Search results for "ERCP"
showing 10 items of 22 documents
Rectal Diclofenac administration for prevention of post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) acute pancreatitis. Randomized prospec…
2019
Introduction. Post-Endoscopic Retrograde Cholangio-Pancreatography pancreatitis (PEP) is a relevant (1-4%) complication of biliopancreatic operative endoscopy. Rectal nonsteroidal anti-inflammatory drugs (specifically, 100 mg of diclofenac) have shown promising prophylactic activity in PEP. The aim of our prospective study is to report whether prophylactic oral versus rectal suppository versus intramuscular diclofenac versus placebo are able to reduce the incidence and the severity of ERCP-induced pancreatitis.Materials and Methods. in this randomized, double-blinded, prospective study, 100 patients (49 male, 51 female), similar with regard to indication for ERCP, were enrolled between Janu…
What to do when endoscopic retrograde cholangio-pancreatography fails? Personal experience.
2008
An uncommon complication of liver biopsy: obstructive jaundice from blood clots
2005
Introduction: The AA. report on a case of one young woman who developed obstructive jaundice induced by hemo- bilia after percutaneous liver biopsy, successfully treated with endoscopic retrograde cholangiopancreatography (ERCP) Methods: An endoscopic sphincterotomy was performed with extraction of the clots Observations: Four weeks after ERCP the patient was healthy and asymptomatic, valuated as outpatient Conclusions: The role of ERCP in managing biliary sequelae of hemobilia is well established: biliary decompression is required if and intrabiliary lot causes obstructive jaundice and/or biliary colic. ERCP is feasible and leads to relief of symptoms in most cases, without the need of sur…
Biliopancreatic Endoscopy in Altered Anatomy
2021
Background and Objectives: Anatomical post-surgical alterations of the upper gastrointestinal (GI) tract have always been challenging for performing diagnostic and therapeutic endoscopy, especially when biliopancreatic diseases are involved. Esophagectomy, gastrectomy with various reconstructions and pancreaticoduodenectomy are among the most common surgeries causing upper GI tract alterations. Technological improvements and new methods have increased the endoscopic success rate in these patients, and the literature has been rapidly increasing over the past few years. The aim of this systematic review is to identify evidence on the available biliopancreatic endoscopic techniques performed i…
Human bile microbiota: A retrospective study focusing on age and gender
2021
Aims: The emerging biliary colonization of microorganisms in patients with biliary diseases may be devastating. Recent evidence suggests that age and gender may influence changes in the microbial composition of gut microbiota. To study the relationship between these parameters on bile microbiota, we retrospectively reviewed positive bile cultures following an endoscopic retrograde cholangiopancreatography (ERCP) in a QA-certified academic surgical unit of a single institution. Methods: 449 positive bile cultures from 172 Italian patients with diseases of the biliopancreatic system hospitalized from 2006 through 2017 were investigated for aerobic, anaerobic, and fungal organisms. The patient…
Endoscopic papillary large balloon dilation in patients with large biliary stones and periampullary diverticula: Results of a multicentric series.
2018
Abstract Introduction Stone extraction represents the most frequent indication for endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic papillary large balloon dilation (EPLBD) is a recent introduced approach consisting of an endoscopic papillary large balloon dilation following limited endoscopic sphyncterotomy (ES), which has been proven to be safe and effective for extraction of large common bile duct (CBD) stones. Peri-ampullary diverticula (PAD) are described in 10–20% of patients undergoing ERCP. Aim of our study is to evaluate efficacy and safety of EPLBD for the extraction of large biliary stones in patients with PAD. Methods The prospectively collected endoscopy databa…
Redox signaling in acute pancreatitis
2015
Acute pancreatitis is an inflammatory process of the pancreatic gland that eventually may lead to a severe systemic inflammatory response. A key event in pancreatic damage is the intracellular activation of NF-κB and zymogens, involving also calcium, cathepsins, pH disorders, autophagy, and cell death, particularly necrosis. This review focuses on the new role of redox signaling in acute pancreatitis. Oxidative stress and redox status are involved in the onset of acute pancreatitis and also in the development of the systemic inflammatory response, being glutathione depletion, xanthine oxidase activation, and thiol oxidation in proteins critical features of the disease in the pancreas. On th…
¿El confinamiento cambió el uso y la percepción de Internet de las personas con DI y de sus familias?
2020
El principal objetivo de este trabajo fue conocer cómo estaba influyendo el confinamiento en los jóvenes con DI y sus familias, atendiendo al uso de Internet, la percepción de los beneficios y riesgos de Internet y su estado de ánimo. Para ello, se realizó una encuesta online distribuida entre jóvenes con DI mayores de edad de distintas asociaciones pertenecientes a Plena Inclusión CV y alumnos/as del Programa Universitario de Formación para el Empleo de Jóvenes con Discapacidad Intelectual (UNINCLUV-2ª Edición) en la Universitat de València. Los resultados muestran cómo se ha incrementado el uso de Internet en ese periodo fundamentalmente en tareas de formación on-line, como se perciben be…
La tecnica del rendez-vous nel trattamento palliativo degli itteri neoplastici: nostra esperienza
2004
Introduction: "Rendez-vous" technique (RV) assume contemporaneous percutaneous transhepatic choledochal drainage (PTCD) and endoscopic (ERCP) approach to make easier biliary cannulation when it fails for anatomic, neoplastic or iatrogenic causes, in subject unresectable at presentation ("not fit for surgery"). Matherials and methods: Over a 3 years period 618 ERCP were performed in the Service of Digestive Endoscopy in Section of General and Thoracic Surgery, 59 of whom (9%) failed for non-visualization of ampulla of Vater (25%), intradiverticular ampulla (54%) or anatomic defects (21%). Were attempted 44 pre-cut: 14 failed (close biliary stricture), and we proceed to RV. Results: 11/14 (79…
Raccontare e rappresentare le lingue e lo spazio. L'esperienza dell'Atlante Linguistico della Sicilia
2017
La Dialettologia Percettiva, disciplina che si occupa dello studio delle opinioni dei parlanti sulle varietà di lingua, nell'ultimo decennio ha rinnovato i propri fondamenti. Il volume da un lato intende ripercorrere criticamente tali profonde innovazioni, dall'altro propone una serie di modelli originali per l'analisi e l'interpretazione dei dati. Il corpus della ricerca è costituito dalle risposte di circa 900 informatori distribuiti in 60 punti d'inchiesta a tre domande del questionario dell'Atlante Linguistico della Sicilia (ALS) pensate per rilevare la percezione e rappresentazione della differenza linguistica. Una mole imponente di dati che sono stati trattati con un approccio quanti-…