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Relevant bibliographies by topics / Endoscopic drainage

Academic literature on the topic 'Endoscopic drainage'

Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

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Journal articles on the topic "Endoscopic drainage"

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Noro, Takuji, Naruo Kawasaki, Hironori Ohdaira, Reo Takizawa, Norihiko Suzuki, and Yutaka Suzuki. "A New Endoscopic Method: Percutaneous Endoscopic Trans-Gastric Biliary Drainage as an Option for Biliary Drainage." Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) 37, no. 5 (2012): 937–40. http://dx.doi.org/10.4030/jjcs.37.937.

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Hasebe, Osamu. "Transmural drainage of pancreatic pseudocysts: Endoscopic drainage or endoscopic ultrasonographic-guided drainage?" Digestive Endoscopy 13, s1 (July 2001): S60. http://dx.doi.org/10.1046/j.1443-1661.2001.0130s1s60.x.

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Mori, Akihiro, Shun Ito, Takayuki Yumura, Hiroki Hachiya, Masashi Sawada, Shintaro Hayashi, and Noritsugu Ohashi. "Development of an external-to-internal convertible endoscopic biliary drainage device – a preliminary prospective feasibility study." Endoscopy International Open 06, no. 01 (January 2018): E123—E126. http://dx.doi.org/10.1055/s-0043-123934.

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Abstract Background and study aims Endoscopic nasobiliary drainage (ENBD) for a malignant stricture in the bile duct has some advantages over endoscopic biliary stenting (EBS). However, ENBD may cause nasopharyngeal discomfort. We developed an external-to-internal convertible endoscopic biliary drainage (ETI-EBD) device that enables both internal and external drainage to occur during a single endoscopy. Patients and methods This device consists of three parts, comprising a 5-Fr ENBD tube (250 cm) (ENBD-t), an 8.5-Fr EBS tube (7 cm) (EBS-t), and an 8-Fr pusher tube for EBS (230 cm) (P-t). The EBS-t is mounted over the ENBD-t at the distal end of the ENBD-t. The P-t is also placed over the ENBD-t. After an endoscopic sphincterotomy, the EBS-t of the device is inserted into the papilla, then the duodenal endoscope is withdrawn, leaving the device in place. After ENBD, only the ENBD-t was withdrawn from the P-t. At this point, the EBS-t was isolated and left without endoscopy or radiography. Results ETI-EBD was successfully placed in all consecutive 21 patients (100 %). The release of EBS-t from ENBD-t wit was successfully completed in 19 patients (90.5 %). There were 4 patients with kink of P-t when exchanging this device from the mouth to the nose. It was difficult for 2 patients to withdraw the ENBD-t because of poor lubrication performance. There were no significant complications associated with the use of the device. Conclusion This device allows for both external and internal biliary drainage with a single endoscopy.

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Tanisaka, Yuki, Masafumi Mizuide, Akashi Fujita, Tomoya Ogawa, Hiromune Katsuda, Youichi Saito, Kazuya Miyaguchi, et al. "Current Status of Endoscopic Biliary Drainage in Patients with Distal Malignant Biliary Obstruction." Journal of Clinical Medicine 10, no. 19 (October 8, 2021): 4619. http://dx.doi.org/10.3390/jcm10194619.

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Distal malignant biliary obstruction is caused by various malignant diseases that require biliary drainage. In patients with operable situations, preoperative biliary drainage is required to control jaundice and cholangitis until surgery. In view of tract seeding, endoscopic biliary drainage is the first choice. Since neoadjuvant therapies are being developed, the time to surgery is increasing, especially in pancreatic cancer cases. Therefore, it requires long stent patency. Recently, preoperative biliary drainage using self-expandable metal stents has been reported as a useful modality to secure long stent patency. In patients with unresectable distal malignant biliary obstruction, self-expandable metal stent is the first choice for maintaining long stent patency. Although there are many comparison studies between a covered and an uncovered self-expandable metal stent, their use is still controversial. Recently, endoscopic ultrasound-guided biliary drainage has been performed as an alternative treatment. The clinical success and stent patency are favorable. We should take into consideration that both endoscopic retrograde cholangiopancreatography-guided biliary drainage and endoscopic ultrasound-guided biliary drainage have advantages and disadvantages and chose the drainage method depending on the patient’s situation or the expertise of the endoscopist. Here, we discuss the current status of endoscopic biliary drainage in patients with distal malignant biliary obstruction.

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Adler, Douglas G. "Endoscopic Gallbladder Drainage." American Journal of Gastroenterology 114, no. 5 (January 18, 2019): 700–702. http://dx.doi.org/10.14309/ajg.0000000000000067.

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Kiil, J., A. Kruse, and M. Rokkjaer. "Endoscopic biliary drainage." British Journal of Surgery 74, no. 12 (December 1987): 1087–90. http://dx.doi.org/10.1002/bjs.1800741206.

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Varadarajulu, Shyam. "Endoscopic management of pancreatic pseudocysts." Journal of Digestive Endoscopy 03, S 05 (January 2012): 058–64. http://dx.doi.org/10.4103/0976-5042.95035.

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AbstractThe conventional management of pancreatic pseudocysts involves surgery or percutaneous drainage. While surgery is associated with significant complications and mortality, percutaneous drainage is associated with prolonged hospitalization and often times the need for other adjunctive treatment measures. Therefore, the use of endoscopy to drain these pseudocysts is becoming increasingly popular. In this review, we will be examining the techniques, outcomes and costs associated with the endoscopic drainage of pancreatic pseudocysts.

