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What You Need to Know Before Performing Endoscopic Ultrasound-guided Hepaticogastrostomy

Chantarojanasiri T, Ratanachu-Ek T, Pausawasdi N

Endoscopic retrograde cholangiopancreatography (ERCP) is the primary treatment modality for bile duct obstruction. When ERCP is unsuccessful, percutaneous transhepatic biliary drainage can be an alternative method. Endoscopic ultrasound-guided biliary drainage...
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Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula

Chantarojanasiri T, Sirinawasatien A, Bunchorntavakul C, Siripun A, Treepongkaruna Sa, Ratanachu-ek T

Portoenteric fistula is a rare cause of massive upper gastrointestinal bleeding. Most cases can be treated with radiointervention or surgery, but portoenteric fistula is associated with a high mortality. We...
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Successful Closure of a Benign Refractory Tracheoesophageal Fistula Using an Over-the-Scope Clip after Failed Esophageal Stent Placement and Surgical Management

Pausawasdi N, Angkurawaranon C, Chantarojanasiri T, Chang A, Wongkornrat W, Leelakusolvong S, Methasate A

Tracheoesophageal fistulas (TEFs) have traditionally been managed surgically, but the endoscopic approach is widely performed as a less invasive alternative. Different closure techniques have been proposed with inconsistent results. An...
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Usefulness of stent placement above the papilla, so-called, ‘inside stent’

Chantarojanasiri T, Kogure H, Hamada T, Nakai Y, Isayama H

Stent occlusion and cholangitis are common complications after endoscopic biliary stenting caused by duodenobiliary refluxes and food impaction. To prolong the stent patency, the concept of stenting above the papilla,...
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Groove Pancreatitis: Endoscopic Treatment via the Minor Papilla and Duct of Santorini Morphology

Chantarojanasiri T, Isayama H, Nakai Y, Matsubara , Yamamoto N, Takahara N, Mizuno S, Hamada T, Kogure H, Koike K

BACKGROUND/AIMS: Groove pancreatitis (GP) is an uncommon disease involving the pancreaticoduodenal area. Possible pathogenesis includes obstructive pancreatitis in the duct of Santorini and impaired communication with the duct of Wirsung,...
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