Consensus Guidelines on the Role of Cholangioscopy to Diagnose Indeterminate Biliary Stricture

AbstractThe updated AGNP Consensus Guidelines for Therapeutic Drug Monitoring (TDM) in Neuropsychopharmacology recently published in the journal have reinforced the key role of TDM to individualize psychoparmacological therapies in clinical practice. However, we believe, that these guidelines have missed the important opportunity to face with, and to provide useful information on, the emerging issue of long-acting injectable formulations of atypical antipsychotics. Specific therapeutic ranges also for these formulations should be included in the next AGNP guidelines.

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The role of total pancreatectomy with islet autotransplantation in the treatment of chronic pancreatitis: A report from the International Consensus Guidelines in chronic pancreatitis

Pancreatology ◽

10.1016/j.pan.2020.04.005 ◽

2020 ◽

Vol 20 (4) ◽

pp. 762-771 ◽

Cited By ~ 1

Author(s):

Maisam Abu-El-Haija ◽

Takayuki Anazawa ◽

Gregory J. Beilman ◽

Marc G. Besselink ◽

Marco Del Chiaro ◽

...

Keyword(s):

Chronic Pancreatitis ◽

Total Pancreatectomy ◽

Consensus Guidelines ◽

International Consensus ◽

Islet Autotransplantation ◽

International Consensus Guidelines

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Population-Based Screening for Atrial Fibrillation

Circulation Research ◽

10.1161/circresaha.120.316341 ◽

2020 ◽

Vol 127 (1) ◽

pp. 143-154 ◽

Cited By ~ 4

Author(s):

Shaan Khurshid ◽

Jeffrey S. Healey ◽

William F. McIntyre ◽

Steven A. Lubitz

Keyword(s):

Atrial Fibrillation ◽

Current Literature ◽

Oral Anticoagulation ◽

Electronic Devices ◽

Population Based ◽

Consensus Guidelines ◽

Consumer Electronic ◽

Receive Treatment

Atrial fibrillation (AF) is a common and morbid arrhythmia. Stroke is a major hazard of AF and may be preventable with oral anticoagulation. Yet since AF is often asymptomatic, many individuals with AF may be unaware and do not receive treatment that could prevent a stroke. Screening for AF has gained substantial attention in recent years as several studies have demonstrated that screening is feasible. Advances in technology have enabled a variety of approaches to facilitate screening for AF using both medical-prescribed devices as well as consumer electronic devices capable of detecting AF. Yet controversy about the utility of AF screening remains owing to concerns about potential harms resulting from screening in the absence of randomized data demonstrating effectiveness of screening on outcomes such as stroke and bleeding. In this review, we summarize current literature, present technology, population-based screening considerations, and consensus guidelines addressing the role of AF screening in practice.

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International consensus guidelines on the role of diagnostic endoscopic ultrasound in the management of chronic pancreatitis. Recommendations from the working group for the international consensus guidelines for chronic pancreatitis in collaboration with the International Association of Pancreatology, the American Pancreatic Association, the Japan Pancreas Society, and European Pancreatic Club

Pancreatology ◽

10.1016/j.pan.2020.05.025 ◽

2020 ◽

Vol 20 (5) ◽

pp. 822-827

Author(s):

C. Mel Wilcox ◽

Thomas Gress ◽

Marja Boermeester ◽

Atsushi Masamune ◽

Philippe Lévy ◽

...

Keyword(s):

Chronic Pancreatitis ◽

Endoscopic Ultrasound ◽

Working Group ◽

International Association ◽

Consensus Guidelines ◽

International Consensus ◽

American Pancreatic Association ◽

International Consensus Guidelines

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Outcomes of Endoscopic Stenting for Traumatic Biliary and Pancreatic Fistulae

The American Surgeon ◽

10.1177/000313481608200723 ◽

2016 ◽

Vol 82 (7) ◽

pp. 588-593

Author(s):

John S. Richey ◽

Benjamin M. Manning ◽

Wesley B. Jones

Keyword(s):

Biliary Stricture ◽

Patient Characteristics ◽

Pancreatic Injury ◽

Endoscopic Stenting ◽

Biliary Stents ◽

Endoscopic Retrograde ◽

Included Patient ◽

The Mean ◽

High Output

The role of endoscopic retrograde cholangiopancreatography (ERCP) in the trauma patient is limited. Therefore, reporting of outcomes is sparse in the literature. The purpose of this study was to review outcomes of patients who underwent ERCP for traumatic biliopancreatic injury. We retrospectively reviewed 1550 ERCPs, from a prospectively maintained database, performed by a single surgical endoscopist consulted by the trauma surgical service for the management of traumatic fistulae. Referral was made for patients with high output (greater than 200 mL/d) and/or persistent (failure to resolve within 30 days) fistulae and traumatic biliary stricture. Primary end point was postprocedural complications. Secondary end points included patient characteristics, stents placed, and duration of stenting. Seventeen patients underwent a total of 31 ERCPs for biliary and/or pancreatic injury resulting from abdominal trauma (eight penetrating, nine blunt). Fourteen patients had ERCP after laparotomy, with a mean interval to ERCP of 74 days. In three patients, ERCP was the only intervention required. Fourteen biliary stents were placed, seven of which were metallic. Ten pancreatic stents were placed; one proximally migrated but was successfully retrieved. Four patients had both ducts simultaneously stented. The mean duration of stenting was 158 days. All fistulae resolved after stenting. There were no serious complications.

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Combined Interventional Radiological and Endoscopical Approach for the Treatment of a Postoperative Biliary Stricture and Fistula

HPB Surgery ◽

10.1155/1995/48252 ◽

1995 ◽

Vol 8 (4) ◽

pp. 257-262

Author(s):

Jürgen Triller ◽

Adrian Schmassmann ◽

Walter Schweizer ◽

Abraham Czerniak

Keyword(s):

Biliary Stricture ◽

Open Cholecystectomy ◽

Bile Leakage ◽

Biliary Fistula ◽

Emergency Laparotomy ◽

Percutaneous Balloon ◽

External Drain ◽

Percutaneous Balloon Dilatation ◽

Iatrogenic Bile Duct Injury

A 43-year old woman was admitted 11 days after open cholecystectomy with a iatrogenic bile duct injury. On admission the patient showed an uncontrolled biliary fistula through an external drain placed at an emergency laparotomy for biliary peritonitis with fever and jaundice. PTC showed a biliary stricture type II (Bismuth). A percutaneous drainage was performed to decompress the biliary system. Three weeks later, percutaneous balloon dilatation of the stricture was performed. However, bile leakage persisted. In a combined transhepatic/ endoscopic procedure, the percutaneous biliary drainage was replaced by a nasobiliary tube. One week later, no stricture was found and the biliary leak was sealed. The patient could be discharged without symptoms or signs of cholestasis. The multidisciplinary management of post-operative biliary fistula is presented, comparing the role of interventional radiology, endoscopy and surgery.

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