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Ishii, Shigeto, Toshio Fujisawa, Hiroyuki Isayama, Shingo Asahara, Shingo Ogiwara, Hironao Okubo, Hisafumi Yamagata, et al. "Clinical Evaluation of a Newly Developed Guidewire for Pancreatobiliary Endoscopy." Journal of Clinical Medicine 9, no. 12 (December 16, 2020): 4059. http://dx.doi.org/10.3390/jcm9124059.

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Background: The guidewire (GW) plays an important role in pancreatobiliary endoscopy. GW quality is a critical factor in the effectiveness and efficiency of pancreatobiliary endoscopy. In this study, we evaluate a new 0.025 inch multipurpose endoscopic GW: the M-Through. Methods: Our study was a multicenter retrospective analysis. We enrolled patients who underwent endoscopic procedures using the M-Through between May 2018 and April 2020. Patients receiving the following endoscopic treatments were enrolled: common bile duct (CBD) stone extraction, endoscopic drainage for distal and hilar malignant biliary obstruction (MBO), and endoscopic drainage for acute cholecystitis. For each procedure, we examined the rate of success without GW exchange. Results: A total of 170 patients (80 with CBD stones, 60 with MBO, and 30 with cholecystitis) were enrolled. The rate of completion without GW exchange was 100% for CBD stone extraction, 83.3% for endoscopic drainage for MBO, and 43.3% for endoscopic drainage for cholecystitis. In unsuccessful cholecystitis cases with the original GW manipulator, 1 of 8 cases succeeded in the manipulator exchange. Including 6 cases who changed GW after the manipulator exchange, 11 of 16 cases succeeded in changing GW. There was significant difference in the success rate between the manipulator exchange and GW exchange (p = 0.03). The insertion of devices and stent placement after biliary cannulation (regardless of type) were almost completed with M-through. We observed no intraoperative GW-related adverse events such as perforation and bleeding due to manipulation. Conclusion: The 0.025 inch M-Through can be used for endoscopic retrograde cholangiopancreatography-related procedures efficiently and safely. Our study found high rates of success without GW exchange in all procedures except for endoscopic drainage for cholecystitis. This GW is considered (1) excellent for supportability of device insertion to remove CBD stones; (2) good for seeking the biliary malignant stricture but sometimes need the help of a hydrophilic GW; (3) suboptimal for gallbladder drainage that require a high level of seeking ability.

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KIMURA, Katsumi, Naotaka FUJITA, Yutaka NODA, Go KOBAYASHI, Akio YAGO, Akimichi CHONAN, Atsuo MATSUNAGA, et al. "Endoscopic Biliary Drainage without Endoscopic Sphincterotomy." Digestive Endoscopy 7, no. 2 (April 1995): 175–80. http://dx.doi.org/10.1111/j.1443-1661.1995.tb00158.x.

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Ramesh, H. "Chronic pancreatitis: The case for surgery." Journal of Digestive Endoscopy 03, S 05 (January 2012): 053–55. http://dx.doi.org/10.4103/0976-5042.95033.

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AbstractTreatment of pain in chronic pancreatitis includes medical, endoscopic and surgical therapy. Medical treatment may involve the use of analgesics, pancreatic enzymes, antioxidants and removal of risk factors. However, a substantial number of patients do not experience pain relief with medical treatment, and those with local complications cannot be treated medically indefinitely. These require endoscopic or surgical therapy. Endoscopic therapy has involved the use of a) pancreatic sphincterotomy, b) stent placement, c) nasopancreatic drainage, d) pseudocyst drainage, e) extra corporeal shock wave lithotripsy (ESWL), and f) dilatation of strictures. The current options for surgical therapy include: a) partial pancreatic resections, b) extended pancreatic drainage procedures (which involve additional subtotal resection of the head or a deep coring out of the head, or c) pure pancreatic drainage procedures. In effect surgical procedures provide a more thorough drainage of the ductal system than pancreatic stent placement. This is especially true in the complex ductal arrangement of the head of the pancreas, where simple drainage of the duct or stent placement by endoscopy is unlikely to provide thorough drainage and relief of symptoms.

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Dissertations / Theses on the topic "Endoscopic drainage"

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謝達之 and Tat-chi Ziea. "Emergency endoscopic biliary drainage for acute cholangitis." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31969999.

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Ziea, Tat-chi. "Emergency endoscopic biliary drainage for acute cholangitis." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21929415.

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Marson, Fernando Pavinato. "Hepaticogastrostomia ou coledocoduodenostomia ecoguiadas em pacientes com obstrução maligna da via biliar distal." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5132/tde-14092015-095129/.

