Sa1405 Mid- to Long-Term Outcomes After Therapeutic Ercp Using Balloon-Assisted Enteroscopy for Anastomotic Stenosis of Choledochojejunostomy or Pancreaticojejunostomy: A Multicenter Observation Study in Japan

AbstractThere is limited evidence supporting the usefulness of endoscopic retrograde pancreatic drainage (ERPD) for symptomatic pancreaticojejunal anastomotic stenosis (sPJS). We examined the usefulness of ERPD for sPJS. We conducted a retrospective analysis of 10 benign sPJS patients. A forward-viewing endoscope was used in all sessions. Following items were evaluated: technical success, adverse events, and clinical outcome of ERPD. The technical success rate was 100% (10/10) in initial ERPD; 9 patients had a pancreatic stent (no-internal-flap: n = 4, internal-flap: n = 5). The median follow-up was 920 days. Four patients developed recurrence. Among them, 3 had a stent with no-internal-flap in initial ERPD, the stent migrated in 3 at recurrence, and a stent was not placed in 1 patient in initial ERPD. Four follow-up interventions were performed. No recurrence was observed in 6 patients. None of the stents migrated (no-internal-flap: n = 1, internal-flap: n = 5) and no stents were replaced due to stent failure. Stenting with no-internal-flap was associated with recurrence (p = 0.042). Mild adverse events developed in 14.3% (2/14). In conclusions, ERPD was performed safely with high technical success. Recurrence was common after stenting with no-internal-flap. Long-term stenting did not result in stent failure.Clinical trial register and their clinical registration number: Nos. 58-115 and R2-9.

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Long-term outcomes after endoscopic retrograde pancreatic drainage for symptomatic pancreaticojejunal anastomotic stenosis

10.21203/rs.3.rs-119255/v1 ◽

2020 ◽

Author(s):

Akihiko Kida ◽

Taro Kawane ◽

Hitoshi Omura ◽

Tatsuo Kumai ◽

Masaaki Yano ◽

...

Keyword(s):

Adverse Events ◽

Stent Placement ◽

Stent Migration ◽

Anastomotic Stenosis ◽

Technical Success ◽

Long Term Outcomes ◽

Endoscopic Retrograde ◽

Technical Success Rate

Abstract 【Background】 There is limited evidence demonstrating the usefulness of endoscopic retrograde pancreatic drainage (ERPD) for symptomatic pancreaticojejunal anastomotic stenosis (sPJS). We examined the usefulness of ERPD for sPJS. 【Methods】 We conducted a retrospective analysis of 10 benign sPJS patients. Following items were evaluated: technical success, adverse events and clinical outcome of ERPD. 【Results】 Technical success rate was 100% (10/10); 9 patients had a pancreatic stent (no-internal-flap: n=4, internal-flap: n=5). Median follow-up was 920 days. Four patients developed recurrence. Among them, 3 patients had a stent with no-internal-flap in initial ERPD and the stent migrated in 3 patients at recurrence, and a stent was not placed in 1 patient in initial ERPD. Four follow-up ERPD were performed. No recurrence was observed in 6 patients. Among them, none of the stents migrated (no-internal-flap: n=1, internal-flap: n=5), and none were replaced stents due to stent failure. A stent placement with no-internal-flap was associated with recurrence (p=0.042). Mild adverse events developed in 14.3% (2/14). 【Conclusions】 ERPD was performed safely with high technical success. Recurrence was common in a stent placement with no-internal-flap, which was associated with stent migration. Long-term stent placement didn’t result in stent failure.

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Long-term outcomes of therapeutic ERCP in pediatric patients with pancreas divisum presenting with acute recurrent or chronic pancreatitis

Pancreatology ◽

10.1016/j.pan.2019.08.004 ◽

2019 ◽

Vol 19 (6) ◽

pp. 834-841 ◽

Cited By ~ 3

Author(s):

Jun Wen ◽

Tao Li ◽

Lei Liu ◽

Li-Ke Bie ◽

Biao Gong

Keyword(s):

Chronic Pancreatitis ◽

Pediatric Patients ◽

Pancreas Divisum ◽

Long Term Outcomes ◽

Pancréas Divisum ◽

Therapeutic Ercp

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Long Term Outcomes of Early Compared To Late Onset Choledocho-Choledochal Anastomotic Stenosis After Orthotopic Liver Transplantation.

Transplantation Journal ◽

10.1097/00007890-201407151-02555 ◽

2014 ◽

Vol 98 ◽

pp. 748-749

Author(s):

S. Satapathy ◽

I. Sheikh ◽

F. Yahya ◽

L. Parsa ◽

J. Eason ◽

...

Keyword(s):

Liver Transplantation ◽

Orthotopic Liver Transplantation ◽

Late Onset ◽

Anastomotic Stenosis ◽

Long Term Outcomes

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Long-term outcomes after therapeutic endoscopic retrograde cholangiopancreatography using balloon-assisted enteroscopy for anastomotic stenosis of choledochojejunostomy/pancreaticojejunostomy

Journal of Gastroenterology and Hepatology ◽

10.1111/jgh.14605 ◽

2019 ◽

Vol 34 (3) ◽

pp. 612-619 ◽

Cited By ~ 5

Author(s):

Itsuki Sano ◽

Akio Katanuma ◽

Masaki Kuwatani ◽

Hiroshi Kawakami ◽

Hironari Kato ◽

...

Keyword(s):

Endoscopic Retrograde Cholangiopancreatography ◽

Anastomotic Stenosis ◽

Long Term Outcomes ◽

Endoscopic Retrograde

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Traumatic Brain Injury: A Trauma Surgeon's Perspective

Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders ◽

10.1044/nnsld22.3.82 ◽

2012 ◽

Vol 22 (3) ◽

pp. 82-89

Author(s):

Oscar D. Guillamondegui

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Multidisciplinary Approach ◽

Trauma Team ◽

The United States ◽

Long Term Outcomes ◽

Term Care ◽

Injured Brain ◽

The Moment

Traumatic brain injury (TBI) is a serious epidemic in the United States. It affects patients of all ages, race, and socioeconomic status (SES). The current care of these patients typically manifests after sequelae have been identified after discharge from the hospital, long after the inciting event. The purpose of this article is to introduce the concept of identification and management of the TBI patient from the moment of injury through long-term care as a multidisciplinary approach. By promoting an awareness of the issues that develop around the acutely injured brain and linking them to long-term outcomes, the trauma team can initiate care early to alter the effect on the patient, family, and community. Hopefully, by describing the care afforded at a trauma center and by a multidisciplinary team, we can bring a better understanding to the armamentarium of methods utilized to treat the difficult population of TBI patients.

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