scholarly journals Peroral ultra-slim endoscopy-guided biliary drainage and stone extraction for postoperative upper gastrointestinal stenosis with a naïve papilla (with videos)

2015 ◽  
Vol 22 (7) ◽  
pp. 571-572 ◽  
Author(s):  
Hiroshi Kawakami ◽  
Masaki Kuwatani ◽  
Shuhei Kawahata
Author(s):  
George Carberry ◽  
Orhan Ozkan

Percutaneous transhepatic stone removal may be indicated in patients with altered upper gastrointestinal anatomy precluding use of endoscopic stone extraction. When biliary calculi are located in a duct adjacent to the duct cannulated percutaneously, obtaining wire and catheter access into the target duct may be difficult due to the acute angles required of the wire and catheter to access the stone-containing duct. One useful method described and illustrated in this chapter to address this issue involves inflating a balloon catheter downstream from the origin of the target duct to deflect a wire into the target duct and to provide backwall support at the apex of the wire for advancement of the stiff balloon catheter. Once the duct containing the biliary calculi is accessed, sweeps of the calculi can be performed.


Author(s):  
A. R. Crooker ◽  
W. G. Kraft ◽  
T. L. Beard ◽  
M. C. Myers

Helicobacter pylori is a microaerophilic, gram-negative bacterium found in the upper gastrointestinal tract of humans. There is strong evidence that H. pylori is important in the etiology of gastritis; the bacterium may also be a major predisposing cause of peptic ulceration. On the gastric mucosa, the organism exists as a spiral form with one to seven sheathed flagella at one (usually) or both poles. Short spirals were seen in the first successful culture of the organism in 1983. In 1984, Marshall and Warren reported a coccoid form in older cultures. Since that time, other workers have observed rod and coccal forms in vitro; coccoid forms predominate in cultures 3-7 days old. We sought to examine the growth cycle of H. pylori in prolonged culture and the mode of coccoid body formation.


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