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Introdução: O acesso biliar ecoguiado é um método de drenagem alternativo à drenagem percutânea transhepática (DPTH) e à cirurgia em pacientes com obstrução biliar distal incurável que falharam drenagem por Colangiopancreatografia Endoscópica Retrógrada (CPRE). Nos casos em que a drenagem ecoguiada anterógrada transpapilar (ou transanastomótica) e o rendez-vous ecoguiado não podem ser realizados como primeira opção, a coledocoduodenostomia (CDT) e a hepaticogastrostomia (HPG) ainda podem ser realizadas em pacientes selecionados. Estas duas vias de drenagem não anatômicas criam uma fístula entra a via biliar e o estômago ou duodeno. Não há dados na literatura que determinem superioridade de uma ou outra técnica. Objetivo: Comparar o sucesso técnico, sucesso clínico e fatores associados entre as duas vias de drenagem em pacientes com obstrução da via biliar distal maligna incurável que não lograram sucesso na drenagem por CPRE ou rendez-vous ecoguiado. Métodos: Entre abril de 2010 e dezembro de 2013, 49 pacientes com obstrução biliar distal maligna incurável que falharam CPRE e rendez-vous ecoguiado foram randomizados para CDT ou HPG. Dados referentes ao sucesso técnico, sucesso clínico, tempo de procedimento, complicações, qualidade de vida e sobrevida foram coletados até três meses após o procedimento. Todos os procedimentos foram realizados em um centro terciário de endoscopia pelo mesmo endoscopista. Próteses biliares parcialmente recobertas (Boston Scientific, Wallflex, 10 mm, 8 cm ou 6 cm) foram utilizadas em todos os pacientes com sucesso técnico. Nos casos de HPG a punção ecoguiada foi intra-hepática no ducto hepático esquerdo. Nos casos de CDT a punção foi extra-hepática no segmento distal não obstruído do colédoco. Após a punção foi realizada colangiografia com introdução de um fio guia hidrofílico de 0,035 polegada. Dilatação com cateter e um dispositivo de needle knife foi realizada para permitir introdução do sistema de disparo da prótese biliar com 8,5 Fr. Resultados: Quarenta e nove procedimentos foram realizados (25 HPG e 24 CDT). Todos os pacientes tinham dilatação da via biliar intra e extra-hepática. A taxa de sucesso técnico foi de 96 % para HPG e de 91% para CDT (p = 0,609). A taxa de sucesso clínico foi de 91% para o grupo HPG e de 77% para o grupo CDT (p = 0,234). No grupo da HPG 5 pacientes (20%) tiveram complicações (3 sangramentos, 2 biliomas e uma bacteremia). No grupo da CDT 3 pacientes (12,5%) tiveram complicações (1 bilioma, 1 sangramento e 1 perfuração). Somente o caso da perfuração necessitou tratamento cirúrgico. As outras complicações foram tratadas clinicamente. O tempo de procedimento médio foi de 47,83 min para a HPG e de 48,88 min para a CDT (p = 0,843). Conclusão: O presente estudo não demonstrou diferença estatisticamente significante em relação ao sucesso técnico, sucesso clínico, complicações e tempo de procedimento entre os dois grupos estudados. Mais estudos são necessários para elucidar o papel de cada via de drenagem
Background: EUS-guided biliary access is an alternative for percutaneous access or surgery in patients with malignant unresectable distal biliary obstruction and failed ERCP. When rendezvous or anterograde transpapillary/transanastomotic intervention fails as primary drainage options, a Choledochoduodenostomy (CDT) or a Hepaticogastrostomy (HGT) can still be performed in selected patients. This procedure creates a new \" \" y I w one route or the other should be recommended. Aim: To compare technical and clinical success and possible associated factors between the two different drainage routes CDT and HGT in patients with distal unresectable malignant biliary obstruction that failed standard ERCP and EUS-guided rendez vouz (RV) maneuver. Methods: Between April/2010 and December/2013 49 consecutive jaundiced patients with distal unresectable malignant biliary obstruction that failed previous ERCP and EUS-guided RV maneuver were elected randomly to undergo either EUS-guided CDT or HGT. Data including indications, clinical and technical success, procedural times and complications with a three-month follow-up were prospectively collected in a database. All procedures were performed in a tertiary center by the same endoscopist. A partially covered SEMS (Boston Scientific, Wallflex, 10 mm, 8 cm or 6 cm) was used in all technically successful procedures. After puncture of left hepatic duct in case of HGT or the distal unobstructed segment of common bile duct in case of CDT a cholangiogram was obtained followed by advancement of a 0,035-inch guide wire into the biliary system. Bougies and wire-guided needle-knife were used to perform track dilation to allow passage of an 8.5 Fr stent delivery system. Results: Forty-nine cases (25 HGT and 24 CDT) were performed. All patients had intra and extra hepatic biliary dilation. Technical success rate was 96 % for HGT and 91% for CDT (p = 0.609). Clinical success rate was 91% for HPG and 77% for CDT (p = 0.234). In the HGT group five patients (20%) had complications (3 bleeding, 2 bilomas and 1 bacteremia). In the CDT group 3 patients (12.5%) had complications (1 biloma, 1 bleeding and 1 perforation). Only the perforation patient required surgery. All other complications were managed clinically. The median procedural time was 47.83 min for HGT and 48.88 min for CDT (p = 0.843). Conclusion: No significant difference was found in regards to technical or clinical success, complications and procedure time between the two drainage routes. More studies are needed to clarify situations in which the CDT or the HGT should be advocated

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Takada, Jonas. "Contribuição da drenagem ecoguiada à paliação endoscópica da obstrução biliar maligna." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/5/5132/tde-10122012-143402/.

