检索结果-南通市图书馆

Current status of endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy

World Journal of Gastroenterology 2019年第26期25卷 3313-3333页

作者： Chonlada Krutsri mitsuhiro kida Hiroshi Yamauchi Tomohisa Iwai Hiroshi Imaizumi Wasaburo Koizumi Department of Surgery Faculty of MedicineRamathibodi HospitalMahidol UniversityBangkok 10400Thailand Department of Gastroenterology Graduate School of MedicineKitasato University HospitalKanagawa 252-0375Japan

Endoscopic retrograde cholangiopancreatography(ERCP)in patients with surgically altered anatomy must be performed by a highly experienced *** challenges are accessing the afferent limb in different types of reconstruction,cannulating a papilla with a reverse orientation,and performing therapeutic interventions with uncommon endoscopic *** development of endoscopic techniques has led to higher success rates in this group of ***-assisted ERCP is the endoscopic procedure of choice for high success rates in short-limb reconstruction;however,these success rate is lower in long-limb *** assisted by endoscopic ultrasonography is now popular because it can be performed independent of the limb length;however,it must be performed by a highly experienced and skilled *** deployment and small stone removal can be performed immediately after ERCP assisted by endoscopic ultrasonography,but the second session is needed for other difficult procedures such as cholangioscopy-guided electrohydraulic ***-assisted ERCP has an almost 100%success rate in longlimb reconstruction because of the use of a conventional side-view duodenoscope,which is compatible with standard *** requires cooperation between the surgeon and endoscopist and is suitable in urgent situations requiring concomitant *** review focuses on the advantages,disadvantages,and outcomes of various procedures that are suitable in different situations and reconstruction *** new techniques and their outcomes are also discussed.

关键词： Endoscopic retrograde cholangiopancreatography Surgically altered anatomy Endoscopic retrograde cholangiopancreatography in Billroth II Endoscopic retrograde cholangiopancreatography post-Whipple Endoscopic ultrasonography-guided endoscopic retrograde cholangiopancreatography

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Clinical implications of doubling time of gastrointestinal submucosal tumors

引用

World Journal of Gastroenterology 2016年第45期22卷 10015-10023页

作者： Shuko Koizumi mitsuhiro kida Hiroshi Yamauchi Kosuke Okuwaki Tomohisa Iwai Shiro Miyazawa Miyoko Takezawa Hiroshi Imaizumi Wasaburo Koizumi Department of Gastroenterology Kitasato University School of Medicine

AIM To evaluate the efficacy of doubling time(DT) of gastrointestinal submucosal tumors(GIST).METHODS From April 1987 through November 2012, a total of 323 patients were given a final histopathological diagnosis of GISTs on surgical resection or endoscopic ultrasound-guided fine-needle aspiration(EUS-FNA) in Kitasato University East Hospital or Kitasato University Hospital. We studied 53 of these patients(34 with resected tumors and 19 with unresected tumors) whose tumors could be measured on EUS on at least two successive occasions. The histopathological diagnosis was GIST in 34 patients, leiomyoma in 5, schwannoma in 3, ectopic pancreas in 1, hamartoma in 1, cyst in 1, Brunner's adenoma in 1, and spindle-cell tumor in 7. We retrospectively calculated the DT of GISTs on the basis of the time course of EUS findings to estimate the growth rate of such *** The DT was 17.2 mo for GIST, as compared with 231.2 mo for leiomyoma, 104.7 mo for schwannoma, 274.9mo for ectopic pancreas, 61.2 mo for hamartoma, 49.0 mo for cyst, and 134.7 mo for Brunner's adenoma. The GISTs were divided into risk classes on the basis of tumor diameters and mitotic figures(Fletcher's classification). The classification was extremely low risk or low risk in 28 patients, intermediate risk in 3, and high risk in 3. DT of GIST according to risk was 24.0 mo for extremely low-risk plus low-risk GIST, 17.1 mo for intermediate-risk GIST, and 3.9 mo for high-risk GIST. DT of GIST was significantly shorter than that of leiomyoma plus schwannoma(P < 0.05), and DT of high-risk GIST was significantly shorter than that of extremely low-risk plus low-risk GIST(P < 0.05).CONCLUSION For GIST, a higher risk grade was associated with a significantly shorter DT. Small SMTs should initially be followed up within 6 mo after detection.

