49 documents found, page 1 of 5

Endoscopic Submucosal Dissection for the Treatment of Superficial Epithelial Ga...

BACKGROUND: The emergence of endoscopic submucosal dissection (ESD) made possible en bloc resection of neoplastic gastric lesions, regardless of lesion size, with reduced rates of complications and recurrence. This technique has become the preferred method for curative resection, instead of conventional endoscopic mucosal resection and surgery, when distant metastases have negligible risk. In Western countries ...

Training in endoscopic mucosal resection and endoscopic submucosal dissection: ...

INTRODUCTION: Endoscopic mucosal resection and endoscopic submucosal dissection are demanding procedures. This study aims to establish face, content and expert validity of the live porcine model in performing endoscopic mucosal resection, endoscopic submucosal dissection, complication management and to assess it as a training tool. MATERIAL AND METHODS: Tutors and trainees participating in live porcine model en...

An uncommon diagnosis done by colonoscopy

Enterocutaneous fistula: a novel video-assisted approach

Video-assisted anal fistula treatment (VAAFT) is a novel minimally invasive and sphincter-saving technique to treat complex anal fistulas described by Meinero in 2006. An enterocutaneous fistula is an abnormal communication between the bowel and the skin. Most cases are secondary to surgical complications, and managing this condition is a true challenge for surgeons. Postoperative fistulas account for 75–85% of...

Acute Treatment of Malignant Colorectal Occlusion: Real Life Practice

INTRODUCTION: Colorectal cancer presents itself as acute bowel occlusion in 10-40% of patients. There are two main therapeutic approaches: urgent surgery and endoluminal placement self-expandable metallic stents (SEMS). AIMS AND METHODS: This study intended to better clarify the risk/benefit ratio of the above-mentioned approaches. We conducted a retrospective longitudinal multicenter study, including 189 patie...

Gaining competence in needle-knife fistulotomy - can I begin on my own?

BACKGROUND: While there are guidelines for appropriate training in ERCP, these are non-existent for needle-knife precut. The aim of this study was: (1) evaluate the experience curve of three endoscopists in needle-knife fistulotomy (NKF); (2) propose a minimum number of NKF procedures to attest proficiency. METHODS: Between November 1997 and March 2011, the first 120 consecutive NKF performed by three endoscopi...

Gaining competence in needle-knife fistulotomy - can I begin on my own?

BACKGROUND: While there are guidelines for appropriate training in ERCP, these are non-existent for needle-knife precut. The aim of this study was: (1) evaluate the experience curve of three endoscopists in needle-knife fistulotomy (NKF); (2) propose a minimum number of NKF procedures to attest proficiency. METHODS: Between November 1997 and March 2011, the first 120 consecutive NKF performed by three endoscopi...

Gastric Mixed Adenoneuroendocrine Carcinoma

Response.

Response: Luís Lopes, MD, PhD Mário Dinis-Ribeiro, MD, PhD Carla Rolanda, MD, PhD Show more doi:10.1016/j.gie.2015.01.001 Refers To: Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Christos Zavos, Jannis Kountouras The endoscopic morphology of major papillae influences the selected precut technique for biliary access Gastrointestinal Endoscopy, Volume 81, Issue 4, April 2015, Page 1056

Early precut fistulotomy for biliary access: time to change the paradigm of "th...

BACKGROUND: The precut timing during the biliary cannulation algorithm is a subject of controversy. Some studies suggest that early institution of precut is a safe and effective strategy even though the extent to which this approach may affect the duration of the ERCP is seldom addressed. OBJECTIVE: To assess the success, safety, and procedure duration of an early precut fistulotomy (group A) versus a classic p...