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Feasibility and safety of self-expandable metal stent in nonmalignant disease of the lower gastrointestinal tract

World Journal of Gastrointestinal Endoscopy 2020年第2期12卷 60-71页

作者： Ludovica Venezia Andrea Michielan Giovanna Condino Emanuele Sinagra Elisa Stasi marianna galeazzi Carlo Fabbri Andrea Anderloni Gastroenterology Unit AOU Cittàdella Salute e della Scienza TurinTurin 10100Italy Gastroenterology and Digestive Endoscopy Unit Ospedale Santa ChiaraTrento 38122Italy Gastroenterology Unit Azienda Ospedaliera S.S.Antonio e Biagio e Cesare ArrigoAlessandria 15121Italy Gastroenterology and Endoscopy Unit Fondazione Istituto Giuseppe GiglioContrada Pietra Pollastra PisciottoCefalù90015Italy Euro-Mediterranean Institute of Science and Technology(IEMEST) Palermo 90100Italy Gastroenterology Unit Department of Medicine“Vito Fazzi”HospitalLecce 73100Italy University of Milano-Bicocca School of Medicine and SurgeryMonza 20052Italy Gastroenterology and Digestive Endoscopy Unit Forlì-CesenaAzienda U.S.L.RomagnaOspedale G.Morgagni-L.PierantoniCesena 200868Italy Digestive Endoscopy Unit Humanitas Research HospitalMilan 20100Italy

In recent years,self-expandable metal stents(SEMSs)have been employed to treat benign gastrointestinal strictures secondary to several conditions:Acute diverticulitis,radiation colitis,inflammatory bowel disease(IBD),and postanastomotic leakages and *** applications include endometriosis and fistulas of the lower gastrointestinal *** it may be technically feasible to proceed to stenting in the aforementioned benign diseases of the lower gastrointestinal tract,the outcome has been reported to be *** fact,in some settings(such as complicated diverticulitis and postsurgical anastomotic strictures),stenting seems to have a limited evidence-based benefit as a bridge to surgery,while in other settings(such as endometriosis,IBD,radiation colitis,etc.),even society guidelines are not able to guide the endoscopist through decisional algorithms for SEMS *** aim of this narrative paper is to review the scientific evidence regarding the use of SEMSs in nonmalignant diseases of the lower gastrointestinal tract,both in adult and pediatric settings.

关键词： Self-expandable metal stents Lower gastrointestinal tract Benign strictures

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Early endoscopic ultrasonography in acute biliary pancreatitis: A prospective pilot study

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World Journal of Gastroenterology 2015年第36期21卷 10427-10434页

作者： Andrea Anderloni marianna galeazzi Marco Ballarè Michela Pagliarulo Marco Orsello Mario Del Piano Alessandro Repic Digestive Endoscopy Unit Division of GastroenterologyHumanitas Research Hospital Gastrointestinal and Endoscopy Unit AOU "Maggiore della Carità"28100 NovaraItaly

AIM: To investigate the clinical usefulness of early endoscopic ultrasonography(EUS) in the management of acute biliary pancreatitis(ABP).METHODS: All consecutive patients entering the emergency department between January 2010 and December 2012 due to acute abdominal pain and showing biochemical and/or radiological findings consistent with possible ABP were prospectively enrolled. Patients were classified as having a low,moderate,or high probability of common bile duct(CBD) stones,according to the established risk stratification. Exclusion criteria were: gastrectomy or patient in whom the cause of biliary obstruction was already identified by ultrasonography. All enrolled patients underwent EUS within 48 h of their admission. Endoscopic retrograde cholangiopancreatography was performed immediately after EUS only in those cases with proven CBD stones or sludge. The following parameters were investigated:(1) clinical: age,sex,fever;(2) radiological: dilated CBD; and(3) biochemical: bilirubin,AST,ALT,g GT,ALP,amylase,lipasis,PCR. Association between presence of CBD stone at EUS and the individual predictors wereassessed by univariate logistic regression. Predictors significantly associated with CBD stones(P < 0.05) were entered in a multivariate logistic regression ***: A total of 181 patients with pancreatitis were admitted to the emergency department between January 2010 and December 2012. After exclusion criteria a total of 71 patients(38 females,53.5%,mean age 58 ± 20.12 years,range 27-89 years; 33 males,46.5%,mean age 65 ± 11.86 years,range 41-91 years) were included in the present study. The probability of CBD stones was considered low in 21 cases(29%),moderate in 26(37%),and high in the remaining 24(34%). The 71 patients included in the study underwent EUS,which allowed for a complete evaluation of the target sites in all the cases. The procedure was completed in a mean time of 14.7 min(range 9-34 min),without any notable *** overall CBD

关键词： Acute biliary pancreatitis Choledocolithiasis Comm

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