Endoscopic ultrasound‐guided coil deployment with sclerotherapy for isolated gastric varices: Case series of feasibility, safety, and long‐term follow‐up

2020 ◽  
Vol 32 (7) ◽  
pp. 1100-1104 ◽  
Author(s):  
Atsushi Irisawa ◽  
Goro Shibukawa ◽  
Koki Hoshi ◽  
Akane Yamabe ◽  
Ai Sato ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Case Series ◽  
Gastric Varices ◽  
Ultrasound Guided ◽  
Long Term Follow Up ◽  
Isolated Gastric Varices

Su1482 THE DURABILITY OF ENDOSCOPIC ULTRASOUND-GUIDED ABLATION OF PANCREATIC CYSTS: A LONG-TERM FOLLOW-UP OF THE CHARM PROSPECTIVE, RANDOMIZED, CONTROLLED CLINICAL TRIAL

2020 ◽  
Vol 158 (6) ◽  
pp. S-597
Author(s):  
Courtney Lester ◽  
Leonard Walsh ◽  
Kayla M. Hartz ◽  
Abraham Mathew ◽  
John M. Levenick ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Endoscopic Ultrasound ◽  
Pancreatic Cysts ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Ultrasound Guided ◽  
Randomized Controlled ◽  
Long Term Follow Up

scholarly journals The Effectiveness of Prolotherapy for Recalcitrant Medial Tibial Stress Syndrome: a Prospective Consecutive Case Series.

2021 ◽  
Author(s):  
Nat Padhiar ◽  
Mark Curtin ◽  
Osama Aweid ◽  
Bashaar Awied ◽  
Dylan Morrissey ◽  
...  
Keyword(s):  
Case Series ◽  
Lower Leg ◽  
Consecutive Case ◽  
Ultrasound Guided ◽  
Medium Term ◽  
Leg Injuries ◽  
Long Term Follow Up ◽  
Return To Activity

Abstract Background: Medial tibial stress syndrome (MTSS) is one of the most common lower leg injuries in sporting populations. It accounts for between 6%-16% of all running injuries, and up to 53% of lower leg injuries in military recruits. Various treatment modalities are available with varying degrees of success. In recalcitrant cases, surgery is often the only option.Objective: To evaluate whether ultrasound-guided injection of 15% dextrose for treatment of recalcitrant MTSS decreases pain and facilitates a return to desired activity levels for those who may otherwise be considering surgery or giving up the sport.Method: The study design was a prospective consecutive case series involving eighteen patients: fifteen male and three female; (mean age=31.2 years) with recalcitrant MTSS. They were referred from sports injury clinics across the UK, having failed all available conservative treatment.Intervention: An ultrasound-guided sub-periosteal injection of 15% dextrose was administered by the same clinician (NP) along the length of the symptomatic area. Typically, 1 mL of solution was injected per cm of the symptomatic area. Main Outcome Measures: Pain was assessed using a 10-cm visual analog scale (VAS) at baseline, short-term, medium-term (mean 18 weeks), and long-term (mean 52 weeks) follow-up. Symptom resolution and return to activity were measured using a Likert scale at medium and long-term follow-up. Statistical analyses were performed using SPSS for Mac version 19.0.0 (IBM, New York, NY, US). The Shapiro-Wilk test was used to evaluate the normality of the distribution of data. Friedman's non-parametric test was used to compare the within-patient treatment response over time. Post-hoc Wilcoxon signed-rank tests with Bonferroni corrections were performed to determine VAS average pain response to treatment over five paired periods.Results: Patients reported a significant (p<0.01) reduction in median VAS pain score at medium and long-term follow-up compared to baseline. Median improvement per patient was 4.5/10. Patients rated their condition as 'much improved' at medium-term follow-up and the median return to sports score was 'returned to desired but not pre-injury level' at medium-term and long-term follow-up. No adverse events were reported.Conclusions: Ultrasound-guided 15% dextrose prolotherapy injection has a significant medium-term effect on pain in MTSS. This benefit may be maintained long-term; however, more robust trials are required to validate these findings in the absence of controls.Clinical Relevance: Clinicians should consider the use of ultrasound-guided injection of 15% dextrose as a viable treatment option to reduce pain and aid return to activity for patients with recalcitrant MTSS.