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Introdução: a maioria dos pacientes com neoplasia maligna da via biliar são diagnosticados em fase avançada. A drenagem biliar ecoguiada é uma alternativa às técnicas de drenagem percutânea trans-hepática e cirúrgicas na ocasião de falha do acesso convencional por colangiografia retrógrada endoscópica (CPRE). Objetivo: avaliar a eficácia e segurança da drenagem biliar ecoguiada em pacientes com obstrução biliar maligna e falha da CPRE. Analisar as complicações e qualidade de vida. Métodos: no período de abril de 2010 a setembro de 2011, 32 pacientes portadores de neoplasia maligna avançada da via biliar foram tratados no Serviço de Endoscopia Gastrointestinal do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Todos os pacientes apresentavam quadro clínico de icterícia obstrutiva e falha na drenagem da via biliar pela CPRE. O tratamento preconizado foi a drenagem da via biliar pela técnica ecoguiada, sob controle radiológico. Dos 32 pacientes, três foram excluídos devido à falha do procedimento ecoguiado. Vinte e nove (90,62%) pacientes foram submetidos a drenagem biliar ecoguiada, avaliações clínica, laboratorial e de qualidade de vida. Na avaliação clínica foram observados a evolução dos sinais e sintomas, e complicações relacionadas ao procedimento. Na avaliação laboratorial, foram analisados os níveis de bilirrubina total, gama-glutamil-transferase, fosfatase alcalina e número de leucócitos. A qualidade de vida foi avaliada pelo questionário SF-36. Resultados: dos 32 pacientes,3 (9,4%) foram excluídos devido a falha técnica. O sucesso técnico foi de 90.6% (29/32) e o clínico de 100% (29/29). Em relação aos dados gerais endossonográficos, verificou-se metástase à distância em 6 (18,75%) e invasão do eixo mesentero-portal em 26 (81,25%) pacientes. O diâmetro da via biliar extra-hepática apresentou mediana de 23,45 mm (20 - 30 mm) e da intra-hepática foi de 17,54 mm (10 - 24 mm). A invasão duodenal ocorreu em 10 (31,25%) pacientes e prótese metálica foi posicionada em 7 (21,85%) casos. A coledocoduodenostomia ecoguiada foi o procedimento mais frequente (58,62%). Complicações ocorreram em 6 (18,75%) casos. Verificou-se uma queda significativa dos níveis de bilirubina (p <0,001) e os pacientes obtiveram melhora significativa da qualidade de vida após o procedimento (p<0,05). A sobrevida média foi de 90 dias. Conclusão: a drenagem biliar ecoguiada foi um procedimento eficaz e seguro, com taxa de complicações aceitável, proporcionando melhora significativa na qualidade de vida dos pacientes
Introduction: most of patients with malignant neoplasia of the biliary tract are diagnosed at an advanced stage. Echoguided biliary drainage is an alternative to percutaneous transhepatic and surgical drainage techniques at the time of failure of conventional access by endoscopic retrograde cholangiography (ERCP). Objective: to evaluate the efficacy and safety of echoguided biliary drainage in patients with malignant biliary obstruction and failure of ERCP. To evaluate the complications and quality of life. Methods: from April 2010 to September 2011, 32 patients with advanced malignant biliary tract disease were treated at the Gastrointestinal Endoscopy Service, Clinics Hospital, Faculty of Medicine, University of Sao Paulo. All patients had a clinical picture of obstructive jaundice and failure in the drainage of the biliary tract by ERCP. Treatment was based on echoguided biliary drainage technique under radiological control. Of the 32 patients, three were excluded due to failure of the echoguided procedure. Twenty-nine (90.62%) patients underwent echoguided biliary drainage, clinical, laboratory and quality of life evaluation. In the clinical evaluation were assessed the evolution of signs and symptoms, and procedure-related complications. In laboratory tests, we assessed the levels of total bilirubin, gamma glutamyl transferase, alkaline phosphatase and number of leukocytes. The quality of life was assessed by SF-36 questionary. Results: of 32 patients, three (9.4%) were excluded due to technical failure. Technical success was 90.6% (29/32) and clinical 100% (29/29). In relation to the general endosonographic data, there was distant metastasis in 6 (18.75%) and invasion of the mesenteric-portal axis in 26 (81.25%) patients. The diameter of extrahepatic biliary tree was 23.45 mm (20 - 30mm) and intrahepatic was 17.54mm(10 - 24mm). The duodenal invasion occurred in 10 (31.25%) and metallic prosthesis was positioned in 7 (21.85) cases. Echoguided choledochoduodenostomy was the most common procedure (58.62%). Complications occurred in 6 (18.75%) cases. There was a significant decrease in bilirubin levels (p <0.001) and patients had significant improvement in quality of life after the procedure (p < 0.05). The median survival was 90 days. Conclusion: echoguided biliary drainage was effective and safe procedure with acceptable complication rates, providing significant improvement in quality of life of patients

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BODIOU, BERTEI CHRISTINE. "Traitement transpapillaire des kystes et pseudokystes pancreatiques." Lyon 1, 1994. http://www.theses.fr/1994LYO1M142.

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Loureiro, Jarbas Faraco Maldonado. "Drenagem biliar na paliação dos tumores malignos da confluência biliopancreática: estudo comparativo das abordagens cirúrgica e endoscópica ecoguiada." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/5/5132/tde-13082014-105934/.

