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Bauchspeicheldrüse (Pankreas)

Bauchspeicheldrüse (Pankreas)

ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Incision Improves Success and Safety for Difficult Biliary Access Compared With Wire- or Stent-Guided Entry

A variety of techniques have been described for achieving deep biliary cannulation, a necessary prelude to most endoscopic retrograde cholangiographic (ERCP) procedures. The rate of

JETZT ANSEHEN

ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

On Balance, Benefit of Sphincterotomy for Biliary Stenting Appears to Outweigh the Risk

Limited reports have suggested that endoscopic biliary sphincterotomy (ES) at the time of transpapillary biliary stent placement may reduce the risk of post-ERCP pancreatitis (PEP).

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Are There Signs or Symptoms That Predate the Diagnosis of Pancreatic Cancer?

Pancreatic ductal adenocarcinoma (PDAC) is the third leading cause of cancer mortality since most cancers are advanced at diagnosis. Early identification of these cancers is

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

DNA Methylation Studies of Biliary Brush Cytology Samples Likely to Aid in Diagnosis of Cholangiocarcinoma

Establishing a firm diagnosis for indeterminate biliary strictures is often challenging. The current standard of practice is fluoroscopic and cholangioscopic characterization with brush and biopsy

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

BILE Criteria to Assess ERCP Need in Cholangitis May Be More Sensitive, Less Cumbersome Than Others

Biliary obstruction with associated cholangitis usually is managed with the use of endoscopic retrograde cholangiopancreatography (ERCP) for stone extraction or stent decompression of the bile

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Covered Metal Stents Equal to Multiple Plastic Stents for Treatment of Biliary Strictures From Chronic Pancreatitis but Require Fewer Procedures

Compression of the distal bile duct within a fibrotic pancreas is one complication of chronic pancreatitis (CP), which can lead to chronic cholestasis, cholangitis, and

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Transpapillary Gallbladder Stent Placement Usually Successful as Destination Therapy

Severe acute cholecystitis (AC) often is palliated with percutaneous or endoscopic drainage 6 to 12 weeks prior to preplanned interval cholecystectomy. Many patients with severe

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Radiofrequency Ablation Plus Stent Placement for Extrahepatic Cholangiocarcinoma Shows Benefit Over Stenting Alone

The optimal treatment for cholangiocarcinoma (CCA) or ampullary carcinoma (AC) is surgery. When deemed unresectable and not amenable to neoadjuvant therapy followed by liver transplantation,

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Better, but Insufficient Results From Duodenoscope Reprocessing With Double Wash and High-Level Disinfection or Liquid Chemical Sterilization

The potential for interpatient transmission of infections by contaminated duodenoscopes is a significant concern in the practice of ERCP. Pending further understanding and development of

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Cholecystectomy Before Dismissal Confirmed as Optimal in Large Population of Veterans With Biliary Pancreatitis

Multiple guidelines recommend performing cholecystectomy (CCy) before hospital dismissal for patients with mild gallstone pancreatitis that is not complicated by infection or necrosis. In this

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Hydrogen Peroxide, One Way or Another, Appears Beneficial During Endoscopic Necrosectomy

Management of walled-off pancreatic necrosis often benefits from direct transmural endoscopic necrosectomy. This retrospective chart review assessed the utility of hydrogen peroxide (H2O2) lavage as

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Best Conformation for Hilar Self-Expanding Metal Stents Remains Undefined

Bilateral placement of metal stents for malignant hilar strictures (MHS) can be challenging. Two approaches have been used, each with potential benefits and challenges.  In

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Updated Criteria for Prediction of Choledocholithiasis Add Specificity

A variety of recommendations have been proposed for predicting choledocholithiasis based upon presenting signs, symptoms, initial laboratory studies, and imaging. In this retrospective study, the

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Further Evidence Supporting Early, Primary Use of Precut Sphincterotomy for Duct Access

Deep access to the bile duct or the pancreatic duct is required in order to complete all subsequent therapeutic ERCP maneuvers. Precut sphincterotomy (PCS) refers

