Endoscopic placement of expandable metal stents for biliary strictures--a preliminary report on experience with 33 patients.

Abstract:

:The main problem with palliative treatment of extrahepatic cholestasis with an endoscopic biliary endoprosthesis is clogging. One of the factors thought to be of importance is the diameter of the stent. In order to avoid being limited by the size of the instrumentation channel of the endoscope, expandable stents have been developed. In this article we report on our preliminary clinical experience with an endoscopically placed expandable metal stent ("Wallstent") in 33 patients with extrahepatic bile duct stenoses. When fully expanded, the stent has a diameter of 30 F and a length of 6.7 cm. It was possible to successfully place a stent in every patient. Clinical improvement was achieved in all patients except one. Two patients underwent elective surgery, while one died of renal failure. Another died of septic shock after 5 weeks, but no autopsy was performed. In conclusion, our initial experience with this stent shows that at least in the short term biliary drainage was excellent, with no complications of pancreatitis or hemorrhage. Longer follow-up than our 4 weeks is necessary to establish the position of this stent in comparison with the conventional endoprosthesis in the management of obstructive jaundice.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Huibregtse K,Cheng J,Coene PP,Fockens P,Tytgat GN

doi

10.1055/s-2007-1012969

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

280-2

issue

6

eissn

0013-726X

issn

1438-8812

journal_volume

21

pub_type

杂志文章
  • New development of peroral cholangioscopy--evaluation of double-angle, oblique viewing cholangioscope.

    abstract::Seven years have passed since the first report on peroral cholangioscopy by Takekoshi and Takagi (1) in Japan. Recently, several types of peroral cholangioscope with a forceps channel have been made for this treatment. However, the success rate of insertion of these instruments into the common bile duct was less than ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018522

    authors: Fuji T,Ariyama S,Harima K,Aibe T,Amano H,Asagami F,Takemoto T

    更新日期:1984-01-01 00:00:00

  • Endoscopic vs. laparoscopic gastrojejunostomy for duodenal obstruction: a randomized study in a porcine model.

    abstract:BACKGROUND AND STUDY AIMS:Open or laparoscopic gastrojejunostomy is an established treatment for malignant duodenal obstruction but may be associated with significant morbidity and mortality. The purpose of this study was to develop a model for an entirely endoscopic gastrojejunostomy to treat duodenal obstruction, and...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0031-1291447

    authors: von Renteln D,Vassiliou MC,McKenna D,Suriawinata AA,Swain CP,Rothstein RI

    更新日期:2012-02-01 00:00:00

  • Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Guideline Executive summary.

    abstract::This Executive summary of the Guideline on pediatric gastrointestinal endoscopy from the European Society of Gastrointestinal Endoscopy (ESGE) and the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) refers to infants, children, and adolescents aged 0 - 18 years. The areas covered in...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/s-0042-111002

    authors: Tringali A,Thomson M,Dumonceau JM,Tavares M,Tabbers MM,Furlano R,Spaander M,Hassan C,Tzvinikos C,Ijsselstijn H,Viala J,Dall'Oglio L,Benninga M,Orel R,Vandenplas Y,Keil R,Romano C,Brownstone E,Hlava Š,Gerner P,Dola

    更新日期:2017-01-01 00:00:00

  • Therapeutic pancreatic endoscopy.

    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 particu...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-814119

    authors: Neuhaus H

    更新日期:2004-01-01 00:00:00

  • Gastrointestinal intramural hematoma, a complication of endoscopic injection methods for bleeding peptic ulcers: a case series.

    abstract::In a prospective study, all patients with peptic ulcer bleeding were documented between February 1984 and April 1992. A total of 227 patients were treated by local injection of epinephrine followed by laser application and injection of polidocanol or fibrin tissue adhesive. In five of these patients, intramural hemato...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1009050

    authors: Rohrer B,Schreiner J,Lehnert P,Waldner H,Heldwein W

    更新日期:1994-09-01 00:00:00

  • Endoscopic ultrasound as an early diagnostic tool for primary sclerosing cholangitis: a prospective pilot study.

    abstract:BACKGROUND AND STUDY AIMS:Primary sclerosing cholangitis (PSC) is a rare, chronic cholestatic liver disease, which typically affects middle-aged men and is frequently associated with inflammatory bowel disease. Early recognition and accurate diagnosis remains a clinical challenge. Invasive diagnostic procedures, such a...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0032-1309896

    authors: Lutz HH,Wasmuth HE,Streetz K,Tacke F,Koch A,Luedde T,Trautwein C,Tischendorf JJ