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Introdução: A maioria dos pacientes acometidos pela neoplasia que envolve a confluência biliopancreática é diagnosticada em fase avançada. A Colangiopancreatografia Retrógrada Endoscópica (CPRE) é o método de escolha para a drenagem da via biliar obstruída. Todavia, existe um índice de insucesso em torno de 10%. Nesses casos, técnicas alternativas serão aplicadas, como drenagem percutânea trans-hepática e drenagens cirúrgicas. Objetivo: Avaliar o sucesso técnico, clínico, qualidade de vida e sobrevida da drenagem biliar pela cirurgia convencional e técnica endoscópica ecoguiada em pacientes portadores de neoplasia maligna da confluência biliopancreática. Método: No período de abril de 2010 a setembro de 2013, foram estudados 32 pacientes portadores de neoplasia maligna da confluência biliopancreática. Todos os que foram incluídos nesse estudo apresentaram falha na drenagem biliar por CPRE. Três deles foram excluídos por insucesso técnico (falha na confecção da anastomose hepaticojejunal e da formação da fístula coledocoduodenal ecoguiada). O Grupo I foi formado por 15 pacientes submetidos à Hepaticojejunostomia (HJT) em \"Y\" de Roux e derivação gastrojejunal. O Grupo II foi formado por 14 pacientes submetidos à coledocoduodenostomia ecoguiada (CDT). O sucesso clínico foi avaliado pela queda da bilirrubina sérica total em mais de 50% nos sete primeiros dias após o procedimento. A qualidade de vida foi avaliada pelo questionário SF-36 e a sobrevida pela curva de Kaplan-Meier. Resultados: O sucesso técnico foi de 93,75% (15/16) no Grupo I e de 87,5% (14/16) no Grupo II (p = 0,598). O sucesso clínico ocorreu em 14 (93,33%) pacientes pertencentes ao Grupo I e em 10 (71,43%) do Grupo II. Não houve diferença estatisticamente significativa (p = 0,169). O comportamento médio dos escores de qualidade de vida foi estatisticamente igual entre as técnicas ao longo do seguimento (p > 0,05 Técnica * Momento). Houve alteração média estatisticamente significativa ao longo do seguimento nos escores de capacidade funcional, saúde física, dor, aspectos sociais, aspectos emocionais e saúde mental em ambas as técnicas (p < 0,05). O escore de saúde mental foi, em média, estatisticamente maior nos do Grupo II (CDT) em todos os momentos (p = 0,035). O tempo médio de sobrevida daqueles pertencentes ao Grupo I foi de 82,27 dias e os do Grupo II, de 82,36 dias. Sessenta por cento dos pertencentes ao Grupo I faleceram até 90 dias após o procedimento cirúrgico. Por outro lado, 42,9% dos submetidos à CDT faleceram no mesmo período. Não houve diferença estatisticamente significativa no tempo de sobrevida entre os Grupos (p = 0,389). Conclusão: Os dados relacionados aos sucessos técnico, clínico, qualidade de vida e sobrevida foram semelhantes em ambos os grupos, não se verificando diferença estatisticamente significativa
Introduction: Most patients with neoplasm in the biliopancreatic junction are diagnosed at an advanced stage. Endoscopic retrograde cholangiopancreatography (ERCP) is the method of choice for drainage of obstructed biliary tract. However, there is a failure rate of about 10%. In such cases, alternative techniques, such as, percutaneous transhepatic drainage and surgical drainage are applied. Aim: To evaluate the technical and clinical success, quality of life and patient survival of biliary drainage by conventional surgery and endosonography-guided technique in patients with malignant neoplasm of the biliopancreatic junction. Methodology: From April 2010 to September 2013, 32 patients with malignant neoplasm of the biliopancreatic junction were studied. All patients included in this study had failed biliary drainage by ERCP. Three patients were excluded due to technical failure (failure in the construction of hepatico-jejuno anastomosis and formation of endosonography-guided choledochoduodenal fistula). Group I comprised of 15 patients who underwent Roux-en-Y hepaticojejunostomy (HJT) and gastrojejunal bypass. Group II consisted of 14 patients who underwent endosonography-guided choledochoduodenostomy (CDT). Clinical success was assessed by the decrease of more than 50% in total serum bilirubin in the first seven days after the procedure. Quality of life was assessed by SF-36 questionnaire and survival by Kaplan-Meier curve. Results: Technical success rate was 93.75% (15/16) in group I and 87.5% (14/16) in group II (p = 0.598). Clinical success occurred in 14 (93.33%) patients in group I and 10 (71.43%) patients in group II. There was no significant statistically difference (p = 0.169). The average quality of life score were statistically equal between the techniques during follow-up (p > 0.05 * Technical Moment). There were statistically significant mean changes during follow-up of functional capacity score, physical health, pain, social functioning, emotional and mental health aspects in both techniques (p < 0.05). The mental health score was, on average, statistically higher in group II (CDT) at all times (p = 0.035). The median survival time of patients in group I was 82.27 days and Group II patients was 82.36 days. Sixty percent of patients in group I died within 90 days after the surgical procedure. On the other hand, 42.9% of the patients who underwent CDT died in the same period. There was no statistically significant difference in survival time between the groups (p = 0.389). Conclusion: Data relating to technical and clinical success, quality of life and survival were similar in both groups and there were no statistically significant differences

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Sekhar, Vimal. "Effectiveness of endoscopic versus external surgical approaches in the treatment of orbital complications of rhinosinusitis: a systematic review and meta-analysis." Thesis, 2020. http://hdl.handle.net/2440/124811.

