absolute alcohol in esophageal vein sclerosis.

    abstract::Absolute alcohol is a potentially optimal agent for sclerotherapy of esophageal varices. It is cheap and readily available. We compared the efficacy and safety of alcohol with those of a commonly used sclerosing agent, polidocanol. The study was planned to include patients with previous bleeding from esophageal varice...

    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(88)71404-2

    authors: Paoluzi P,Pietroiusti A,Ferrari S,Cappa M,Pagnanelli A

    更新日期:1988-09-01 00:00:00

  • High diagnostic and clinical impact of small-bowel capsule endoscopy in patients with hereditary hemorrhagic telangiectasia with overt digestive bleeding and/or severe anemia.

    abstract:BACKGROUND:Patients with hereditary hemorrhagic telangiectasia (HHT) often present with recurrent anemia because of epistaxis or GI bleeding in relation to telangiectases mostly located in the stomach or small bowel. Capsule endoscopy is considered a major diagnostic tool for small-bowel diseases, but the impact of cap...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2009.11.004

    authors: Grève E,Moussata D,Gaudin JL,Lapalus MG,Giraud S,Dupuis-Girod S,Calender A,Plauchu H,Saurin JC

    更新日期:2010-04-01 00:00:00

  • Colonic endoscopic full-thickness biopsies: from the neuropathological analysis of the myenteric plexus to the functional study of neuromuscular transmission.

    abstract:BACKGROUND:Better understanding of the pathophysiological mechanisms involved in severe dysmotility disorders is crucial to improve patient management and identify novel therapeutic targets. Recent studies suggested that endoscopic full-thickness biopsies (eFTBs) could be developed as an alternative to surgical biopsie...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.01.041

    authors: Neunlist M,Coquenlorge S,Aubert P,Duchalais-Dassonneville E,des Varannes SB,Meurette G,Coron E

    更新日期:2011-05-01 00:00:00

  • Transgastric ventral hernia repair: a controlled study in a live porcine model (with videos).

    abstract:BACKGROUND:Ventral hernia repair is currently performed via open surgery or laparoscopic approach. OBJECTIVE:To develop an alternative ventral hernia repair technique. SETTING:Acute and survival experiments on twelve 50-kg pigs. DESIGN AND INTERVENTIONS:An endoscope was introduced transgastrically into the peritonea...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.04.014

    authors: Kantsevoy SV,Dray X,Shin EJ,Buscaglia JM,Magno P,Assumpcao L,Marohn MR,Redan J,Giday SA,Schweitzer MA,Apollo Group.

    更新日期:2009-01-01 00:00:00

  • ERCP in the management of pancreatic diseases in children.

    abstract:BACKGROUND:ERCP experience in pancreatic disorders in children is limited. OBJECTIVE:This study evaluated the utility and efficacy of ERCP in children with pancreatic diseases at a tertiary care referral center. PATIENTS AND SETTINGS:Consecutive patients 18 years of age and younger who underwent ERCP for pancreatic d...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2013.07.060

    authors: Agarwal J,Nageshwar Reddy D,Talukdar R,Lakhtakia S,Ramchandani M,Tandan M,Gupta R,Pratap N,Rao GV

    更新日期:2014-02-01 00:00:00

  • Prophylactic clip closure reduced the risk of delayed postpolypectomy hemorrhage: experience in 277 clipped large sessile or flat colorectal lesions and 247 control lesions.

    abstract:BACKGROUND:Endoscopic resection of large colorectal lesions is associated with high complication rates. OBJECTIVE:To evaluate the effect of prophylactic clip closure of polypectomy sites after resection of large (≥2 cm) sessile and flat colorectal lesions. DESIGN:Retrospective study. SETTING:Tertiary referral center...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2012.10.024

    authors: Liaquat H,Rohn E,Rex DK

    更新日期:2013-03-01 00:00:00

  • EUS diagnosis and simultaneous endoscopic retrograde cholangiography treatment of common bile duct stones by using an oblique-viewing echoendoscope.