    更新日期:2012-10-01 00:00:00

  • Endoscopic management of enteral tubes in adult patients - Part 2: Peri- and post-procedural management. European Society of Gastrointestinal Endoscopy (ESGE) Guideline.

    abstract::ESGE recommends the "pull" technique as the standard method for percutaneous endoscopic gastrostomy (PEG) placement.Strong recommendation, low quality evidence.ESGE recommends the direct percutaneous introducer ("push") technique for PEG placement in cases where the "pull" method is contraindicated, for example in sev...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-1331-8080

    authors: Gkolfakis P,Arvanitakis M,Despott EJ,Ballarin A,Beyna T,Boeykens K,Elbe P,Gisbertz I,Hoyois A,Mosteanu O,Sanders DS,Schmidt PT,Schneider SM,van Hooft JE

    更新日期:2021-02-01 00:00:00

  • Prediction scores in gastrointestinal bleeding: a systematic review and quantitative appraisal.

    abstract:BACKGROUND AND STUDY AIMS:Several algorithms predicting outcomes in acute gastrointestinal bleeding have been developed over the past three decades. These algorithms differ substantially and therefore the aim of the current study was to conduct a systematic review to compare their predictive performance and methodologi...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1309361

    authors: de Groot NL,Bosman JH,Siersema PD,van Oijen MG

    更新日期:2012-08-01 00:00:00

  • Dieulafoy's ulcer: combined endoscopic and laparoscopic treatment.

    abstract::Dieulafoy's disease is a rare, but dangerous cause of upper gastrointestinal hemorrhage. We report here the case of a patient in whom the failure of endoscopic therapy necessitated a surgical approach by combining endoscopy and laparoscopy. The intraoperative endoscopic examination located the site of the lesion preci...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005488

    authors: Bouillot JL,Aubertin JM,Fornes P,Petite JP,Alexandre JH

    更新日期:1996-05-01 00:00:00

  • "Candy cane" syndrome: a report of a mini-invasive endoscopic treatment using OverStitch, a novel endoluminal suturing system.

    abstract:: ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0756-8304

    authors: Granata A,Cicchese N,Amata M,De Monte L,Bertani A,Ligresti D,Traina M

    更新日期:2019-01-01 00:00:00

  • Assessment of response of esophageal carcinoma to induction chemotherapy.

    abstract::Endoscopic ultrasonography (EUS) is currently considered the best available technique for the local staging of esophageal cancer. In a prospective study 11 patients with esophageal squamous cell carcinoma were investigated to evaluate the usefulness of EUS in the assessment of response to induction chemotherapy. Respo...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010411

    authors: Hordijk ML,Kok TC,Wilson JH,Mulder AH

    更新日期:1993-11-01 00:00:00

  • Injection of nonvariceal bleeding lesions of the upper gastrointestinal tract.

    abstract::In a prospective series 102 non-variceal upper GI bleeders were studied. An indication for endoscopic injection therapy was seen in 63 patients. In accordance with bleeding intensity, 27 patients were grouped as Forrest Ia, 37 as Forrest Ib, 8 as Forrest II with a "visible vessel" and 13 as Forrest II without one. Def...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018481

    authors: Soehendra N,Grimm H,Stenzel M

    更新日期:1985-07-01 00:00:00

  • Non-biopsy detection of intestinal metaplasia and dysplasia in Barrett's esophagus: a prospective multicenter study.

    abstract:BACKGROUND AND STUDY AIMS:There have been no multicenter studies investigating the use of magnification chromoendoscopy (MCE) for the detection of intestinal metaplasia and dysplasia/cancer in Barrett's esophagus. Our aims were to assess the ability of MCE to predict the histological diagnosis (non-biopsy detection), t...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2006-944974

    authors: Sharma P,Marcon N,Wani S,Bansal A,Mathur S,Sampliner R,Lightdale C

    更新日期:2006-12-01 00:00:00

  • Synergistic sedation with low-dose midazolam and propofol for colonoscopies.

    abstract:BACKGROUND AND STUDY AIMS:Patients undergoing colonoscopy are often sedated with benzodiazepines and long-acting opiates. Since low-dose midazolam also acts synergistically with short-acting propofol, we compared this synergistic sedation with a standard combination of midazolam and the opioid nalbuphine for colonoscop...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2000-134

    authors: Reimann FM,Samson U,Derad I,Fuchs M,Schiefer B,Stange EF

    更新日期:2000-03-01 00:00:00

  • Flexible sigmoidoscopy performed by nurses.

