Abstract:
:In view of increasingly accurate noninvasive diagnostic imaging modalities for pancreatic diseases, endoscopic retrograde cholangiopancreatography (ERCP) should be mainly restricted to therapeutic indications. Acute pancreatitis is still the most common complication of ERCP. Prevention measures should focus in particular on well-defined risk groups. Temporary pancreatic duct drainage, preferably using small-diameter endoprostheses, can reduce the incidence of post-ERCP pancreatitis in at-risk individuals. By contrast, pharmacological prevention does not appear to be effective. ERCP in conjunction with sphincter of Oddi manometry frequently reveals the diagnosis of undetermined causes of acute recurrent pancreatitis. Endoscopic sphincterotomy (EST) is the treatment of choice in patients with sphincter of Oddi dysfunction or papillary stenosis. For these indications, dual pancreaticobiliary sphincterotomy promises a lower early morbidity and a better long-term outcome than biliary EST alone. In patients with pancreatic divisum, the cannulation rate of the dorsal duct can be improved by methylene blue staining and/or stimulation of the pancreatic secretion. Papillotomy of the minor papilla with short-term stenting appears to be an effective and safe approach for associated acute recurrent pancreatitis. Large-scale trials indicate that the majority of symptomatic patients with chronic pancreatitis can be well managed in the long term by endoscopic interventions. There is still a lack of prospective randomized controlled trials on endotherapy for chronic pancreatitis; however, they are also lacking for the surgical approach. Endoscopic and/or endosonographically guided drainage has become the treatment of choice for the majority of symptomatic pancreatic pseudocysts. Transmural debridement of pancreatic abscesses and infected necroses is still investigational, but appears to offer a minimally invasive alternative to surgery in selected cases. Pancreatic endotherapy is technically demanding and potentially hazardous; these interventions should be restricted to high-volume centers with options for an interdisciplinary team approach. Methods that have not yet been established should be evaluated in carefully designed prospective trials.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Neuhaus Hdoi
10.1055/s-2004-814119subject
Has Abstractpub_date
2004-01-01 00:00:00pages
8-16issue
1eissn
0013-726Xissn
1438-8812journal_volume
36pub_type
杂志文章,评审相关文献
ENDOSCOPY文献大全abstract::BACKGROUND : Intraprocedural bleeding (IPB) during multiband mucosectomy (MBM) for Barrett's neoplasia can obscure the endoscopic field. Current hemostatic devices may affect procedure continuity and technical success. Snare-tip soft coagulation (STSC) as a first-line therapy for primary hemostasis has not previously ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1218-6089
更新日期:2020-07-13 00:00:00
abstract::An unsatisfactory start to a computerised endoscopy system is described. Methods to combat poor organization are set out. These include defining clinical information requirements and integrating these with managerial and computing department needs. Decisions need to be taken about the department's ability to share inf...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1010521
更新日期:1992-07-01 00:00:00
abstract::A plea is made for individual age-adjusted endoscopic therapy of precancerous lesions and, under certain conditions, of early gastric carcinoma. True adenoma and borderline lesion have to be resected, if technically feasible, by snare ectomy. Tumour remnants or local recurrences can be destroyed by argon laser applica...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021723
更新日期:1980-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Outcomes following surgical treatment of patients with anal fistula are related to eradication of tracts and the internal opening. In this study, the results of surgery based on endoanal ultrasound (EAUS) findings were evaluated. PATIENTS AND METHODS:A total of 102 patients with primary crypt...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2005-870155
更新日期:2005-08-01 00:00:00
abstract::In 1987, Mouret performed the first laparoscopic cholecystectomy - dramatically changing the history of surgical practice. No other aspect of surgery has developed with such vigor as laparoscopy. Previously, surgeons had attempted to define the maximum level of surgical intervention a patient could withstand - but as ...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-2001-13689
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:A proportion of patients with active eosinophilic esophagitis (EoE) have a normal-appearing esophagus on esophagogastroduodenoscopy (EGD). We aimed to determine the associations between the baseline clinical features and the endoscopically normal esophagus in EoE, as well as time trends in reporting. METHOD...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1284-5891
更新日期:2020-10-06 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The value of methylene blue-directed biopsies (MBDB) in detecting specialized intestinal metaplasia and dysplasia in Barrett's esophagus remains unclear. The aim of this study was to compare the accuracy of MBDB with random biopsy in detecting intestinal metaplasia and dysplasia in patients wi...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2003-44599
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:No studies with real long-term follow-up after endoscopic drainage of pancreatic pseudocysts are available. The present study was undertaken to investigate the long-term outcome of endoscopic management of pancreatic pseudocyst with a minimum follow-up of 2 years. PATIENTS AND METHODS:A total...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2002-20292
更新日期:2002-03-01 00:00:00
abstract::A percutaneous endoscopic gastrostomy (PEG) was performed in 19 patients with cancers of head or neck. A commercially available gastrostomy set was used, but slight modifications were necessary in 4 patients. No serious complications were observed. The correct position and lack of any leak of gastric contents was veri...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018358
更新日期:1986-07-01 00:00:00
abstract::ERCP was performed in 57 patients who had undergone Billroth II resection. Cannulation of the papilla of Vater was successfully accomplished in 31 cases (55%). The success rate of ERCP was clearly dependent on the type of Billroth II resection presenting. ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021476
更新日期:1983-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIM:Close observation after noncurative endoscopic resection for early gastric cancer (EGC) is an acceptable option if a positive horizontal margin or piecemeal resection of differentiated-type adenocarcinoma is the only noncurative factor. When locally recurrent EGC is subsequently detected, endos...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0033-1344332
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Validation of a simplified classification of mucosal morphology in prediction of histology in Barrett's esophagus using narrow-band imaging with magnification (NBI-Z) and assessing its reproducibility by endoscopists experienced in the use of NBI (NBI-experts) and by endoscopists who were new ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-995741
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Patients with Lynch syndrome are at increased risk of developing small-bowel adenocarcinoma, which usually has a bad prognosis and needs to be diagnosed early. Our aim was to evaluate the yield of capsule endoscopy and CT enteroclysis in this situation. PATIENTS AND METHODS:We performed a pro...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0030-1255742
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Targeted delivery of specific chemotherapeutic drugs into tumors can be achieved by delivering electrical pulses directly to the tumor tissue. This causes a transient formation of pores in the cell membrane that enables passive diffusion of normally impermeant drugs. A novel device has been de...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0042-101343
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Diagnosis of submucosal lesions, pancreatic tumors, and mediastinal or celiac lymph nodes or masses is possible using endoscopic ultrasonography (EUS), but histological confirmation to differentiate between benign and malignant lesions is still required. The aim of this study was to evaluate t...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1005657
更新日期:1995-02-01 00:00:00
abstract:: ...
