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Outcomes of single-operator cholangioscopy-guided lithotripsy in patients with ...

Canena, Jorge; Lopes, Luís; Fernandes, João; Alexandrino, Gonçalo; Lourenço, Luís; Libânio, Diogo; Horta, David; Giestas, Sílvia; Reis, Jorge

Background and Aims: Endoscopic retrograde cholangiopancreatography is the preferred strategy for the management of biliary and pancreatic duct stones. However, difficult stones occur, and electrohydraulic (EHL) and laser lithotripsy (LL) have emerged as treatment modalities for ductal clearance. Recently, single-operator cholangioscopy was introduced, permitting the routine use of these techniques. We aimed to...


Esophageal anastomotic stricturotomy: electroincision therapy with a needle knife

Fernandes, João; Libânio, Diogo; Giestas, Sílvia; Ramada, José; Martinez-Ares, David; Canena, Jorge; Lopes, Luís


Hybrid NOTES: complete endoscopic resection of the gastric wall assisted by lap...

Fernandes, João; Libânio, Diogo; Giestas, Sílvia; Araújo, Tarcísio; Ramada, José; Canena, Jorge; Lopes, Luís

[Excerpt] Laparoscopic wedge resection with a linear stapler is widely accepted in the treatment of gastric gastrointestinal stromal tumors (GISTs) [1, 2]. Although not complex [3], this procedure has some major drawbacks, namely failure in identifying the lesion, possible rupture of the capsule with the linear stapler, excessive normal tissue removal, and technical difficulties in reaching areas such as the ca...


Cholangioscopy-guided holmium laser lithotripsy of a stone trapped in a mechani...

Libânio, Diogo; Giestas, Sílvia; Martinez-Ares, David; Canena, Jorge; Lopes, Luís

Large common bile duct (CBD) stones can be removed with mechanical lithotripsy, although over-the-basket techniques such as electrohydraulic or pulsed dye laser lithotripsy can be necessary in cases of stone impaction.1 We report the case of a 42-year-old woman with a 30-mm stone in the CBD in whom mechanical lithotripsy was attempted after wide sphincterotomy. However, during the procedure, a rupture occurred ...


Endoscopic Ultrasound-Guided Biliary Drainage in Two Patients with Difficult Bi...

Libânio, Diogo; Giestas, Sílvia; Martinez-Ares, David; Ferreira, Frederico; Canena, Jorge; Certo, Manuela; Lopes, Luís

Endoscopic retrograde cholangiopancreatography is the method of choice for biliary drainage, although in some cases standard biliary access is difficult or even impossible. Endoscopic ultrasound (EUS)-guided endoluminal procedures are an alternative in these cases, although experience with these techniques is still limited.


Precut fistulotomy - widening its limits

Fernandes, João; Libânio, Diogo; Giestas, Sílvia; Ramada, José; Martinez-Ares, David; Canena, Jorge; Lopes, Luís


Giant symptomatic rectal lipoma resected by endoscopic submucosal dissection

Fernandes, João; Libânio, Diogo; Giestas, Sílvia; Araújo, Tarcísio; Martinez-Ares, David; Certo, Manuela; Lopes, Luís


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