    abstract:BACKGROUND:MRCP and EUS have replaced ERCP in the diagnosis of biliary diseases, but the latter is needed for treatment. This study evaluates a new approach in the management of common bile duct stones, by using an oblique-viewing echoendoscope. METHODS:Nineteen patients with acute abdominal pain associated with incre...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.gie.2005.11.042

    authors: Rocca R,De Angelis C,Castellino F,Masoero G,Daperno M,Sostegni R,Rigazio C,Crocellà L,Lavagna A,Ercole E,Pera A

    更新日期:2006-03-01 00:00:00

  • Treatment of Barrett's esophagus with early neoplasia: a comparison of endoscopic therapy and esophagectomy.

    abstract:BACKGROUND:Endoscopic therapies for early neoplasia in Barrett's esophagus may be a viable alternative to esophagectomy. OBJECTIVE:Our purpose was to compare endoscopic therapy and esophagectomy. DESIGN:Retrospective review from a single institution. SETTING:A medium-sized tertiary referral center. PATIENTS AND INT...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2007.08.042

    authors: Schembre DB,Huang JL,Lin OS,Cantone N,Low DE

    更新日期:2008-04-01 00:00:00

  • Wire-assisted minor papilla precut papillotomy.

    abstract:BACKGROUND:Deep cannulation of the dorsal duct in patients with pancreas divisum may not be possible, even for the experienced endoscopist. This is a description of a technique to facilitate access to the dorsal duct. METHODS:Patients undergoing dorsal ductography in whom endoscopic therapy was indicated and in whom a...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2001.115474

    authors: Wilcox CM,Mönkemüller KF

    更新日期:2001-07-01 00:00:00

  • Endoscopic spray cryotherapy for esophageal cancer: safety and efficacy.

    abstract:BACKGROUND:Few options exist for patients with localized esophageal cancer ineligible for conventional therapies. Endoscopic spray cryotherapy with low-pressure liquid nitrogen has demonstrated efficacy in this setting in early studies. OBJECTIVE:To assess the safety and efficacy of cryotherapy in esophageal carcinoma...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2010.01.042

    authors: Greenwald BD,Dumot JA,Abrams JA,Lightdale CJ,David DS,Nishioka NS,Yachimski P,Johnston MH,Shaheen NJ,Zfass AM,Smith JO,Gill KR,Burdick JS,Mallat D,Wolfsen HC

    更新日期:2010-04-01 00:00:00

  • Effects of meperidine on the pancreatic and biliary sphincter.

    abstract:BACKGROUND:Opioids are traditionally avoided during sphincter of Oddi manometry because of indirect evidence suggesting that these agents cause sphincter of Oddi spasm. This study was undertaken to determine the direct effects of meperidine on the biliary and pancreatic sphincter. METHODS:Forty-seven patients were pro...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70158-x

    authors: Sherman S,Gottlieb K,Uzer MF,Smith MT,Khusro QE,Earle DT,Brunelle RL,Hawes RH,Lehman GA

    更新日期:1996-09-01 00:00:00

  • Does methylene blue detect intestinal metaplasia in Barrett's esophagus?

    abstract:BACKGROUND:Methylene blue has been used to selectively stain areas of specialized intestinal metaplasia in Barrett's esophagus. The sensitivity, specificity, and negative and positive predictive values for the detection of specialized intestinal metaplasia by methylene blue chromoendoscopy were determined in patients w...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2003.137

    authors: Breyer HP,Silva De Barros SG,Maguilnik I,Edelweiss MI

    更新日期:2003-04-01 00:00:00

  • EUS-guided FNA diagnostic yield of malignancy in solid pancreatic masses: a benchmark for quality performance measurement.

