scholarly journals Endoscopic treatment options for cholangiocarcinoma

2014 ◽  
Vol 1 (2) ◽  
pp. 229-240 ◽  
Author(s):  
Linda Ann Hou ◽  
Jacques Van Dam
2006 ◽  
Vol 20 (3) ◽  
pp. 165-170 ◽  
Author(s):  
Brian M Yan ◽  
Samuel S Lee

Variceal bleeding is a severe complication of cirrhosis leading to significant morbidity and mortality. Treatment of acute variceal bleeding has improved dramatically since the era of the mechanical balloon tamponade. These advances include endoscopic band ligation or sclerotherapy, and vasoactive pharmacological options such as somatostatin, octreotide, vasopressin and terlipressin. Evidence from a multitude of clinical trials and meta-analyses comparing endoscopic and pharmacological treatments suggests near equivalence in efficacy for initial hemostasis, mortality and rate of rebleeding. This raises the question of whether on-call gastroenterologists should be performing emergency endoscopic treatment in the middle of the night or start pharmacological treatment and delay endoscopy until optimal patient and working conditions the next morning. The present review analyzes the available comparative data between endoscopic and pharmacological treatment options. Although the literature cannot yet definitively answer the question posed, the authors suggest that delaying endoscopic treatment until the next morning may be the most reasonable practical approach.


2012 ◽  
Vol 20 (4) ◽  
pp. 320-324 ◽  
Author(s):  
Nicholas C. Barnthouse ◽  
Todd M. Wente ◽  
James E. Voos

2014 ◽  
Vol 14 (4) ◽  
pp. 407-418 ◽  
Author(s):  
Klaus Mönkemüller ◽  
Daniel Popa ◽  
C Mel Wilcox

2020 ◽  
pp. 279-282
Author(s):  
F. Bataillie ◽  
B. Favier ◽  
N. van Beek

Diagnostics ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 221
Author(s):  
May Y.W. Wong ◽  
Payal Saxena ◽  
Arthur J. Kaffes

Benign biliary strictures can be difficult to manage. Untreated biliary strictures can lead to complications, such as chronic cholestasis, jaundice, recurrent sepsis, and secondary biliary cirrhosis, which can have severe ramifications. The management landscape is constantly evolving, with the development of modifiable self-expandable metal stents and biodegradable stents. This review critically appraises current endoscopic treatment strategies, in particular focusing on the shortfalls, such as stent migration and stricture recurrence. It also proposes a treatment algorithm based on aetiologias and the location of the strictures.


2014 ◽  
Vol 30 (4) ◽  
pp. 238-243
Author(s):  
Jürgen Feisthammel ◽  
Joachim Mössner ◽  
Albrecht Hoffmeister

Author(s):  
Mikhail P. Korolev ◽  
◽  
Leonid E. Fedotov ◽  
Yuriy A. Spesivtsev ◽  
Alexandr L. Ogloblin ◽  
...  

2015 ◽  
Vol 100 (7-8) ◽  
pp. 1225-1228
Author(s):  
Tzu-Chun Chen ◽  
Pei-Ming Huang ◽  
Lai I-Rue

This paper is designed to report the endoscopic treatment for a rare esophagopleural fistula after total gastrectomy. Esophagopleural fistula is a rare complication following total gastrectomy. Nonoperative treatment using endoscopic injection of tissue glue is a less invasive and effective option. The history, treatment, and options for managing an esophagopleural fistula following gastrectomy are discussed. A 53-year-old female patient underwent total gastrectomy for advanced gastric cancer. An anastomotic leak with esophagopleural fistula formation developed at the esophagojejunostomy site. The fistula was successfully managed by endoscopic injection with n-butyl-2-cyanoacrylate into the fistula, chest tube drainage, systemic antibiotics, and total parenteral nutrition. This case report suggests that combing effective drainage and the use of n-butyl-2-cyanoacrylate of nonoperative treatment options for esophagopleural fistula.


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