Search

This article, titled "Multidisciplinary management of a rare case of obstructive jaundice," discusses the case of a 47-year-old man who experienced diaphragmatic laceration due to a road trauma in 2007. After 15 years, he developed cholestasis and jaundice, and oral steroid therapy did not provide any clinical benefit. A multidisciplinary evaluation led to the decision to perform surgery to repair the diaphragmatic hernia. However, the patient underwent ERCP due to persistent jaundice, which revealed a stricture of the common hepatic duct. Sphincterotomy was performed, and various stents were placed to address the issue. The article includes a video link for further reference. [Extracted from the article]

This article discusses the management of post-surgical biliary leaks (PSBL), which are complications that can occur after liver or biliary tract surgeries. The study focuses on the use of endoscopic retrograde cholangiopancreatography (ERCP) and a percutaneous transhepatic approach called Rendez Vous as treatment options for PSBL. The study found that these procedures were safe and effective, with a high rate of clinical success. Stent positioning, particularly leak-bridging stents, was recommended to enhance treatment efficacy. The article also mentions that adverse events were reported in 10% of cases, but none were severe. [Extracted from the article]

This article, published in the journal Endoscopy, presents a systematic review and meta-analysis on the optimal removal time of lumen-apposing metal stents (LAMS) used for endoscopic ultrasound-guided drainage of pancreatic fluid collections (PFCs). The study aimed to assess the incidence of adverse events (AEs) after early (within 3-4 weeks) versus late (after 3-4 weeks) LAMS removal. The analysis included three studies with a total of 1565 patients, and the results showed that early removal of LAMS was associated with a lower rate of AEs. However, the authors note that more research is needed to provide robust data on this topic. [Extracted from the article]

This article discusses the use of trans-oesophageal endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) for the diagnosis of lung masses. The study evaluated the feasibility, diagnostic yield, accuracy, and safety of this technique in a group of 42 patients with lung masses. The results showed that trans-oesophageal EUS-FNB is a feasible and safe method for tissue sampling in lung masses, with high sensitivity, specificity, diagnostic yield, accuracy, and specimen adequacy. The study suggests that EUS-FNB can be an effective alternative to other tissue acquisition techniques for lung masses. [Extracted from the article]

This article, published in the journal Endoscopy, evaluates the efficacy and safety of endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) for focal liver lesions. The study analyzed data from 58 patients who underwent EUS-FNB between 2003 and 2023. The results showed that the technique had a high technical success rate, with 95% adequacy and 96% accuracy in providing a histological diagnosis. The sensitivity and specificity of the procedure were 95% and 100% respectively. No adverse events were recorded during or after the procedure. The authors conclude that EUS-guided biopsy is an effective and safe method for diagnosing liver lesions, particularly those located in the left lobe, close to large blood vessels, or in obese patients. [Extracted from the article]

This article is a systematic review and meta-analysis comparing the diagnostic outcomes and safety of endoscopic ultrasound-guided liver biopsy (EUS-LB) and percutaneous liver biopsy (PC-LB) in patients with liver diseases and focal liver lesions. The review found that there were no significant differences between EUS-LB and PC-LB in terms of diagnostic adequacy, technical success, and accuracy. However, EUS-LB was slightly safer than PC-LB, with a slightly lower rate of overall adverse events. Overall, the study suggests that EUS-LB is a viable alternative to PC-LB for liver tissue sampling. [Extracted from the article]