PancreaticRoux-en-Y GGastro-gastricStenosisObstructionPostoperativeDrainageBariatricTumorsBypass SurgeryBenign biliary strictureIndeterminate Biliary StricturesEndoscopyPancreasComplicationDigestive SystemAntral vascular ectasiaRecurrenceLeft gastriSurgeryChronicClosureLeakageGallbladderDiseaseEndoscopicDuodenalEnterocutaneousPatients
Pancreatic13
- Pancreatic and biliary fistulas and delayed gastric emptying are the most common complications after pancreatoduodenectomy. (mssm.edu)
- Pancreatic fistula (PF) is the most common and challenging complication after pancreaticoduodenectomy (PD). (scipedia.com)
- Jianhua Yu, L. Wu and B. Li, Meta-analysis of pancreaticogastrostomy versus pancreaticojejunostomy on occurrences of postoperative pancreatic fistula after pancreaticoduodenectomy, Asian Journal of Surgery (2015). (scipedia.com)
- 1 Pancreatic fistula (PF) is the most devastating postoperative complication occurring in 2.5-25% patients, 2 and has become the main reason for increased morbidity and mortality, prolonged length of hospital stay, and increased medical costs. (scipedia.com)
- Some of the services provided by the doctor are: Gastroscopy,Fistula Treatment,Hepato-Biliary-Pancreatic,Bariatric (Gastric Bypass) Surgery and Endosurgery etc. (b9care.com)
- Dr. Kothari has clinical expertise in interventional endoscopic ultrasound, diagnostic and therapeutic ERCP, intraluminal stent placement, esophageal endotherapy for Barrett's esophagus, Achalasia, Zenker's myotomy, and pancreatic-biliary disorders. (rochester.edu)
- Secondary outcomes were specific pancreatic complications (postoperative pancreatic fistula, biliary leakage, delayed gastric emptying and hemorrhage), reoperation, 90-day mortality, length of hospital stay, 30-day readmission and short-term oncologic outcomes. (unige.it)
- It combines the use of endoscopy and fluoroscopy to visualize and treat problems of the biliary and pancreatic ducts. (medscape.com)
- MRCP provides information on the pancreatic parenchyma and adjacent abdominal viscera, and it uses heavily T2-weighted images to visualize the biliary and pancreatic ductal systems. (medscape.com)
- In patients with a dilated pancreatic duct, a Roux-en-Y side-to-side pancreaticojejunostomy is indicated. (medscape.com)
- The secondary outcomes include postoperative major complications (Clavien-Dindo≥3), postoperative pancreatic fistula (POPF), post-pancreatectomy acute pancreatitis (PPAP), infection, and unexpected relaparotomy, as well as postoperative length of stay, 30-day mortality, and 90-day mortality. (biomedcentral.com)
- After the demanding resection, pancreatic-enteric, biliary-enteric, and gastrojejunal anastomoses are required to complete digestive tract reconstruction. (biomedcentral.com)
- The main postoperative complications include postoperative pancreatic fistula (POPF), post-pancreatectomy hemorrhage (PPH), and delayed gastric emptying (DGE). (biomedcentral.com)
Roux-en-Y G11
- Test Characteristics of Abdominal Computed Tomography for the Diagnosis of Gastro-gastric Fistula in Patients with Roux-en-Y Gastric Bypass. (harvard.edu)
- Novel use of a cardiac septal occluder to treat a chronic recalcitrant bariatric fistula after Roux-en-Y gastric bypass. (harvard.edu)
- Endoscopic sleeve gastroplasty of the remnant stomach in Roux-en-Y gastric bypass: a novel approach to a gastrogastric fistula with weight regain. (harvard.edu)
- Endoscopic techniques are used to identify and manage many of the late complications of the two most commonly performed bariatric surgeries: sleeve gastrectomy and Roux-en-Y gastric bypass. (ulster.ac.uk)
- Patients who underwent a Roux-en-Y gastric bypass can suffer marginal ulceration, gastrojejunal anastomotic stricture, and gastro-gastric fistula. (ulster.ac.uk)
- This narrative review provides an update on the endoscopic evaluation and management of patients with late complications after sleeve gastrectomy or Roux-en-Y gastric bypass. (ulster.ac.uk)
- Our video demonstrates the use of a number of such therapies to manage the complex case of a patient with recurrent gastro-gastric fistula following roux en Y gastric bypass. (sages.org)
- Man who underwent Roux-en-Y gastric bypass at age 26, subsequently diagnosed with Crohn's disease, involving jejunum, ileum and colon, at age 42 when he presented with large volume diarrhoea and rectal bleeding. (medscape.com)
- Woman who underwent Roux-en-Y gastric bypass at age 38 and was subsequently diagnosed with ulcerative proctosigmoiditis at age 44. (medscape.com)
