Is ERCP-BD or EUS-BD the preferred decompression modality for malignant distal biliary obstruction? A meta-analysis of randomized controlled trials.

CONCLUSION: technical success, treatment success, procedure duration, and overall adverse event rate were comparable between ERCP-BD and EUS-BD in decompressing malignant distal biliary obstruction. Nevertheless, EUS-BD had a significantly lower rate of PEP and a lower tendency toward stent reintervention than ERCP-BD. Therefore, EUS-BD might be a suitable alternative to ERCP-BD when performed by experts. PMID: 31729233 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

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Condition:   Pancreatitis, Acute Interventions:   Biological: SCM-AGH;   Other: Placebo Sponsor:   SCM Lifescience Co., LTD. Recruiting
Source: - Category: Research Source Type: clinical trials
Conditions:   Pancreatitis, Acute;   Crohn Disease;   Ulcerative Colitis;   Inflammatory Bowel Diseases;   Pancreatic Cancer;   Esophagus Cancer;   Gastric Cancer;   Colorectal Cancer Interventions:   Dietary Supplement: Nutritional dietary intervention;   Dietary Supplement: By demand;   Dietary Supplement: Usual current care Sponsor:   Hospital Galdakao-Usansolo Not yet recruiting
Source: - Category: Research Source Type: clinical trials
Nature Reviews Gastroenterology &Hepatology, Published online: 06 December 2019; doi:10.1038/s41575-019-0242-7An area of research suggests a role for microbiota in the pathogenesis of pancreatic diseases, such as pancreatitis, pancreatic cancer and type 1 diabetes mellitus. In this Perspectives, the authors examine the literature implicating microorganisms in diseases of the pancreas as well as the evidence of an inherent pancreatic microbiota.
Source: Nature Reviews Gastroenterology and Hepatology - Category: Gastroenterology Authors: Source Type: research
Conclusions: A high PFC resolution rate can be achieved when a dedicated algorithm encompassing EUS-guided drainage, PD stenting, and early enteral feeding is adopted. PMID: 31794655 [PubMed - as supplied by publisher]
Source: Clinical Endoscopy - Category: Gastroenterology Tags: Clin Endosc Source Type: research
Authors: Yamaguchi H, Morisaka H, Sano K, Nagata K, Ryozawa S, Okamoto K, Ichikawa T Abstract Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is widely used as a first-line procedure for the definitive diagnosis of pancreatic solid tumor. Adverse events associated with the EUS-FNA procedure include acute pancreatitis, bleeding, infection, and duodenal perforation. Rarely, pancreatic tumors disseminate in the peritoneal cavity or seed in the gastric wall via the biopsy needle tract after EUS-FNA. Such seeding has been noted primarily in cases of adenocarcinomas and has not been associated with solid ps...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
Publication date: January 2020Source: Journal of Comparative Pathology, Volume 174Author(s): K. Törner, M. Staudacher, U. Tress, C.N. Weber, C. Stadler, J.M. Grassinger, E. Müller, H. Aupperle-LellbachSummaryThe most common pancreatic diseases in cats are pancreatitis and exocrine pancreatic insufficiency (EPI). Non-invasive methods, such as serological quantification of feline pancreatic lipase immunoreactivity (fPLI), are often used in the diagnosis of pancreatitis. Previous studies have compared fPLI concentrations with histopathology, considered to be the gold standard for diagnosis of feline pancreatitis. Ho...
Source: Journal of Comparative Pathology - Category: Pathology Source Type: research
ConclusionsPancreatic cancer patients with acute pancreatitis diagnosed up to 90 days before cancer diagnosis had earlier stage at diagnosis and better survival than patients without acute pancreatitis.
Source: Cancer Epidemiology - Category: Cancer & Oncology Source Type: research
In this study, we aimed to review the basic symptoms and clinical findings, along with the diagnosis and treatment methods of HP. KEY WORDS: Gastrointestinal bleeding, Pancreas, Splenic Artery. PMID: 31790368 [PubMed - as supplied by publisher]
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
Chest pain is a common and high-risk chief complaint in the emergency department. There is an array of cardiac and non–cardiac-related conditions that could lead to this symptom. It is important for the clinician to have a broad perspective when treating patients complaining of chest pain so that dangerous and potentially life-threatening conditions are not overlooked. Here, we present one such cause of chest pain that can be detrimental if the clinician fails to correctly identify the underlying condition. A brief review of hypertriglyceridemia-induced acute pancreatitis is provided, and challenges faced by the trea...
Source: Critical Care Nursing Quarterly - Category: Nursing Tags: Original Articles Source Type: research
AbstractPurpose of ReviewPancreatic duct stones are sequela of chronic pancreatitis. They can cause pancreatic duct obstruction which is the most important cause of pain in chronic pancreatitis. Stone resolution has shown to improve pain. The goal of this review is to highlight recent endoscopic and surgical advancements in treatment of pancreatic duct stones.Recent FindingsStone fragmentation by extracorporeal shock wave lithotripsy has become first line and the mainstay of treatment for majority of patients with pancreatic duct stones. Introduction of digital video pancreatoscopy in the last few years with the capability...
Source: Current Gastroenterology Reports - Category: Gastroenterology Source Type: research
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