The Diagnosis of Sarcoidosis Using Endoscopic Ultrasound Guided Fine Needle Aspiration (FNA) and the Stability of Diagnosis with Long Term Follow Up

2010 ◽  
Vol 105 ◽  
pp. S536
Author(s):  
Nittly Chahal-Sekhon ◽  
Masood Mansour ◽  
Eric Choi ◽  
John Kuldau ◽  
Walter Coyle
Keyword(s):  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Long Term Follow Up ◽  
The Stability

scholarly journals Effectiveness and safety of a single 7-french plastic stent for endoscopic ultrasound-guided pancreatic pseudocyst drainage and long-term follow-up outcomes

2021 ◽  
Vol 29 (4) ◽  
pp. 250
Author(s):  
Nonthalee Pausawasdi ◽  
Manus Rugivarodom ◽  
Pongprueth Rujirachun ◽  
Phunchai Charatchareonwitthaya ◽  
Tanyaporn Chantarojanasiri ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Pancreatic Pseudocyst ◽  
Ultrasound Guided ◽  
Plastic Stent ◽  
Long Term Follow Up ◽  
Pseudocyst Drainage

scholarly journals The Effectiveness of Prolotherapy for Recalcitrant Medial Tibial Stress Syndrome: A Prospective Case Series

2020 ◽  
Author(s):  
Nat Padhiar ◽  
Mark Curtin ◽  
Osama Aweid ◽  
Bashaar Awied ◽  
Dylan Morrissey ◽  
...  
Keyword(s):  
Case Series ◽  
Medial Tibial Stress Syndrome ◽  
Ultrasound Guided ◽  
Medium Term ◽  
Leg Injuries ◽  
Stress Syndrome ◽  
Long Term Follow Up ◽  
Prospective Case Series

Abstract Background: Medial tibial stress syndrome (MTSS) is one of the most common lower leg injuries in sporting populations. It accounts for between 6%-16% of all running injuries, and up to 53% of lower leg injuries in military recruits. Various treatment modalities are available with varying degree of success. In recalcitrant cases, surgery is often the only option.Objective: To evaluate whether ultrasound-guided injection of 15% dextrose for treatment of recalcitrant Medial Tibial Stress Syndrome decreases pain and facilitates a return to desired activity levels for those who may otherwise be considering surgery or giving up sport.Design: Prospective case seriesSetting: Private specialist CentrePatients: Eighteen patients: fifteen male and three female; (mean age=31.2 years) with MTSS were referred from sports injury clinics across the UK, having failed all available conservative treatment.Intervention: An ultrasound-guided sub-periosteal injection of 15% dextrose was administered by the same clinician (NP) along the length of the symptomatic area. Typically, 1 mL of solution was injected per cm of symptomatic area. Main Outcome Measures: Pain was assessed using a 10-cm visual analogue scale (VAS) at baseline, short-term, medium-term (mean 18 weeks) and long-term (mean one year) follow-up. Symptom resolution and return to activity were measured using a Likert scale at medium and long-term follow-up. Results: Patients reported a significant (p<0.01) reduction in median VAS pain score at medium and long-term follow-up compared to baseline. Median improvement per patient was 4.5/10. Patients rated their condition as ‘much improved’ at medium-term follow-up and median return to sport score was ‘returned to desired but not pre-injury level’ at medium-term and long-term follow-up. No adverse events were reported.Conclusions: Ultrasound-guided 15% dextrose prolotherapy injection has a significant medium-term effect on pain in MTSS. This benefit may be maintained long-term. More robust trials are required to validate these findings.Clinical Relevance: Clinicians should consider the use of ultrasound-guided injection of 15% dextrose as a viable treatment option to reduce pain and aid return to activity for patients with recalcitrant Medial Tibial Stress Syndrome.

Endoscopic ultrasound-guided drainage of abdominal fluid collections after pancreatic surgery: Efficacy and long-term follow-up

2016 ◽  
Vol 54 (09) ◽  
pp. 1047-1053 ◽  
Author(s):  
U. Denzer ◽  
A. Sioulas ◽  
M. Abdulkarim ◽  
S. Groth ◽  
T. Rösch ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Pancreatic Surgery ◽  
Ultrasound Guided ◽  
Long Term Follow Up ◽  
Fluid Collections

scholarly journals Mo1288 RESULTS OF LONG-TERM FOLLOW UP OF ENDOSCOPIC ULTRASOUND-GUIDED GALLBLADDER DRAINAGE FOR ACUTE CHOLECYSTITIS

2018 ◽  
Vol 87 (6) ◽  
pp. AB430
Author(s):  
Omar Ahmed ◽  
Takeshi Ogura ◽  
Hanaa Khalaf ◽  
Ehab Mohammed ◽  
Ayat Sameer ◽  
...  
Keyword(s):  
Acute Cholecystitis ◽  
Endoscopic Ultrasound ◽  
Ultrasound Guided ◽  
Gallbladder Drainage ◽  
Long Term Follow Up

scholarly journals Endoscopic ultrasound-guided gallbladder drainage: Results of long-term follow-up