关键词：胃肠的 submucosal 肿瘤双倍工资 Submucosal 肿瘤起始的观察持续时间内视镜的 ultrasonography 内视镜的指导 ultrasonography 的好针渴望 Fletcher’ s 分类

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Biliary tuberculosis causing cicatricial stenosis after oral anti-tuberculosis therapy

引用

World Journal of Gastroenterology 2006年第30期12卷 4914-4917页

作者： Tomohisa Iwai mitsuhiro kida Yoshiki kida Nobuaki Shikama Akitaka Shibuya Katsunori Saigenji Department of Gastroenterology Kitasato University East Hospital Sagamihara Japan

与黑暗的尿和黄巩膜介绍的一个 36 岁的菲律宾的女人。内视镜后退 cholangiopancreatography (ERCP ) 证实了肝内胆汁管的膨胀并且也在肝核显示出普通的肝的管的不规则的苛评。从胆汁管的活体检视的组织学的检查揭示了上皮状的房间风湿... 详细信息

与黑暗的尿和黄巩膜介绍的一个 36 岁的菲律宾的女人。内视镜后退 cholangiopancreatography (ERCP ) 证实了肝内胆汁管的膨胀并且也在肝核显示出普通的肝的管的不规则的苛评。从胆汁管的活体检视的组织学的检查揭示了上皮状的房间风湿性肉芽肿和干酪样坏死。小块茎杆菌然后在胆汁测试的聚合酶链反应(PCR ) 上被检测，给胆汁的肺结核的诊断。尽管微生物痊愈被证实，病人开发了肝的管的 cicatricial。她与内视镜的胆汁的排水(EBD ) 经历了重复治疗试管和经皮的 transhepatic 胆汁的排水(PTBD ) 试管，和狭窄在 6 年以后被改正。我们在场有结节的胆汁的苛评的一个盒子，从更普通的恶意要求小心的区别并且由于处理以后的 cicatricial 的风险需要长期的后续的一个条件，尽管它是稀罕的。

关键词：胆汁疾病肺结核斑痕治疗

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Safety and efficacy of metallic stent for unresectable distal malignant biliary obstruction in elderly patients

引用

World Journal of Gastroenterology 2018年第1期24卷 69-75页

作者： Yuji Sakai Tomohisa Iwai Kenji Shimura Katsushige Gon Kazuya Koizumi Masashi Ijima Kazuro Chiba Seigo Nakatani Harutoshi Sugiyama Toshio Tsuyuguchi Terumi Kamisawa Iruu Maetani mitsuhiro kida Department of Gastroenterology and Nephrology Graduate School of MedicineChiba UniversityChiba 260-8670Japan Department of Gastroenterology Kitasato University School of MedicineKanagawa 252-0375Japan Department of Gastroenterology Asahi Central HospitalChiba 289-2511Japan Division of Gastroenterology and Hepatology Department of Internal MedicineToho University Ohashi Medical CenterTokyo 153-8515Japan Gastroenterology Medicine Center Shonan Kamakura General HospitalKanagawa 247-8533Japan Department of Gastroenterology Subaru Health Insurance Society Ota Memorial HospitalGunma 373-8585Japan Department of Gastroenterology Tokyo Metropolitan Cancer and Infectious Diseases CenterKomagome HospitalTokyo 113-8677Japan

AIM To study the safety of insertion of metallic stents in elderly patients with unresectable distal malignant biliary *** Of 272 patients with unresectable distal malignant biliary obstruction, 184 patients under the age of 80 were classified into Group A, and 88 subjects aged 80 years or more were classified into Group B. The safety of metallic stent insertion, metal stent patency period, and the obstruction rate were examined in each *** In Group B, patients had a significantly worse per-formance status, high blood pressure, heart disease, cerebrovascular disease, and dementia; besides the rate of patients orally administered antiplatelet drugs or anticoagulants tended to be higher(P < 0.05). Metallic stents were successfully inserted in all patients. The median patency period was 265.000 ± 26.779(1-965) d; 252.000 ± 35.998(1-618) d in Group A and 269.000 ± 47.885(1-965) d in Group B, with no significant difference between the two groups. Metallic stent obstruction occurred in 82 of the 272(30.15%) patients; in 53/184(28.80%) patients in Group A and in 29/88(32.95%) of those in Group B, showing no significant difference between the two groups. Procedural accidents due to metal stent insertion occurred in 24/272(8.8%) patients; in 17/184(9.2%) of patients in Group A and in 7/88(8.0%) of those in Group B, with no significant difference between the two groups, *** These results suggested that metallic stents can be safely inserted to treat unresectable distal malignant biliary obstruction even in elderly patients aged 80 years or more.