journal_title:Endoscopy
pub_type: 评论,杂志文章
doi:10.1055/a-0826-4558
更新日期:2019-03-01 00:00:00
abstract::A 49-year old severely ill man, with no digestive complaints, was admitted to our hospital. Abdominal ultrasound was suggestive of hepatic metastases. Endoscopy revealed multiple, flat and polypoid, pigmented lesions in the esophagus, stomach and duodenum. Biopsy showed only melanotic pigment, without malignant cells....
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1001373
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The aim of the present study was to assess the value of capsule endoscopy in the diagnostic work-up of patients in whom there is a clinical suspicion of small bowel Crohn's disease that cannot be confirmed using traditional techniques. PATIENTS AND METHODS:A total of 21 patients (14 men, seve...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2003-40241
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The use of endoscopic band ligation (EBL) is being extended to treat various causes of upper and lower gastrointestinal bleeding. The aim of this study was to evaluate the usefulness of EBL for control of acute peptic ulcer bleeding and to define the lesions that are most suitable for this tec...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2004-814121
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND: Artificial intelligence (AI)-based polyp detection systems are used during colonoscopy with the aim of increasing lesion detection and improving colonoscopy quality. PATIENTS AND METHODS: We performed a systematic review and meta-analysis of prospective trials to determine the value of AI-based polyp detec...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1201-7165
更新日期:2020-06-17 00:00:00
abstract::Three elderly females presenting with iron deficiency anaemia and faecal loss of blood were found to have a macronodular cirrhosis of the liver and an unusual red spotty appearence of the prepyloric antral mucosa. One patient underwent antral resection and the surgical specimen revealed abnormalities of the (sub)mucos...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098271
更新日期:1978-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Peptic ulcers are the most frequent cause of gastrointestinal bleeding. The use of hemoclips has become established as an effective form of treatment in addition to injection therapy. However, hemoclips have not previously been compared with injection therapy in an experimental setting using o...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2006-944612
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:Endoscopic resection is the cornerstone of endoscopic management of esophageal early neoplasia. However, endoscopic resection is a complex technique requiring knowledge and expertise. Our aims were to identify the most important learning points in performing endoscopic resection in a training setting and to ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1392558
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Scintigraphy is the currently accepted method for evaluation of gastric emptying. Although quantitative, this method is complicated, time-consuming, and costly. If a simple endoscopic technique was available for those instances when quantification of an emptying abnormality is not needed, the ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2004-826196
更新日期:2005-03-01 00:00:00
abstract::The extent of, and age-related changes in, the acid-secreting area in patients with duodenal ulcer were compared with those in patients with gastric ulcer and healthy subjects. Studies were made by the endoscopic Congo red test developed in our clinic. The incidence of a large acid-secreting area was significantly hig...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021523
更新日期:1983-07-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The use of sedation in upper gastrointestinal endoscopy is widespread, mainly because of the belief that patients are likely to tolerate the procedure better. The aim of the present study was to assess patients' response to the policy of actively persuading them to accept a throat spray for up...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1005453
更新日期:1996-03-01 00:00:00
abstract::A 77-year-old patient with unresectable pancreatic adenocarcinoma sustained a life-threatening, upper gastrointestinal hemorrhage 1 month after placement of a biliary Wallstent. Radiographic and endoscopic studies revealed a choledocho-arterio-enteric fistula caused by erosion of the stent through the posterior duoden...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2000-4662
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Angiogenesis has been reported to be an essential step in the progression of cancers arising from Barrett's esophagus. Confocal laser scanning microscopy (CLM) has the potential to perform in vivo microscopy to detect angiogenesis and determine microvessel density (MVD). We aimed therefore to ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2008-1077718
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The success of transgastric surgery depends on reliable, secure closure of the gastrotomy. Few tests of the integrity of these closures have been published. This study aimed to determine whether a gastrotomy suitable for a NOTES procedure can be closed safely and effectively from within the st...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0029-1243950
更新日期:2010-04-01 00:00:00
abstract::A case of major gastrointestinal hemorrhage due to the passage of a gallstone from a 20 mm long, hanging papilla of Vater is presented. An upper digestive endoscopy revealed the stone in the very process of expulsion from the papilla into the duodenum in which fresh blood was seen. Bleeding stopped a few days afterwar...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018605
更新日期:1983-01-01 00:00:00