2018 ◽  
Vol 24 (3) ◽  
pp. 183 ◽  
Author(s):  
Takeshi Ogura ◽  
Omar Ahmed ◽  
Ali Eldahrouty ◽  
Hanaa Khalaf ◽  
Ehab Mohammed ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Ultrasound Guided ◽  
Gallbladder Drainage ◽  
Long Term Follow Up

scholarly journals The Effectiveness Of Prolotherapy For Recalcitrant Medial Tibial Stress Syndrome: A Prospective Case Series

2020 ◽  
Author(s):  
Nat Padhiar ◽  
Mark Curtin ◽  
Osama Aweid ◽  
Bashaar Awied ◽  
Dylan Morrissey ◽  
...  
Keyword(s):  
Case Series ◽  
Medial Tibial Stress Syndrome ◽  
Ultrasound Guided ◽  
Medium Term ◽  
Leg Injuries ◽  
Stress Syndrome ◽  
Long Term Follow Up ◽  
Prospective Case Series

Abstract Background: Medial tibial stress syndrome (MTSS) is one of the most common lower leg injuries in sporting populations. It accounts for between 6%-16% of all running injuries, and up to 53% of lower leg injuries in military recruits. Various treatment modalities are available with varying degree of success. In recalcitrant cases, surgery is often the only option.Objective: To evaluate whether ultrasound-guided injection of 15% dextrose for treatment of recalcitrant Medial Tibial Stress Syndrome decreases pain and facilitates a return to desired activity levels for those who may otherwise be considering surgery or giving up sport.Design: Prospective case seriesSetting: Private specialist CentrePatients: Eighteen patients: fifteen male and three female; (mean age=31.2 years) with MTSS were referred from sports injury clinics across the UK, having failed all available conservative treatment.Intervention: An ultrasound-guided sub-periosteal injection of 15% dextrose was administered by the same clinician (NP) along the length of the symptomatic area. Typically, 1 mL of solution was injected per cm of symptomatic area. Main Outcome Measures: Pain was assessed using a 10-cm visual analogue scale (VAS) at baseline, short-term, medium-term (mean 18 weeks) and long-term (mean one year) follow-up. Symptom resolution and return to activity were measured using a Likert scale at medium and long-term follow-up. Results: Patients reported a significant (p<0.01) reduction in median VAS pain score at medium and long-term follow-up compared to baseline. Median improvement per patient was 4.5/10. Patients rated their condition as ‘much improved’ at medium-term follow-up and median return to sport score was ‘returned to desired but not pre-injury level’ at medium-term and long-term follow-up. No adverse events were reported.Conclusions: Ultrasound-guided 15% dextrose prolotherapy injection has a significant medium-term effect on pain in MTSS. This benefit may be maintained long-term. More robust trials are required to validate these findings.Clinical Relevance: Clinicians should consider the use of ultrasound-guided injection of 15% dextrose as a viable treatment option to reduce pain and aid return to activity for patients with recalcitrant Medial Tibial Stress Syndrome.

scholarly journals Indications for Endoscopic Ultrasound-Guided Pancreatic Drainage: For Benign or Malignant Cases?

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Daisuke Uchida ◽  
Hironari Kato ◽  
Yosuke Saragai ◽  
Saimon Takada ◽  
Sho Mizukawa ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Clinical Success ◽  
Stent Migration ◽  
Success Rates ◽  
Recurrent Pancreatitis ◽  
Ultrasound Guided ◽  
Appropriate Treatment ◽  
Long Term Follow Up

Background and Aims. Recurrent pancreatitis associated with pancreatic strictures requires treatment with endoscopic retrograde pancreatography (ERP), but it is sometimes technically unsuccessful. Endoscopic ultrasound-guided pancreatic drainage (EUS-PD) was developed as an alternative to a surgical approach after failed ERP; however, the indications for EUS-PD are unclear. In this study, we evaluated the outcomes of EUS-PD and established the indications for EUS-PD. Methods. A total of 15 patients had indications for EUS-PD for recurrent pancreatitis due to pancreatic strictures. There were eight patients with benign pancreatic strictures and seven with malignant pancreatic strictures. The success rate, adverse events, and long-term outcomes were evaluated. Results. The technical success rates of benign and malignant strictures were 75% (6/8) and 100% (7/7), respectively, and clinical success was achieved in 100% (6/6) and 87.5% of cases (6/7), respectively. Rendezvous procedures were performed in two patients with benign strictures. The adverse event (AE) rate was 26.7% (4/15) and included cases of peritonitis, bleeding, and stent migration. Reinterventions were performed in three patients with benign strictures and two with malignant strictures. Conclusions. EUS-PD was an appropriate treatment for not only benign strictures but also malignant strictures with recurrent pancreatitis after failed ERP. However, the AE rate was high, and reinterventions were required in some cases during long-term follow-up. The indications for EUS-PD should be considered carefully, and careful follow-up is needed.

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