关键词： Elderly patients Metallic stent Malignant biliary obstruction

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Innovations and techniques for balloon-enteroscopeassisted endoscopic retrograde cholangiopancreatography in patients with altered gastrointestinal anatomy

引用

World Journal of Gastroenterology 2015年第21期21卷 6460-6469页

作者： Hiroshi Yamauchi mitsuhiro kida Hiroshi Imaizumi Kosuke Okuwaki Shiro Miyazawa Tomohisa Iwai Wasaburo Koizumi Department of Gastroenterology Kitasato University Hospital

Endoscopic retrograde cholangiopancreatography(ERCP) remains challenging in patients who have undergone surgical reconstruction of the ***,many studies have reported that balloonenteroscope-assisted ERCP(BEA-ERCP) is a safe and effective ***,further improvements in outcomes and the development of simplified procedures are *** treatment,Laparoscopy-assisted ERCP,endoscopic ultrasoundguided anterograde intervention,and open surgery are effective ***,treatment should be noninvasive,effective,and *** believe that these procedures should be performed only in difficult-to-treat patients because of many potential ***-ERCP still requires high expertiselevel techniques and is far from a routinely performed *** techniques have been proposed to facilitate scope insertion(insertion with percutaneous transhepatic biliary drainage(PTBD) rendezvous technique,Short type single-balloon enteroscopes with passive bending section,Intraluminal injection of indigo carmine,CO2 inflation guidance),cannulation(PTBD or percutaneous transgallbladder drainage rendezvous technique,Dilation using screw drill,Rendezvous technique combining DBE with a cholangioscope,endoscopic ultrasound-guided rendezvous technique),and treatment(overtube-assisted technique,Short type balloon enteroscopes) during *** use of these techniques may allow treatment to be performed by BEA-ERCP in many patients.A standard procedure for ERCP yet to be established for patients with a reconstructed *** present,BEA-ERCP is considered the safest and most effective procedure and is therefore likely to be recommended as firstline *** this article,we discuss the current status of BEA-ERCP in patients with surgically altered gastrointestinal anatomy.

关键词： Balloon enteroscopy Endoscopic retrogradecholangiopancreatography Altered gastrointestinal anatomy Balloon-enteroscope-assisted endoscopicretrograde cholangiopancreatography

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

First case of IgG4-related sclerosing cholangitis associated with autoimmune hemolytic anemia

引用

World Journal of Gastroenterology 2014年第26期20卷 8740-8744页

作者： Hironori Masutani Kosuke Okuwaki mitsuhiro kida Hiroshi Yamauchi Hiroshi Imaizumi Shiro Miyazawa Tomohisa Iwai Miyoko Takezawa Wasaburo Koizumi Department of Gastroenterology Kitasato University East Hospital

To our knowledge,patients with immunoglobulin G4-related sclerosing cholangitis(IgG4-SC)associated with autoimmune hemolytic anemia(AIHA)have not been reported *** patients with IgG4-SC have autoimmune pancreatitis(AIP)and respond to steroid ***,isolated cases of IgG4-SC are difficult to *** describe our experience with a patient who had IgG4-SC without AIP in whom the presence of AIHA led to *** patient was a73-year-old man who was being treated for *** dysfunction was diagnosed on blood tests at another *** studies suggested the presence of carcinoma of the hepatic hilus and primary sclerosing cholangitis,but a rapidly progressing anemia developed *** the diagnosis of AIHA,steroid treatment was begun,and the biliary stricture ***4-SC without AIP was thus diagnosed.

关键词： IgG4-related sclerosing cholangitis Immunoglobulin

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Passive-bending,short-type single-balloon enteroscope for endoscopic retrograde cholangiopancreatography in Roux-en-Y anastomosis patients

引用

World Journal of Gastroenterology 2015年第5期21卷 1546-1553页

作者： Hiroshi Yamauchi mitsuhiro kida Kosuke Okuwaki Shiro Miyazawa Tomohisa Iwai Shuko Tokunaga Miyoko Takezawa Hiroshi Imaizumi Wasaburo Koizumi Department of Gastroenterology Kitasato University East HospitalKana-gawa 252--0380Japan

