SpyGlass cholangioscopy-assisted guidewire placement for post-LDLT biliary strictures: a case series

2015 ◽  
Vol 30 (9) ◽  
pp. 3897-3903 ◽  
Author(s):  
Young Sik Woo ◽  
Jong Kyun Lee ◽  
Dong Hyo Noh ◽  
Joo Kyung Park ◽  
Kwang Hyuck Lee ◽  
...  
Endoscopy ◽  
2015 ◽  
Vol 47 (11) ◽  
pp. 1054-1056 ◽  
Author(s):  
Lillian Du ◽  
Pernilla D’Souza ◽  
Aducio Thiesen ◽  
Safwat Girgis ◽  
Richard Owen ◽  
...  

2017 ◽  
Vol 85 (5) ◽  
pp. AB646
Author(s):  
Melissa Jimenez Morales ◽  
Jose-Guillermo De La Mora-Levy ◽  
Cesar R. Ortega Espinosa ◽  
Juan O. Alonso-Larraga ◽  
Mauro E. Ramírez-Solís ◽  
...  

2014 ◽  
Vol 51 (3) ◽  
pp. 250-254 ◽  
Author(s):  
Eduardo Guimarães Hourneaux de MOURA ◽  
Tomazo FRANZINI ◽  
Renata Nobre MOURA ◽  
Fred Olavo Aragão Andrade CARNEIRO ◽  
Everson Luiz de Almeida ARTIFON ◽  
...  

Context Direct endoscopic visualization of biliopancreatic duct is certainly one of the greatest advances of therapeutic endoscopy. The use of a single-operator cholangioscopy platform (SpyGlass) is a promising technique in the evaluation of diseases such as indeterminate biliary stricture and giant choledocholitiasis. This is the first Brazilian case series using this technology. Methods We report a case series of 20 patients in whom SpyGlass was used with diagnostic and therapeutic intention. Results Most patients were female (60%) and the median age was 48 years (ranging from 14 to 94). Choledocholitiasis was the most common indication (12/20), and electrohydraulic lithotripsy was applied in eight (66%). Electrohydraulic lithotripsy was successful in seven (87.5%) patients. Partial stone fragmentation occurred in one patient with large stone causing stone-choledochal disproportion, which was conducted with biliary plastic stent placement and a second scheduled endoscopic approach in 3 months. In cases of undefined etiology of biliary strictures, it was possible to exclude malignancy due to direct visualization (7/8) or biopsy (1/8). One complication occurred (duodenal perforation) after papillary balloon dilation. Conclusion The use of SpyGlass demonstrated the benefits, especially in cases of large bile duct stones and indeterminate biliary strictures. Other potencial improvements such as reduction on radiation exposure should be confirmed in prospective studies.


2018 ◽  
Vol 24 ◽  
pp. 202-203
Author(s):  
Mireya Perez-Guzman ◽  
Alfredo Nava de la Vega ◽  
Arturo Pena Velarde ◽  
Tania Raisha Torres Victoria ◽  
Froylan Martinez-Sanchez ◽  
...  

VASA ◽  
2010 ◽  
Vol 39 (1) ◽  
pp. 43-53 ◽  
Author(s):  
Grotenhermen

Background: To investigate the hypothesis that cases of arteritis similar to thromboangiitis obliterans (TAO) and associated with the use of cannabis were caused by cannabis or THC (dronabinol), or that cannabis use is a co-factor of TAO. Patients and methods: A systematic review on case reports and the literature on so-called cannabis arteritis, TAO, and cardiovascular effects of cannabinoids was conducted. Results: Fifteen reports with 57 cases of an arteritis associated with the use of cannabis and two additional case series of TAO, in which some patients also used cannabis, were identified. Clinical and pathological features of cannabis-associated arteritis do not differ from TAO and the major risk factor of TAO, tobacco use, was present in most, if not in all of these cases. The proposed pathophysiological mechanisms for the development of an arteritis by cannabis use are not substantiated. Conclusions: The hypothesis of cannabis being a causative factor or co-factor of TAO or an arteritis similar to TAO is not supported by the available evidence. The use of the term “cannabis arteritis” should be avoided until or unless more convincing scientific support is forthcoming.


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