- Woman with IBD-U (pancolitis), who underwent Roux-en-Y gastric bypass at age 53 and was subsequently diagnosed with IBD at age 55. (medscape.com)
- Woman who underwent Roux-en-Y gastric bypass at age 40, although was subsequently reversed 1 year later. (medscape.com)
Gastro-gastric2
- Novel Endoscopic Management of a Chronic Gastro-Gastric Fistula Using a Cardiac Septal Defect Occluder. (harvard.edu)
- This video begins in the ailemtary limb of the gastric bypass and as the scope is withdrawn we see a large gastro-gastric fistula adjacent to the anastomosis. (sages.org)
Stenosis2
- Biliary complications include biliary stenosis, biliary leak, and ischemic cholangiopathy. (wikipedia.org)
- The cholangiogram also shows a stenosis of the distal bile duct and a dilated biliary tree. (medscape.com)
Obstruction1
- Cholangitis, jaundice, gastric outlet obstruction, and pain are common complications of advanced GBC for which endoscopic management can improve overall survival and patient quality of life. (medscape.com)
Postoperative5
- Gallbladder carcinoma (GBC) is the most common and aggressive biliary tract malignancy, with high postoperative recurrence rates. (medscape.com)
- Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: part I. Am J Gastroenterol . (medscape.com)
- Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: part II. (medscape.com)
- Biliary leakage (BL) is a major cause of postoperative morbidity after liver resection. (fortunejournals.com)
- Biliary leakage (BL) remains the Achilles heel of liver surgery and accounts for a major fraction of postoperative complications [5]. (fortunejournals.com)
Drainage2
- If there is no surgical option left due to several reasons, local palliative procedures such as biliary stenting and drainage for the treatment of cholestasis are considered, but tumor growth cannot be influenced. (e-ce.org)
- We were able to demonstrate that in open liver resections the intraoperative placement of a T drainage may reduce the incidence of biliary leakage [7] and that the intraoperative placement of external biliary drains may prevent, and worst case, also treat biliary leakages after extended liver resections [8]. (fortunejournals.com)
Bariatric3
- Multiple Endoscopic Therapies for Treatment of Chronic Post-bariatric Surgery Gastropleural Fistula. (harvard.edu)
- Efficacy of the cardiac septal occluder in the treatment of post-bariatric surgery leaks and fistulas. (harvard.edu)
- By utilizing a variety of advanced endoscopic therapies we were able to salvage her bariatric procedure and prevent formal surgery re-intervention, prevent the need for parenteral nutrition, and reduce the risk for chronic fistula formation. (sages.org)
Tumors3
- Fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (PET)-CT has been used to determine optimal management of biliary tumors. (medscape.com)
- Challenges in Diagnosing Biliary Stricture Diagnosis and staging of biliary tumors is difficult despite advances in imaging modalities. (medscape.com)
- Hendriquez R, Keihanian T, Goyal J, Abraham RR, Mishra R, Girotra M. Radiofrequency ablation in the management of primary hepatic and biliary tumors. (wjgnet.com)
Bypass Surgery2
- Our patient had undergone gastric bypass surgery 15 years prior. (sages.org)
- Three years after gastric bypass surgery, she developed SMA thrombosis and mesenteric ischaemia, requiring extensive small bowel and partial colonic resection. (medscape.com)
Benign biliary stricture3
- Benign biliary stricture is a rare complication of photodynamic therapy. (e-ce.org)
- We report here a case of a 63-year-old male who developed benign biliary stricture after photodynamic therapy using the photosensitizer photofrin. (e-ce.org)
- Covered Metal Stents Straight-Arm Benign Biliary Stricture Benign biliary strictures secondary to chronic pancreatitis can prove intractable to endoscopic management, but use of covered, removable metal stents is straightening out this therapeutic problem. (medscape.com)
Indeterminate Biliary Strictures2
- How Can We Differentiate Malignant Biliary Strictures from Clinically Indeterminate Biliary Strictures? (e-ce.org)
- Can probe-based confocal laser endomicroscopy improve the diagnosis of indeterminate biliary strictures? (medscape.com)
Endoscopy3
- His various research interests include fistula closure, per oral endoscopy myotomy (POEM), Endoscopic submucosal dissection (ESD) and new device innovation. (rochester.edu)
