Dilatazione senza sfinterotomia efficace per l’estrazione di grossi calcoli
- Dettagli
- Categoria: Endoscopia
Comparison of endoscopic papillary large balloon dilation with or without endoscopic sphincterotomy for the treatment of large bile duct stones.Park JS, Jeong S, Lee DK, Jang SI, Lee TH, Park SH, Hwang JC, Kim JH, Yoo BM, Park SG, Lee DH. Endoscopy. 2018 Jul 3. [Epub ahead of print]
BACKGROUND:Endoscopic papillary large balloon dilation (EPLBD) without prior endoscopic sphincterotomy (EST) produces excellent outcomes for the treatment of large common bile duct (CBD) stones. However, it remains unclear how the outcomes of EPLBD alone compare with those of EPLBD with EST. In this study, we assessed the safety and therapeutic outcomes of EPLBD with vs. without EST for the removal of large bile duct stones.
PPI e ASA migliorano outcome del Barrett
- Dettagli
- Categoria: Gastroenterologia
Esomeprazole and aspirin in Barrett's oesophagus (AspECT): a randomised factorial trial.Jankowski JAZ, de Caestecker J, Love SB, Reilly G, Watson P, et al. Lancet. 2018 Aug 4;392(10145):400-408.
BACKGROUND:Oesophageal adenocarcinoma is the sixth most common cause of cancer death worldwide and Barrett's oesophagus is the biggest risk factor. We aimed to evaluate the efficacy of high-dose esomeprazole proton-pump inhibitor (PPI) and aspirin for improving outcomes in patients with Barrett's oesophagus.
Colecisti a porcellana e rischio di cancro
- Dettagli
- Categoria: Pancreas e vie biliari
Porcelain Gallbladder: Is Observation a Safe Option in Select Populations?DesJardins H, Duy L, Scheirey C, Schnelldorfer T. J Am Coll Surg. 2018 Jun;226(6):1064-1069.
BACKGROUND:Management of gallbladder wall calcifications has been controversial for many decades. Although the traditionally perceived strong association with gallbladder cancer mandated prophylactic cholecystectomy, newer evidence suggests a much lesser association and might indicate an observational approach.
Nuova classificazione delle lesioni delle vie biliari basata su colangioscopia
- Dettagli
- Categoria: Pancreas e vie biliari
Reliability and accuracy of a novel classification system using peroral cholangioscopy for the diagnosis of bile duct lesions.Robles-Medranda C, Valero M, Soria-Alcivar M, Puga-Tejada M, Oleas R, Ospina-Arboleda J, Alvarado-Escobar H, Baquerizo-Burgos J, Robles-Jara C, Pitanga-Lukashok H. Endoscopy. 2018 Jun 28. [Epub ahead of print]
BACKGROUND: The aim of this study was to propose a novel, comprehensive, macroscopic classification for bile duct lesions.
E’ proprio necessaria la terapia antibiotica nella diverticolite acuta non complicata ?
- Dettagli
- Categoria: Gastroenterologia
Long-Term Effects of Omitting Antibiotics in Uncomplicated Acute Diverticulitis.van Dijk ST, Daniels L, Ünlü Ç, de Korte N, van Dieren S, Stockmann HB, Vrouenraets BC, Consten EC, van der Hoeven JA, Eijsbouts QA, Faneyte IF, Bemelman WA, Dijkgraaf MG, Boermeester MA; Dutch Diverticular Disease (3D) Collaborative Study Group. Am J Gastroenterol. 2018 Jul;113(7):1045-1052.
BACKGROUND:Traditionally uncomplicated acute diverticulitis was routinely treated with antibiotics, although evidence for this strategy was lacking. Recently, two randomized clinical trials (AVOD trial and DIABOLO trial) published short-term results of omitting antibiotics compared to routine antibiotic treatment. Both showed no significant differences regarding recovery from the initial episode, as well as rates of complicated or recurrent diverticulitis and sigmoid resection.
