Predittori di coledocolitiasi nella colecistite acuta
- Dettagli
- Categoria: Pancreas e vie biliari
Preoperative Predictors of Choledocholithiasis in Patients Presenting with Acute Calculous Cholecystitis.Chisholm PR, Patel AH, Law RJ, Schulman AR, Bedi AO, Kwon RS, Wamsteker EJ, Anderson MA, Elta GH, Govani SM, Prabhu A. Gastrointest Endosc. 2018 Nov 19. [Epub ahead of print]
BACKGROUND AND AIMS:Markedly elevated liver chemistries in patients presenting with acute calculous cholecystitis (AC) often prompt an evaluation for concomitant choledocholithiasis (CDL). However, current guidelines directing the workup for CDL fail to address this unique population. The aims of this study are to define the range of presenting lab values and imaging findings in AC, develop a model to predict the presence of concurrent CDL, and develop a management algorithm that can be easily applied on presentation.
Il Doppler può guidare l’emostasi nei sanguinamenti GI
- Dettagli
- Categoria: Endoscopia
Assessment of endoscopic Doppler to guide hemostasis in high risk peptic ulcer bleeding.Kantowski M, Schoepfer AM, Settmacher U, Stallmach A, Schmidt C. Scand J Gastroenterol. Published online: 05 Nov 2018
INTRODUCTION:Rebleeding or emergency surgery in failed endoscopic therapy of peptic ulcer bleeding are associated with high rates of morbidity and mortality. The clinical benefit of an endoscopic Doppler (ED) examination prior to endoscopic injection therapy was evaluated in high risk ulcer patients for rebleeding episode. Standard injection therapy (non-Doppler (ND)) was compared with targeted injection therapy after examination of the supplying vessel in the ulcer base by the ED.
Stent biodegradabili nei leak biliari
- Dettagli
- Categoria: Endoscopia
Biodegradable biliary stents preferable to plastic stent therapy in post-cholecystectomy bile leak and avoid second endoscopy.Siiki A, Vaalavuo Y, Antila A, Ukkonen M, Rinta-Kiikka I, Sand J, Laukkarinen J. Scand J Gastroenterol. 2018 Nov 5:1-5.
BACKGROUND:The treatment of post-cholecystectomy bile leak is endoscopic retrograde cholangiography (ERC) with plastic stent (PS) insertion combined with external drainage. Self-expanding biodegradable biliary stents (BDBS) have only recently become available.AIM:The aim was to compare success rate, adverse events and costs of BDBS with PS in the treatment of post-cholecystectomy cystic duct leak
Screening in soggetti con familiarità
- Dettagli
- Categoria: Gastroenterologia
Clinical Practice Guideline on Screening for Colorectal Cancer in Individuals With a Family History of Nonhereditary Colorectal Cancer or Adenoma: The Canadian Association of Gastroenterology Banff Consensus.Leddin D, Lieberman DA, Tse F, Barkun AN, Abou-Setta AM, Marshall JK, Samadder NJ, Singh H, Telford JJ, Tinmouth J, Wilkinson AN, Leontiadis GI. Gastroenterology. 2018 Nov;155(5):1325-1347
BACKGROUND & AIMS:A family history (FH) of colorectal cancer (CRC) increases the risk of developing CRC. These consensus recommendations developed by the Canadian Association of Gastroenterology and endorsed by the American Gastroenterological Association, aim to provide guidance on screening these high-risk individuals.
Nuova classificazione PREDICT per l’dentificazione del Barrett
- Dettagli
- Categoria: Gastroenterologia
International development and validation of a classification system for the identification of Barrett’s neoplasia using acetic acid chromoendoscopy: the Portsmouth acetic acid classification (PREDICT).Kesavan Kandiah, Fergus J Q Chedgy, Sharmila Subramaniam, Gaius Longcroft-Wheaton, Paul Bassett, Alessandro Repici, Prateek Sharma, Oliver Pech, Pradeep Bhandari. Gut. 2018 Dec;67(12):2085-2091.
Background Barrett’s oesophagus is an established risk factor for developing oesophageal adenocarcinoma. However, Barrett’s neoplasia can be subtle and difficult to identify. Acetic acid chromoendoscopy (AAC) is a simple technique that has been demonstrated to highlight neoplastic areas but lesion recognition with AAC remains a challenge, thereby hampering its widespread use.Objective To develop and validate a simple classification system to identify Barrett’s neoplasia using AAC.