- If no active bleeding is identified angiographically in a patient with documented recurrent bleeding by endoscopy, prophylactic embolization of the left gastric artery or the gastroduodenal artery may be performed to control gastric or pyloroduodenal bleeding, respectively. (medscape.com)
- Bronchoesophageal Fistula From Self-Induced Vomiting This unusual case study is supplemented with CT and endoscopy images. (medscape.com)
Pancreas1
- Korean J Pancreas Biliary Tract. (kjpbt.org)
Complication1
- Esophageal Pulmonary-splenopancreatic Fistula: A Serious Complication of Sleeve Gastrectomy. (harvard.edu)
Digestive System3
- Digestive System Fistula" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (umassmed.edu)
- This graph shows the total number of publications written about "Digestive System Fistula" by people in this website by year, and whether "Digestive System Fistula" was a major or minor topic of these publications. (umassmed.edu)
- Below are the most recent publications written about "Digestive System Fistula" by people in Profiles. (umassmed.edu)
Antral vascular ectasia1
- Gastric Antral Vascular Ectasia: An Ongoing Case This case describes a typical presentation of a patient with gastric antral vascular ectasia and the treatment course. (medscape.com)
Recurrence2
- All patients were successfully cured of their gastroduodenal fistulas, and at the time of this publication, none of them died or had fistula recurrence. (bvsalud.org)
- Biliary papillomatosis is a rare disease with a high risk of recurrence and malignant transformation. (e-ce.org)
Left gastri2
- A positive angiographic finding of bleeding is needed to initiate embolization, except in cases in which bleeding has been localized before-for example, in the left gastric artery (LGA) or gastroduodenal artery. (medscape.com)
- The celiac trunk (axis) branches from the anterior surface of the aorta at the level of T12-L1 and divides into the common hepatic artery (CHA), the splenic artery, and the left gastric artery. (medscape.com)
Surgery3
- Photodynamic therapy might be a new additional, palliative option for patients with biliary papillomatosis who are not eligible for surgery. (e-ce.org)
- During her last laparoscopic revision the patient had a positive leak test on an area of the gastric pouch that was inaccessible laparoscopically and would have required converting to an open surgery and a larger resection. (sages.org)
- Most cases were women, had Roux-en-Y surgery years prior to diagnosis and few IBD-related complications. (medscape.com)
Chronic1
- Clinicians may also encounter biliary pathologies such as choledocholithiasis, chronic abdominal pain, and weight regain. (ulster.ac.uk)
Closure2
- They then underwent surgical treatment with resection of the affected segment and duodenal or gastric closure with covering by an omental patch. (bvsalud.org)
- Fatal Hemoptysis After Closure of Gastrobronchial Fistula Using an Amplatzer Vascular Device. (harvard.edu)
Leakage1
- The overall biliary leakage (BL) rate was 5.1% (n= 8). (fortunejournals.com)
Gallbladder1
- In one study, this imaging modality was able to differentiate and locate 88.5% of ectopic biliary stones compared with 50% with abdominal radiography, as well as reveal the presence of cholecystitis, edema, discontinuous walls of the gallbladder and intestine, and bilioenteral fistula. (medscape.com)
Disease3
- BACKGROUND Fistulas involving the stomach and duodenum in Crohn's disease are rare (occurring in less than 1% of patients). (bvsalud.org)
- Here, we reviewed registers from 855 patients with Crohn's disease treated in our service from January 2007 to December 2020 and found 4 cases of duodenal fistula and 1 case of gastric fistula. (bvsalud.org)
- CONCLUSIONS Fistulas with the involvement of the stomach and duodenum in patients with Crohn's disease are almost always due to inflammation in the ileum, colon, or previous ileocolic anastomosis. (bvsalud.org)
Endoscopic1
- He performs intragastric balloon placement, revision procedure for gastric bypass like endoscopic outlet reduction. (rochester.edu)
Duodenal1
- One case of a duodenal fistula was complicated by duodenal dehiscence. (bvsalud.org)
Enterocutaneous1
- An enterocutaneous fistula was created with the proximal portion of the cyst because the site of the papilla of Vater was suspected to enter this part of the cyst. (northwestern.edu)
Patients1
- CASE REPORT The fistula origin was in the ileocolic segment in all cases, and all of the patients underwent preoperative optimization with improvement of nutritional status and infection control. (bvsalud.org)