    abstract:BACKGROUND:The diagnostic yield of EUS-guided FNA (EUS-FNA) of solid pancreatic masses is a potential benchmark for EUS-FNA quality, because the majority of EUS-FNA of solid pancreatic masses should be diagnostic for malignancy. OBJECTIVES:To determine the cytologic diagnostic rate of malignancy in EUS-FNA of solid pa...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2007.01.017

    authors: Savides TJ,Donohue M,Hunt G,Al-Haddad M,Aslanian H,Ben-Menachem T,Chen VK,Coyle W,Deutsch J,DeWitt J,Dhawan M,Eckardt A,Eloubeidi M,Esker A,Gordon SR,Gress F,Ikenberry S,Joyce AM,Klapman J,Lo S,Maluf-Filho F,Nic

    更新日期:2007-08-01 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

  • Identifying early gastric cancer under magnifying narrow-band images via deep learning: a multicenter study.

    abstract:BACKGROUND AND AIMS:Narrow-band imaging with magnifying endoscopy (ME-NBI) has shown advantages in the diagnosis of early gastric cancer (EGC). However, proficiency in diagnostic algorithms requires substantial expertise and experience. In this study, we aimed to develop a computer-aided diagnostic model, EGCM, to anal...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.11.014

    authors: Hu H,Gong L,Dong D,Zhu L,Wang M,He J,Shu L,Cai Y,Cai S,Su W,Zhong Y,Li C,Zhu Y,Fang M,Zhong L,Yang X,Zhou P,Tian J

    更新日期:2020-11-25 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

  • 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

  • Argon beam coagulation for treatment of symptomatic radiation-induced proctitis.

    abstract:BACKGROUND:Radiation proctitis is a complication of radiotherapy for malignant pelvic disease. Argon beam coagulation is a new and rapidly evolving technology that permits a "no-touch" electrocoagulation of diseased tissue. METHODS:We analyzed retrospectively the records of 7 patients with prostatic and endometrial ca...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)70054-4

    authors: Fantin AC,Binek J,Suter WR,Meyenberger C

    更新日期:1999-04-01 00:00:00

  • Variations between endoscopists in rates of detection of colorectal neoplasia and their impact on a regional screening program based on colonoscopy after fecal occult blood testing.

    abstract:BACKGROUND:There are few data about the performance variability among endoscopists participating to nationwide or regionwide colorectal cancer screening programs. OBJECTIVE:To assess the variability of neoplasia detection rates among endoscopists participating in a regional colorectal cancer screening program based on...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2009.08.032

    authors: Bretagne JF,Hamonic S,Piette C,Manfredi S,Leray E,Durand G,Riou F

    更新日期:2010-02-01 00:00:00

  • Covered versus uncovered self-expandable metal stent for palliation of primary malignant extrahepatic biliary strictures: a randomized multicenter study.

    abstract:BACKGROUND AND AIMS:Self-expandable metal stents (SEMSs) are used to relieve malignant biliary obstructions. We aimed to compare stent patency, the adverse events rate, and overall survival of covered versus uncovered self-conformable metal stents in patients with primary malignant extrahepatic biliary strictures, not ...

    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.2018.03.029

    authors: Conio M,Mangiavillano B,Caruso A,Filiberti RA,Baron TH,De Luca L,Signorelli S,Crespi M,Marini M,Ravelli P,Conigliaro R,De Ceglie A

    更新日期:2018-08-01 00:00:00

  • Comparison of suction capsule and endoscopic biopsy of small bowel mucosa.

    abstract::Small bowel mucosal biopsy specimens were studied in 52 consecutive patients. Twenty-six patients underwent biopsy by a suction capsule and 16 patients by endoscopy using an 8-mm forceps. Additionally, 10 patients were asked to undergo biopsy by both techniques in the same morning. Material was obtained in 81% of atte...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(86)71846-4

    authors: Achkar E,Carey WD,Petras R,Sivak MV,Revta R

    更新日期:1986-08-01 00:00:00