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Endoscopic Approaches to Drainage for Acute Cholecystitis Are Optimal in Nonoperative Patients

Gallbladder removal or drainage is a key component of treatment for acute cholecystitis. When the risk of urgent cholecystectomy is considered prohibitive, the optimal alternative

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

First Single-Use Duodenoscope Measures up in Direct Comparison for Low-Complexity Procedures

The development of single-use (disposable) endoscopes is one approach to eliminating infection transmission between sequential patients during endoscopy. This single-center study randomized patients undergoing endoscopic

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Large-Caliber Dilation Without Sphincterotomy Is Efficacious and Safe for Stones >10 mm

Endoscopic biliary sphincterotomy (ES) is the standard prelude to duct stone removal; however, it carries moderate risk for both pancreatitis and bleeding and can be

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ASGE Journal Scan | Bauchspeicheldrüse (Pankreas)

Pancreatic Extracorporeal Shock Wave Lithotripsy: Efficient and Effective in Gastroenterologists’ Hands

Extracorporeal shock wave lithotripsy (ESWL) has become the dominant therapy for the treatment of symptomatic pancreatic duct stone obstruction in chronic calcific pancreatitis. In the

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ASGE Journal Scan | Bauchspeicheldrüse | Bauchspeicheldrüse (Pankreas)

Video Auditing of Duodenoscope Reprocessing Contributes to High Performance in a Tertiary Care Center

Lapses in reprocessing of flexible endoscopes have been demonstrated in many environments and are thought to contribute to the transmission of infection between patients.  The

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ASGE Journal Scan | Bauchspeicheldrüse | Bauchspeicheldrüse (Pankreas)

Urgent Early Pancreatic Drainage Is Safe and Effective

Endoscopic decompression and drainage of immature pancreatic and peripancreatic fluid collections with incomplete encapsulation by a wall of surrounding tissue have generally been avoided out

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Bauchspeicheldrüse (Pankreas) | Literatur

Metallstents zur Pankreaszysten-Drainage – gleicher Erfolg, mehr Komplikationen?

Die endosonographische Pankreaszystendrainage hat sich weltweit als Standard gegenüber anderen Vorgehensweisen durchgesetzt (perkutane Drainage, Operation). Im allgemeinen werden zwei Plastikstents, oft pigtail-Stents platziert und diese

BEITRAG LESEN

Bauchspeicheldrüse (Pankreas) | Literatur | Oberer GI-Trakt | Unterer GI-Trakt

Neues von der DDW 2017

Wie in jedem Jahr wurden auf der DDW in Chicago die neuesten Entwicklungen im Bereich Gastroenterologie und Endoskopie gezeigt, wobei in den letzten Jahren die

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Bauchspeicheldrüse (Pankreas) | ERCP | Literatur

Zweifel an der Wirksamkeit von NSAR gegen die Post-ERCP-Pankreatitis ?

Der Einsatz von nicht-steroidalen Antirheumatika (NSAR) wie zum Beispiel Indometacin oder Diclofenac zur Prävention der post-ERCP-Pankreatitis (PEP) wurde durch zahlreiche Studien weltweit belegt obwohl nicht

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Bauchspeicheldrüse (Pankreas) | Besondere Fälle | Lehrvideos | Oberer GI-Trakt

Endoskopische Therapie von Verhalten und Nekrosen nach schwerer nekotisierender Pankreatitis

Endoskopische Punktion & Nekrosektomie einer infizierten Pankreaspseudocyste mit dem AXIOS System. Herr Professor Meining aus Ulm zeigt die Therapie einer infizierten Pankreaspseudocyste, die unter endosonographischer

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Bauchspeicheldrüse (Pankreas) | Literatur

Seröse Cystadenome des Pankreas – auch weiterhin harmlos?

Cystische Pankreastumoren werden durch verbesserte und vor allem „Vorsorge“-Bildgebung zunehmend in asymptomatischem Stadium entdeckt und führen dann häufig zu differentialdiagnostischen Problemen. Geht keine Pankreatitis voraus

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