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Objective: This review aims to investigate and compare the effectiveness of endoscopic drainage techniques against external drainage techniques for the treatment of orbital abscesses, subperiosteal abscesses and cavernous sinus thrombosis as a complication of rhinosinusitis. Introduction: Transnasal endoscopic drainage and external drainage techniques have been used in the management of subperiosteal orbital abscesses secondary to rhinosinusitis. Each of these approaches has its own advantages and disadvantages, with extensive literature describing each technique separately. However, there is a lack of guidance in the studies on assessing and comparing the safety, effectiveness and suitability of these techniques. This review aims to compare the effectiveness of these techniques based on outcome measures in the literature such as: length of postoperative hospital stay, rate of revision surgery and complication rates. Inclusion criteria: Eligible studies included people of all ages diagnosed with subperiosteal abscess, orbital abscess or cavernous sinus thrombosis (Chandler stages III–V) secondary to rhinosinusitis disease, who have also undergone drainage via either an endoscopic approach, an external approach or a combined surgical approach. Methods: A comprehensive search of both published and unpublished literature was performed to uncover studies meeting the inclusion criteria. Reference lists of studies included in final analyses were also manually searched. Two reviewers screened studies and a third reviewer was engaged to resolve any disagreements. Studies were, where possible, pooled in statistical meta-analysis, with heterogeneity of data being assessed using the standard Chi-squared and I2 tests. Results: This review identified nine studies (of limited quality) assessing either endoscopic, external or combined surgical drainage techniques for subperiosteal orbital abscesses. Each of these techniques encompassed a wide variety of surgical approaches, with some variation. Recurrence rates were lower in the combined drainage group, with comparative meta-analysis with external drainage not indicating a statistically significant higher risk of recurrence with external drainage (RR 0.25, 95% CI 0.05-1.29 p = 0.10). Single group analysis of recurrence showed that the overall rate of recurrence was much lower in the combined group (4%, 95% CI 0.08-17.12) in comparison with the external (24%, 95% CI 11-40) or endoscopic groups (26%, 95% CI 10-45). Analysis of total hospitalisation revealed endoscopic drainage was associated with longer total hospitalisation than external drainage, although this difference was not significant (mean difference 0.10 days, 95% CI -4.76 to 4.96 p=0.97). Combined drainage was associated with a slightly longer total hospitalisation than external drainage (mean difference 0.94 days, 95% CI -0.79 to 2.67 p = 0.29). Combined drainage was associated with a longer total hospitalisation than endoscopic drainage (mean difference -0.70 days, 95% CI -3.48 to 2.07 p = 0.62). Post-operative stay analysis revealed longer post-operative stay in the external drainage group when compared to the combined drainage group (mean difference -0.16 days, 95% CI -1.15-0.83 p = 0.76). Conclusion: Imminent treatment of subperiosteal orbital abscesses via medical and surgical treatment methods is vital, given the high morbidity associated with the disease. This review identified nine studies (of limited quality) assessing either endoscopic, external or combined surgical drainage techniques for subperiosteal orbital abscesses. Each of these techniques encompassed a wide variety of surgical approaches with some variation. All drainage strategies have acceptable outcomes in relation to recurrence rates, total hospitalisation (days), post-operative stay (days) and complication rate. It is important to clinically identify the presence of subperiosteal orbital abscess, organise for an immediate computed tomography scan of the orbit and sinuses, and commence intravenous antibiotics quickly prior to deciding whether surgery is required or not. This review supports the view that surgeons should choose the appropriate surgical technique based on what they are comfortable and familiar with and what would be the safest option for the patient.
Thesis (MClinSc) -- University of Adelaide, The Joanna Briggs Institute, 2020

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Books on the topic "Endoscopic drainage"

1

Presutti, Livio, and Francesco Mattioli, eds. Endoscopic Surgery of the Lacrimal Drainage System. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-20633-2.

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Gupta, Nishi. Endoscopic Dacryocystorhinostomy in Post traumatic Lacrimal drainage system obstruction. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-4615-8.

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Huibregtse, Kornelis. Endoscopic Biliary and Pancreatic Drainage. Thieme Publishing Group, 1988.

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Mattioli, Francesco, and Livio Presutti. Endoscopic Surgery of the Lacrimal Drainage System. Springer, 2015.

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Mattioli, Francesco, and Livio Presutti. Endoscopic Surgery of the Lacrimal Drainage System. Springer London, Limited, 2015.

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Endoscopic Surgery of the Lacrimal Drainage System. Springer International Publishing AG, 2016.

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Kahn, S. Lowell. Use of Contrast-Fortified Surgilube for Biliary Drainage in the Setting of Active Leakage. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0083.

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Biliary leaks are a common clinical entity that may occur after trauma or surgery. Endoscopic retrograde cholangiopancreatography (ERCP) is the first choice of treatment for an active biliary leak. Percutaneous transhepatic cholangiography (PTC) with drain placement (external or internal/external) is increasingly employed either alone or as an adjunct to endoscopy (Rendezvous procedure) or surgery. Performance of a PTC on the nondilated system remains technically challenging and is associated with extra needle passes and significantly longer fluoroscopy times. Technical challenges arise from needle localization of a small nondilated duct and the contrast that is injected will pass through the leak rather than distending and opacifying the ducts. This chapter describes the use of contrast-fortified Surgilube for biliary opacification in the setting of an active biliary leak.