    abstract::Flexible sigmoidoscopy by nurses has rapidly become a widely accepted technique for distal colonic investigation. This review explores the issues of training and application of nurse performed flexible sigmoidoscopy, including the limitations, complications and cost issues. ...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2006-924986

    authors: Goodfellow PB

    更新日期:2006-06-01 00:00:00

  • Heterotopic gastric mucosa in the rectum.

    abstract::A case of an ulcer of the rectum in a 20-year-old patient with rectal pain and rectal bleeding is reported. Histological examination of the endoscopic biopsy showed the presence of gastric or fundic mucosa. The patient was treated with Cimetidine and alkaline drugs, with positive results. Ulcer cicatrization was verif...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1013008

    authors: Castellanos D,Menchen P,López de la Riva M,Clemente G,Senen M,Rabago L,Garcia Andrade M,Alcalá-Santaella R

    更新日期:1984-09-01 00:00:00

  • Evaluation of undiluted N-butyl-2-cyanoacrylate in the endoscopic treatment of upper gastrointestinal tract varices.

    abstract:BACKGROUND AND STUDY AIMS:Endoscopic obliteration of upper gastrointestinal tract varices using N-butyl-2-cyanoacrylate has been proposed by some authors. The aim of the present study was to evaluate prospectively the efficacy and safety of this technique, using the undiluted substance, in obtaining hemostasis of bleed...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005435

    authors: D'Imperio N,Piemontese A,Baroncini D,Billi P,Borioni D,Dal Monte PP,Borrello P

    更新日期:1996-02-01 00:00:00

  • Endoscopic closure of large colonic perforations using an over-the-scope clip: a randomized controlled porcine study.

    abstract:BACKGROUND AND STUDY AIMS:Perforation of the colon is considered to be one of the most serious complications of flexible endoscopy. The over-the-scope clip system (OTSC) has previously been shown to close small colonic perforations effectively. The aim of this randomized controlled porcine study was to compare acute cl...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1214759

    authors: von Renteln D,Schmidt A,Vassiliou MC,Rudolph HU,Gieselmann M,Caca K

    更新日期:2009-06-01 00:00:00

  • The costs of colonoscopy in patients with ulcerative pan-colitis in Sweden.

    abstract::The costs of colonoscopy examinations at a hospital in Sweden were calculated in ten consecutive patients with ulcerative pan-colitis. Since colonoscopy in such patients is incomplete if not followed by microscopic study of the state of the colon mucosa, the costs of both the endoscopic and histological examinations w...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1008948

    authors: Rubio CA,Slezak P,Befrits R

    更新日期:1994-02-01 00:00:00

  • ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic.

    abstract::We are currently living in the throes of the COVID-19 pandemic that imposes a significant stress on health care providers and facilities. Europe is severely affected with an exponential increase in incident infections and deaths. The clinical manifestations of COVID-19 can be subtle, encompassing a broad spectrum from...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/a-1155-6229

    authors: Gralnek IM,Hassan C,Beilenhoff U,Antonelli G,Ebigbo A,Pellisè M,Arvanitakis M,Bhandari P,Bisschops R,Van Hooft JE,Kaminski MF,Triantafyllou K,Webster G,Pohl H,Dunkley I,Fehrke B,Gazic M,Gjergek T,Maasen S,Waagenes W

    更新日期:2020-06-01 00:00:00

  • A new endoscopic simulator.

    abstract::Trainees need to perform a certain number of endoscopic procedures to achieve competence. Training on simulators is advantageous because it reduces the number of potentially life-threatening critical mistakes. The change in medical practice that limits education time and patient availability, and the increase in medic...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-8088

    authors: Bar-Meir S

    更新日期:2000-11-01 00:00:00

  • European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition--Communication.

    abstract::Multidisciplinary, evidence-based guidelines for quality assurance in colorectal cancer screening and diagnosis have been developed by experts in a project coordinated by the International Agency for Research on Cancer. The full guideline document covers the entire process of population-based screening. It consists of...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/s-0032-1309809

    authors: Austoker J,Giordano L,Hewitson P,Villain P,International Agency for Research on Cancer.

