Showing papers in "Gastrointestinal Endoscopy Clinics of North America in 2013"

TL;DR: The current status of endoscopic management of pancreatic duct leaks and emerging concepts for the treatment of disconnected pancreaticduct syndrome are discussed.

TL;DR: Although endoscopic papillectomy represents one of the highest-risk endoscopic interventions, it has largely replaced surgical modalities for the treatment of adenomatous lesions and postprocedure complications.

TL;DR: Examination of endoscopic therapy for leaks and fistulae after esophageal, gastric, bariatric, colonic, and pancreaticobiliary surgery examines endoscopic therapies for efficacy relative to surgical management.

TL;DR: Endocytoscopy can discriminate mucosal inflammatory cells, allowing determination of histopathologic activity of ulcerative colitis, and molecular imaging with fluorescence-labeled probes against disease-specific receptors will enable individualized management of inflammatory bowel diseases.

TL;DR: The use of endoscopic retrograde cholangiopancreatography for treating benign biliary strictures has become the standard of practice, with surgery and percutaneous therapy reserved for selected patients.

TL;DR: Endoscopic retrograde cholangiopancreatography is a therapeutic procedure with the potential for a variety of adverse events, including acute pancreatitis, perforation, bleeding, and cardiopulmonary complications, which are well-established risk factors.

TL;DR: The approach to the patient with benign or malignant ampullary lesion is reviewed and the consensus on how and when to use endoscopic papillectomy is not fully established.

TL;DR: Endoscopic resection is the preferred treatment method of large colorectal polyps and provides curative resection and obviates the higher morbidity, mortality, and cost associated with alternative surgical treatment.

TL;DR: The most common and most challenging variations in anatomy encountered by a gastroenterologist performing ERCP are addressed, with special attention paid to altered anatomy from bariatric surgery.

TL;DR: The ability to access and drain obstructive bile ducts in real time using endoscopic ultrasound guidance has led to recent reports of successful gallbladder drainage using similar techniques.

TL;DR: Novel techniques of probe-based confocal laser endomicroscopy and optical coherence tomography have introduced the era of in vivo histology.

TL;DR: It is imperative for gastroenterologists to understand the different formations of bile duct stones and the various medical treatments available to minimize the complications of endoscopic retrograde cholangiopancreatography (ERCP).

TL;DR: Although EUS-guided pancreatic drainage is a minimally invasive alternative option to surgery and interventional radiology, owing to its complexity and potential for fulminant complications it is recommended that these procedures be performed by highly skilled endoscopists.

TL;DR: Novel endoscopic therapies, including photodynamic therapy and radiofrequency ablation, have been evaluated and show promise and both seem to be safe and effective in the treatment of malignant bile duct strictures but are in need of prospective studies of longer duration.

TL;DR: Single plastic stents can be used for immediate symptom relief and as "bridge to surgery and/or bridge to decision," but are not suitable for definitive treatment of CP-related CBD strictures because of long-term poor results.

TL;DR: The role of EUS in the diagnosis of acute and chronic pancreatitis is focused on and bile collection for crystal analysis, pancreatic function testing, and celiac plexus block is reviewed.

TL;DR: Endoscopic retrograde cholangiopancreatography is currently the standard of care for biliary drainage, but EUS-BD is a novel and attractive alternative after failed ERCP, and many groups have reported on the feasibility, efficacy, and safety of this technique.

TL;DR: This review addresses the role of endoscopy in the diagnosis and treatment of autoimmune pancreatitis and provides a diagnostic process for patients with suspected AIP.

TL;DR: This review outlines the available endoscopic technologies for the detection of dysplasia in IBD, considers the evidence supporting their use, and assesses which modalities are ready for use in clinical practice.

TL;DR: This article reviews the available data and expert consensus regarding indications for endoscopic intervention, timing of procedures, endoscopic technique, periprocedural considerations, and complications in postpancreatitis complications.

TL;DR: Characteristic clinical features of cholangitis include abdominal pain, fever, and jaundice, and a combination of clinical features with laboratory tests and imaging studies are frequently used to diagnose cholANGitis.

TL;DR: The aim of this review is to summarize the data supporting the clinical application of a resect and discard strategy, also addressing the potential pitfalls associated with this approach.

TL;DR: The next few years are likely to see the initiation of large clinical studies that will define the extent and significance of this impact of advanced OCT on Barrett's-related adenocarcinoma.

TL;DR: This review summarizes widefield and high-resolution imaging modalities in preclinical and clinical evaluation for the detection of colorectal cancer and esophageal cancer.

TL;DR: Sound selective use of endoscopic therapies, complemented with other lines of investigation such as genetic testing, can dramatically improve frequency of attacks and associated quality of life.

TL;DR: Evidence-based discussion of endoscopic retrograde cholangiopancreatography and multi-modality techniques for biliary access are provided, and insight is provided into their appropriate application.

TL;DR: The management of LC-related biliary injuries requires a multidisciplinary approach involving an endoscopist experienced in the use of ERCP, a skilled interventional radiologist, and a surgeon with specific training in the management of hepatobiliary injuries.

TL;DR: Endoscopic therapy is recommended as the first-line therapy for painful chronic pancreatitis with an obstacle on the main pancreatic duct (MPD) with the clinical response evaluated at 6 to 8 weeks.

TL;DR: The diagnosis and endoscopic treatment of acute biliary pancreatitis is focused on, with a focus on the treatment of biliary Pancreatitis.

TL;DR: This review provides an overview of current applications of endomicroscopy of the stomach in clinical and translational science to unravel the pathophysiology of diseases in vivo virtually free of artifacts.