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Huaco, Jorge A., Emanuele Lo Menzo, Samuel Szomstein, and Raul J. Rosenthal. Management of Laparoscopic Sleeve Gastrectomy Staple-Line Leak. Edited by Tomasz Rogula, Philip Schauer, and Tammy Fouse. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190608347.003.0030.

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Laparoscopic sleeve gastrectomy (LSG) has rapidly become the preferred procedure in bariatric surgery. Because of the increased intraluminal pressure and the presence of an intact pylorus, leaks after LSG have a tendency to perpetuate and become chronic. The management of leaks depends primarily on the clinical presentation of the patient, but a leak’s location and chronicity also play a significant role in management. In general, patients with hemodynamic instability need to be treated aggressively and expeditiously with surgical intervention, whereas more stable patients can undergo less-invasive interventions, such as percutaneous drainage and an endoscopic approach. However, once the leak becomes chronic, the role of endoscopic and percutaneous approaches is uncertain, and often more radical surgical intervention is required. Among the surgical options for chronic leaks, Roux-en-Y mucosa-to-mucosa anastomosis and proximal gastrectomy with Roux-en-Y reconstruction have delivered durable results, with acceptable complication rates.

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Agarwal, Anil, Neil Borley, and Greg McLatchie. Paediatric surgery. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199608911.003.0007.

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This chapter covers paediatric operations. Procedures like rigid bronchoscopy, chest drain insertion, and central venous catheter insertion are described. Common operations of abscess drainage, appendicectomy, laparoscopy, gastrostomy, circumcision, epigastric and umbilical hernia repair, external angular dermoid cyst excision, inguinal hernia, and hydrocele are all outlined. Other operations described are fundoplication, ileostomy formation, pyloromyotomy, small-bowel resection and anastomosis. Surgery for intussusception, small-bowel atresia, meconium ileus, and oesophageal atresia are included. Urological operations include orchidopexy, scrotal exploration, cystoscopy, endoscopic correction of vescico urteric reflux (VUR), insertion and removal of JJ stent, vesicostomy, suprapubic catheter insertion, nephrectomy, repair of hypospadias, bladder augmentation, and Anderson Hynes pyeloplasty.

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Hutton, Kim, and Ashok Daya Ram. Disorders of the urethra. Edited by David F. M. Thomas. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0117.

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Most disorders of the urethra in children are congenital in origin and affect boys more commonly than girls. They include; posterior urethral valves (PUV), anterior urethral valves, anterior urethral diverticulum, syringocele, urethral atresia, megalourethra, urethral web, urethral polyp, and urethral duplication. Urethral strictures may be congenital or acquired. Most cases of PUV are now diagnosed prenatally. Postnatal management comprises bladder drainage, correction of any metabolic disturbance, prevention of infection (UTI), and endoscopic valve ablation. Careful follow up is required with the aim of preventing urosepsis and preserving renal function. Persisting bladder dysfunction (‘valve’ bladder) can threaten renal function and should be managed aggressively. Chronic renal failure ultimately affects a third of boys with PUV, of whom 10–20% require renal transplantation during the course of childhood. PUV may also present clinically with recurrent UTI, urinary incontinence, or unexplained lower urinary tract symptoms.

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Book chapters on the topic "Endoscopic drainage"

1

Kawaguchi, Yoshiaki. "Endoscopic Nasobiliary Drainage." In Advanced Therapeutic Endoscopy for Pancreatico-Biliary Diseases, 261–71. Tokyo: Springer Japan, 2017. http://dx.doi.org/10.1007/978-4-431-56009-8_24.

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Ang, Tiing Leong, and Stefan Seewald. "Pancreatic fluid collection drainage." In Endoscopic Ultrasonography, 254–60. Chichester, UK: John Wiley & Sons, Ltd, 2016. http://dx.doi.org/10.1002/9781118781067.ch27.

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Ali, Mohammad Javed. "Adjunctive Endoscopic Procedures: Endoscopic Septoplasty." In Atlas of Lacrimal Drainage Disorders, 583–97. Singapore: Springer Singapore, 2017. http://dx.doi.org/10.1007/978-981-10-5616-1_65.

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Gupta, Nishi. "Anatomy of Lacrimal Drainage System." In Endoscopic Dacryocystorhinostomy, 9–21. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-8112-0_2.

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Gupta, Nishi. "Dacryoendoscopy in Lacrimal Drainage System." In Endoscopic Dacryocystorhinostomy, 269–81. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-8112-0_20.

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Yamamoto, Kenjiro, and Takao Itoi. "Endoscopic Drainage of the Gallbladder: Endoscopic Transpapillary Gallbladder Drainage and Endoscopic Ultrasonography-Guided Gallbladder Drainage." In Diseases of the Gallbladder, 299–303. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-6010-1_30.

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Amin, Sunil, and Amrita Sethi. "EUS-Guided Gallbladder Drainage." In Interventional Endoscopic Ultrasound, 35–43. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-97376-0_4.

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Siddiqui, Ali A., Shayan Moraveji, Sharareh Moraveji, and Sandeep Anthony Ponniah. "Pancreatic Fluid Collection Drainage." In Therapeutic Endoscopic Ultrasound, 77–90. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28964-5_5.

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Mukai, Shuntaro, and Takao Itoi. "EUS-Guided Biliary Drainage." In Therapeutic Endoscopic Ultrasound, 91–111. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28964-5_6.