AIM:To evaluate short-type-single-balloon enteroscope(SBE) with passive-bending,high-force transmission functions for endoscopic retrograde cholangiopancreatography(ERCP) in patients with Roux-en-Y ***:Short-type SBE with this technology(SIF-Y0004-V01; working length,1520 mm; channel diameter,3.2 mm) was used to perform 50 ERCP procedures in 37 patients with Roux-en-Y *** rate of reaching the blind end,time required to reach the blind end,diagnostic and therapeutic success rates,and procedure time and complications were studied retrospectively and compared with the results of 34 sessions of ERCP performed using a short-type SBE without this technology(SIF-Y0004; working length,1520 mm; channel diameter,3.2 mm) in 25 ***:The rate of reaching the blind end was 90% with SIF-Y0004-V01 and 91% with SIF-Y0004(P = 0.59).The median time required to reach the papilla was significantly shorter with SIF-Y0004-V01 than with SIF-Y0004(16 min vs 24 min,P = 0.04).The diagnostic success rate was 93% with SIFY0004-V01 and 84% with SIF-Y0004(P = 0.17).The therapeutic success rate was 95% with SIF-Y0004-V01 and 96% with SIF-Y0004(P = 0.68).The median procedure time was 40 min with SIF-Y0004-V01 and 36 min with SIF-Y0004(P = 0.50).The incidence of hyperamylasemia was 6.0% in the SIF-Y0004-V01 group and 14.7% in the SIF-Y0004 group(P = 0.723).The incidence of pancreatitis was 0% in the SIFY0004-V01 group and 5.9% in the SIF-Y0004 group(P > 0.999).The incidence of gastrointestinal perforation was 2.0%(1/50) in the SIF-Y0004-V01 group and 2.9%(1/34) in the SIF-Y0004 group(P > 0.999).CONCLUSION:SIF-Y0004-V01 is useful for ERCP inpatients with Roux-en-Y anastomosis and may reduce the time required to reach the blind end.

关键词： Passive bending Roux-en-Y anastomosis Endoscopic r

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Short-type single balloon enteroscope for endoscopic retrograde cholangiopancreatography with altered gastrointestinal anatomy

引用

World Journal of Gastroenterology 2013年第11期19卷 1728-1735页

作者： Hiroshi Yamauchi mitsuhiro kida Kosuke Okuwaki Shiro Miyazawa Tomohisa Iwai Miyoko Takezawa Hidehiko Kikuchi Maya Watanabe Hiroshi Imaizumi Wasaburo Koizumi Department of Gastroenterology Kitasato University East HospitalSagamiharaKanagawa 252-0380Japan

AIM:To evaluate the effectiveness of a short-type single-balloon-enteroscope(SBE) for endoscopic retrograde cholangiopancreatography(ERCP) in patients with a reconstructed ***:Short-type SBE was developed to perform ERCP in postoperative patients with a reconstructed ***-type SBE is a direct-viewing endoscope with the following specifications:working length,1520 mm;total length,1840 mm;channel diameter,3.2 *** addition,short-type SBE has a water-jet *** study group comprised 22 patients who underwent 31 sessions of short-type SBE-assisted ERCP from June 2011 through May *** was performed by Billroth-Ⅱ(B-Ⅱ) gastrectomy in 6 patients(8 sessions),Roux-en-Y(R-Y) gastrectomy in 14 patients(21 sessions),and R-Y hepaticojejunostomy in 2 patients(2 sessions).We retrospectively studied the rate of reaching the blind end(papilla of Vater or choledochojejunal anastomosis),mean time required to reach the blind end,diagnostic success rate(defined as the rate of successfully imaging the bile and pancreatic ducts),therapeutic success rate(defined as the rate of successfully completing endoscopic treatment),mean procedure time,and ***:Among the 31 sessions of ERCP,the rate of reaching the blind end was 88% in B-Ⅱ gastrectomy,91% in R-Y gastrectomy,and 100% in R-Y *** mean time required to reach the papilla was 18.3 min in B-Ⅱ gastrectomy,21.1 min in R-Y gastrectomy,and 32.5 min in R-Y *** diagnostic success rates in all patients and those with an intact papilla were respectively 86% and 86% in B-Ⅱ gastrectomy,90% and 87% in R-Y gastrectomy,and 100% in R-Y *** therapeutic success rates in all patients and those with an intact papilla were respectively 100% and 100% in B-Ⅱ gastrectomy,94% and 92% in R-Y gastrectomy,and 100% in R-Y *** the channel diameter was 3.2 mm,stone extraction could be performed with a wire-guided basket in 12

关键词： Endoscopic retrograde cholangiopancreatography Single-balloon-enteroscope Short type BillrothII gastrectomy Roux-en-Y gastrectomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Usefulness of serum lipase for early diagnosis of post-endoscopic retrograde cholangiopancreatography pancreatitis

引用

World Journal of Gastrointestinal Endoscopy 2019年第9期11卷 477-485页

作者： Masayoshi Tadehara Kosuke Okuwaki Hiroshi Imaizumi mitsuhiro kida Tomohisa Iwai Hiroshi Yamauchi Toru Kaneko Rikiya Hasegawa Eiji Miyata Yusuke Kawaguchi Hironori Masutani Wasaburo Koizumi Department of Gastroenterology Kitasato University School of Medicine