    更新日期:2012-09-01 00:00:00

  • Is topical delta-aminolevulinic acid adequate for photodynamic therapy in Barrett's esophagus? A pilot study.

    abstract:BACKGROUND AND STUDY AIMS:The methods of endoscopic ablation of metaplastic and dysplastic areas in Barrett's esophagus so far described, are not satisfactory with respect to efficacy and safety. Therefore we investigated whether photodynamic therapy (PDT) with topical delta-aminolevulinic acid (delta-ALA) leads to abl...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2002-33247

    authors: Ortner M-,Zumbusch K,Liebetruth J,Ebert B,Fleige B,Dietel M,Lochs H

    更新日期:2002-08-01 00:00:00

  • Wireless pH capsule--yield in clinical practice.

    abstract::Wireless pH monitoring is one of the recent technologies that focus on improving the diagnosis of gastroesophageal reflux disease (GERD). The capsule, which is fixed within the esophagus, transmits data via telemetry to an external receiver. The capsule is usually inserted 6 cm above the squamocolumnar junction during...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1291541

    authors: Roman S,Mion F,Zerbib F,Benamouzig R,Letard JC,Bruley des Varannes S

    更新日期:2012-03-01 00:00:00

  • Predictive value of endoscopic findings in the diagnosis of active intestinal amebiasis.

    abstract::Endoscopic diagnosis of amebic colitis can be difficult because its appearance may mimic other forms of colonic disease. The aim of this study was to identify predictive endoscopic findings for amebic colitis. Patients with suspected amebic colitis based on distinctive endoscopic findings such as aphthae or erosions, ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0031-1291631

    authors: Nagata N,Shimbo T,Akiyama J,Nakashima R,Niikura R,Nishimura S,Yada T,Watanabe K,Oka S,Uemura N

    更新日期:2012-04-01 00:00:00

  • Endoscopic submucosal dissection for superficial rectal tumors: prospective evaluation in France.

    abstract:BACKGROUND AND STUDY AIMS:Endoscopic submucosal dissection (ESD) provides a high en bloc resection rate for superficial colorectal tumors. The aims of this study were to assess the feasibility of ESD in France and to evaluate the complete resection rate at 1 year. PATIENTS AND METHODS:Patients with superficial rectal ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1365810

    authors: Rahmi G,Hotayt B,Chaussade S,Lepilliez V,Giovannini M,Coumaros D,Charachon A,Cholet F,Laquière A,Samaha E,Prat F,Ponchon T,Bories E,Robaszkiewicz M,Boustière C,Cellier C

    更新日期:2014-08-01 00:00:00

  • Gastrointestinal fiberoptic endoscopy in pediatric patients and juveniles.

    abstract::Over a period of 8 years 351 upper gastrointestinal endoscopies and 72 coloscopies were performed in infants, children and juvenile patients. Development of special pediatric instruments provides increasing application even to the youngest patients. Fiberendoscopy is a safe and sensitive diagnostic tool also in the pe...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098284

    authors: Lux G,Rösch W,Phillip J,Frühmorgen P

    更新日期:1978-08-01 00:00:00

  • Long-term results and prognostic factors in the treatment of achalasia with botulinum toxin.

    abstract:BACKGROUND AND STUDY AIMS:Endoscopic therapy of achalasia by injection of botulinum toxin into the lower esophageal sphincter has very limited adverse effects and is initially successful in 70 % of patients. However, this result only lasts for 6 - 9 months on average in most patients and only half of them benefit for m...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2002-33225

    authors: Neubrand M,Scheurlen C,Schepke M,Sauerbruch T

    更新日期:2002-07-01 00:00:00

  • Therapeutic pancreatic endoscopy.

    abstract::Pharmacological treatment and/or temporary pancreatic stenting can reduce the risk of pancreatitis after endoscopic retrograde cholangiopancreatography. Potential candidates are patients who are at high risk for this complication. Extensive diagnostic work-up is needed for patients with acute recurrent pancreatitis be...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2002-19391

    authors: Neuhaus H

    更新日期:2002-01-01 00:00:00

  • Ulcers and gastritis.

    abstract::This article reviews recently published literature regarding ulcers and gastritis. Although endoscopy is the most useful procedure for diagnosis in the upper gastrointestinal tract, complications do occur, and procedure-related costs are significant. The appropriate indication for endoscopy has recently been debated. ...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-36397

    authors: Kashiwagi H

    更新日期:2003-01-01 00:00:00