Single-Step EUS-Guided Endoscopic Treatment for Sterile Pancreatic Collections: A Single-Center Experience

2008 ◽  
Vol 26 (4) ◽  
pp. 370-376 ◽  
Author(s):  
José C. Ardengh ◽  
Djalma E. Coelho ◽  
José F. Coelho ◽  
Luiz F. Pereira de Lima ◽  
José S. dos Santos ◽  
...  
2012 ◽  
Vol 32 (4) ◽  
pp. 227-231 ◽  
Author(s):  
Pedro Monsanto ◽  
Nuno Almeida ◽  
Albano Rosa ◽  
Fernanda Maçôas ◽  
Clotilde Lérias ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Mateusz Jagielski ◽  
Marian Smoczyński ◽  
Anna Jabłońska ◽  
Krystian Adrych

Background. Endotherapy is a common method of treatment in patients with symptomatic walled-off pancreatic necrosis (WOPN). The aim of this study is to indicate the potential therapeutic possibilities created by the combination of several new endoscopic techniques and the evaluation of their efficacy in the treatment of WOPN. Methods. The retrospective analysis of results and complications in the group of 101 patients, who underwent endoscopic treatment of symptomatic WOPN between years 2011 and 2015. Results. Endoscopic treatment was started in 101 patients (71 men, 30 women; mean age 50.97 years) with symptomatic WOPN. Single transluminal gateway technique (SGT) was used in 93/101 (92.08%) patients. SGT in combination with multiple transluminal gateway technique (MTGT) was exploited in 4/93 (4.30%) patients, while in combination with single transluminal gateway transcystic multiple drainage (SGTMD) in 22/93 (23.66%) patients. Transpapillary access was used in 11/101 (10.89%) patients. 20/101 (19.80%) patients underwent percutaneous drainage. Fluoroscopy-guided endoscopic necrosectomy was performed in 19/101 (18.81%) patients. The combinations of endoscopic techniques depended on the extent of necrosis. Procedure-related complications occurred in 16/101 (15.84%) patients. The mortality rate was 0.99% (1/101 patient). Therapeutic success was achieved in 99/101 (98.02%) patients. The long-term success of endoscopic treatment was achieved in 97/101 (96.04%) patients with symptomatic WOPN. Conclusions. Application of new endoscopic techniques in the treatment of the patients with symptomatic WOPN significantly improves the efficiency of endotherapy with an acceptable amount of complications.


2015 ◽  
Vol 27 (7) ◽  
pp. 729-734 ◽  
Author(s):  
Giorgio Battaglia ◽  
Alessandro Antonello ◽  
Stefano Realdon ◽  
Martina Cesarotto ◽  
Lisa Zanatta ◽  
...  

Surgery Today ◽  
2021 ◽  
Author(s):  
Eleonora Faccioli ◽  
Andrea Dell’Amore ◽  
Pia Ferrigno ◽  
Marco Schiavon ◽  
Marco Mammana ◽  
...  

Abstract Purpose Bronchial stenoses are challenging complications after lung transplantation and are associated with high rates of morbidity and mortality. We report a series of patients who underwent bronchoplasty or sleeve resection for bronchial stenoses that did not resolve with endoscopic treatment after lung transplantation. Methods Between 1995 and 2020, 497 patients underwent lung transplantation at our Institution. 35 patients (7.0%) experienced bronchial stenoses with a median time from transplantation of 3 months. Endoscopic management was effective in 28 cases (5.6%) while 1 patient required re-transplantation. Six patients (1.2%) underwent bronchoplasty or sleeve resection. Results The procedures of the six patients who underwent bronchoplasty or sleeve resection were as follows: lower sleeve bilobectomy (n = 3), wedge bronchoplasty of the bronchus intermedius (n = 1), isolated sleeve resection of the bronchus intermedius (n = 1), and isolated sleeve resection of the bronchus intermedius (n = 1), associated with a middle lobectomy. All patients were discharged after a median time of 11 days. At a median of 12 months from surgery, two patients remain alive with a preserved pulmonary function. Four patients died after a median time of 56 months from bronchoplasty of causes that were not related to surgery. Conclusions Bronchial reconstructions are challenging procedures that can be performed in highly specialized centers. Despite this, they can be considered a good strategy to obtain a definitive resolution of stenosis after lung transplantation.


2021 ◽  
Vol 32 ◽  
pp. S26
Author(s):  
A. La Rocca ◽  
D. Perri ◽  
J. Di Martino ◽  
G. Bondonno ◽  
S. Cavalli ◽  
...  

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