BACKGROUND Post-endoscopic retrograde cholangiopancreatography(ERCP)pancreatitis(PEP)is new onset acute pancreatitis after *** complication is sometimes *** such,PEP should be diagnosed early so that therapeutic interventions can be carried *** lipase(s-Lip)is useful for diagnosing acute ***,its usefulness for diagnosing PEP has not been sufficiently *** This study aimed to retrospectively examine the usefulness of s-Lip for the early diagnosis of *** We retrospectively examined 4192 patients who underwent ERCP at our two hospitals over the last 5 *** primary outcomes were a comparison of the areas under the receiver operating characteristic(ROC)curves(AUCs)of s-Lip and serum amylase(s-Amy),s-Lip and s-Amy cutoff values based on the presence or absence of PEP in the early stage after ERCP via ROC curves,and the diagnostic properties[sensitivities,specificities,positive predictive values(PPV),and negative predictive value(NPV)]of these cutoff values for PEP *** Based on the eligibility and exclusion criteria,804 cases were *** the entire course,PEP occurred in 78 patients(9.7%).It occurred in the early stage after ERCP in 40 patients(51.3%)and in the late stage after ERCP in 38 patients(48.7%).The AUCs were 0.908 for s-Lip[95%confidence interval(CI):0.880-0.940,P<0.001]and 0.880 for s-Amy(95%CI:0.846-0.915,P<0.001),indicating both are useful for early *** comparing the AUCs,s-Lip was found to be significantly more useful for the early diagnosis of PEP than s-Amy(P=0.023).The optimal cutoff values calculated from the ROC curves were 342 U/L for s-Lip(sensitivity,0.859;specificity,0.867;PPV,0.405;NPV,0.981)and 171 U/L for s-Amy(sensitivity,0.859;specificity,0.763;PPV,0.277;NPV,0.979).CONCLUSION S-Lip was significantly more useful for the early diagnosis of *** s-Lip after ERCP could help diagnose PEP earlier;hence,therapeutic interventions can be provided earlier.

关键词： Endoscopic retrograde cholangiopancreatography Post-endoscopic retrograde cholangiopancreatography pancreatitis Pancreatitis Lipase Amylase

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Systematic review comparing endoscopic, percutaneous and surgical pancreatic pseudocyst drainage

引用

World Journal of Gastrointestinal Endoscopy 2016年第6期8卷 310-318页

作者： Anthony Yuen Bun Teoh Vinay Dhir Zhen-Dong Jin mitsuhiro kida Dong Wan Seo Khek Yu Ho Department of Surgery Prince of Wales Hospital Chinese University of Hong Kong Hong KongChina Baldota Institute of Digestive Sciences Maharashtra 400012 Mumbai India Department of Gastroenterology Changhai Hospital Shanghai 200433 China Department of Gastroenterology Kitasato University East Hospital Kitasato 252-0380 Japan Department of Gastroenterology Asan Medical Centre Seoul 138-050 South Korea Department of Medicine National University of Singapore Singapore 119077 Singapore

AIM: To perform a systematic review comparing the outcomes of endoscopic, percutaneous and surgical pancreatic pseudocyst ***: Comparative studies published between January 1980 and May 2014 were identified on Pub Med, Embase and the Cochrane controlled trials register and assessed for suitability of inclusion. The primary outcome was the treatment success rate. Secondary outcomes included were the recurrence rates, re-interventions, length of hospital stay, adverse events and ***: Ten comparative studies were identified and 3 were randomized controlled trials. Four studies reported on the outcomes of percutaneous and surgical drainage. Based on a large-scale national study, surgical drainage appeared to reduce mortality and adverse events rate as compared to the percutaneous approach. Three studies reported on the outcomes of endoscopic ultrasound(EUS) and surgical drainage. Clinical success and adverse events rates appeared to be comparable but the EUS approach reduced hospital stay, cost and improved quality of life. Three other studies comparedEUS and esophagogastroduodenoscopy-guided drainage. Both approaches were feasible for pseudocyst drainage but the success rate of the EUS approach was better for non-bulging cyst and the approach conferred additional safety ***: In patients with unfavorable anatomy, surgical cystojejunostomy or percutaneous drainage could be considered. Large randomized studies with current definitions of pseudocysts and longer-term follow-up are needed to assess the efficacy of the various modalities.

关键词： Interventional endosonography Endoscopic ultrasound Pancreatic pseudocyst Cystogastrostomy Cystojejunostomy Pseudocyst drainage

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：