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Deviere, Jacques. "EUS-Guided Pancreatic Drainage." In Therapeutic Endoscopic Ultrasound, 113–22. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28964-5_7.

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Conference papers on the topic "Endoscopic drainage"

1

Bradai, S., M. Mahmoudi, A. Khsiba, M. Medhioub, A. Ben Mohamed, A. Nakhli, L. Hamzaoui, and Mm Azzouz. "Endoscopic Transmural Drainage Of Pancreatic Pseudocysts." In ESGE Days 2021. Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1724830.

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Katzarov, A., I. Popadiin, K. Sapundzhiev, Z. Dunkov, and K. Katzarov. "PERCUTANEOUS ENDOSCOPIC ASSISTED HEPATIC ABSCESS DRAINAGE." In ESGE Days 2019. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1681876.

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Canaval Zuleta, HJ, J. Angel Ferrer Rosique, and D. Riado Minguez. "ENDOSCOPIC TRASLUMINAL DRAINAGE OF ENDOLUMINAL DIVERTICULAR ABSCESS." In ESGE Days 2019. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1681830.

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Pijoan Comas, E., N. Torres Monclús, M. Alburquerque, G. Torres Vicente, A. Vargas Garcia, I. Miguel Salas, DC Bayas Pástor, N. Zaragoza Velasco, JM Reñé Espinet, and F. González-Huix Lladó. "Cholangioscopy- Assisted Transpapillary Gallbladder Drainage: An Alternative to Endoscopic Ultrasound-Guided Drainage." In ESGE Days 2021. Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1724850.

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El Mountassir, M., M. Borahma, N. Lagdali, I. Benelbarhdadi, and FZ Ajana. "Malignant Hilar Biliary Strictures: Efficiency Of Endoscopic Drainage." In ESGE Days 2021. Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1724826.

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Irambona, Aimé-Parfait, Mohamed Borahma, Fatima Zahra Chabib, Imane Benelbarhdadi, and Fatima Zahra Ajana. "P167 Efficacy of endoscopic biliary drainage in pancreatic adenocarcinoma." In Abstracts of the BSG Annual Meeting, 20–23 June 2022. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2022. http://dx.doi.org/10.1136/gutjnl-2022-bsg.221.

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Dalal, A., A. Maydeo, and G. Patil. "OUTCOMES OF ENDOSCOPIC ULTRASOUND GUIDED BILIARY DRAINAGE - A PROSPECTIVE OBSERVATIONAL STUDY." In ESGE Days. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1704453.

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Correia, C., N. Almeida, F. Portela, D. Gomes, A. Fernandes, A. Rosa, and P. Figueiredo. "ENDOSCOPIC DRAINAGE OF PANCREATIC AND PERI-PANCREATIC COLLECTIONS: A RETROSPECTIVE ANALYSIS." In ESGE Days. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1704732.

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Cabredo, BB, RM Sáiz Chumillas, LA Hernández, GH Bautista, ACM Urdaneta, MAJ Moreno, IC Martín-Falquina, JS Sánchez, and JCP Álvarez. "ENDOSCOPIC ULTRASOUND-GUIDED DRAINAGE OF PELVIC ABSCESS WITH LUMEN-APPOSING STENT." In ESGE Days. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1704733.

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Gadour, E., and Z. Hassan. "ENDOSCOPIC ULTRASOUND-GUIDED BILIARY DRAINAGE VERSUS PERCUTANEOUS TRANSHEPATIC CHOLANGIGRAPHY, SYSTEMATIC REVIEW." In ESGE Days 2022. Georg Thieme Verlag KG, 2022. http://dx.doi.org/10.1055/s-0042-1745200.

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Reports on the topic "Endoscopic drainage"

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Liu, Sifan, Xue Jing, and Zibin Tian. Safety and efficacy in endoscopic ultrasound-guided drainage for abdominal abscess: a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2020. http://dx.doi.org/10.37766/inplasy2020.5.0056.

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Chang, Ke-Vin. Ultrasonography for the Diagnosis of Carpal Tunnel Syndrome: A Protocol for an Umbrella Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2022. http://dx.doi.org/10.37766/inplasy2022.4.0058.

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Review question / Objective: This meta-analysis aimed to compare the clinical effectiveness and safety between radioactive versus normal stent insertion for patients with malignant hilar obstruction. Condition being studied: Malignant hilar obstruction (MHO) is a common clinical condition that is caused by the hilar cholangiocarcinoma, gallbladder carcinoma, or hilar metastasis. Most of the patients with MHO underwent palliative biliary drainage or stening by an endoscopic or percutaneous approach until end of life. The previous studies suggested that that bilateral stent placement and the use of metal stents are superior to unilateral and plastic stents in the items of stent patency. However, bilateral stenting did not improve the patients’ overall survival (OS) because stent alone had no treatment effect on the tumors themselves. Although several treatment options, including chemotherapy, external radiation, intra-ductal brachytherapy, etc, has been used to prolong the stent patency and OS for patients with malignant biliary obstruction (MBO), intra-ductal brachytherapy using I-125 seeds has been widely used because of its persistent brachytherapeutic effect. To combine the I-125 seeds and metal stent together, many researchers have developed a radioactive stent (RS) for the patients with MBO. Many meta-analyses also confirmed that RS insertion was associated with significant longer stent patency and OS for patients with MBO when compared to normal stent (NS). However, whether RS can also provide a good effectiveness for patients with MHO is still unclear.

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