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Percutaneous transhepatic access to allow per-oral enteric stent insertion for malignant duodenal obstruction following failed endoscopic attempt

Ibrahem Adam RE, Thurley P, Pollock G

The treatment options for malignant gastric outlet obstruction include antegrade stent placement or surgical bypass, the latter being associated with a higher level of morbidity and therefore often reserved for...
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A Man with Dysphagia after Cervical Esophagogastrostomy: A Case Report

Sung WJ, Hong BY, Kim JS, Lee JJ, Yoo JW, Lim SH

Dysphagia caused by a functional gastric outlet obstruction is rare and the natural course of a functional gastric outlet obstruction is unclear. This paper reports a patient with dysphagia and...
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Multiple Congenital Pancreatic Cysts in a Neonate

Kwon EM, Shin J, Jeon GW

Congenital pancreatic cysts are rare in newborn babies, and this makes prenatal diagnosis difficult. Diagnosis can be delayed for a few months after birth until the infant presents with an...
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Endoscopic Palliation for Biliary and Pancreatic Malignancies: Recent Advances

Nabi Z, Reddy DN

Malignancies of the pancreatobiliary system are usually unresectable at the time of diagnosis. As a consequence, a majority of these cases are candidates for palliative care. With advances in chemotherapeutic...
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Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases

Nakai Y, Kogure H, Isayama H, Koike K

Although endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for benign biliary diseases, this procedure is technically difficult in some conditions such as a surgically altered anatomy and gastric outlet...
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Peptic Ulcer-related Stenosis

Choi CW

Peptic ulcer disease involves breakdown of the epithelial lining of the stomach or duodenum. Stenosis and associated gastric outlet obstruction is the least frequent complication of peptic ulcer disease. Most...
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Endoscopic Management of Combined Biliary and Duodenal Obstruction

Nabi Z, Reddy DN

Combined obstruction of the bile duct and duodenum is a common occurrence in periampullary malignancies. The obstruction of gastric outlet or duodenum can follow, occur simultaneously, or precede biliary obstruction....
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Endoscopic Balloon Dilation for Treatment of Congenital Antral Web

Peck J, Khalaf R, Marth R, Phen C, Sosa R, Cordero FB, Wilsey M

Congenital antral webs are a rare but relevant cause of gastric outlet obstruction in infants and children. The condition may lead to feeding refusal, vomiting, and poor growth. Due to...
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De-novo Gastrointestinal Anastomosis with Lumen Apposing Metal Stent

Jain D, Chhoda A, Sharma A, Singhal S

Gastric outlet obstruction, afferent or efferent limb obstruction, and biliary obstruction among patients with altered anatomy often require surgical intervention which is associated with significant morbidity and mortality. Endoscopic dilation...
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The vanishing stent: Repeated fracture and dissolution of nitinol gastric stents in a long term cancer survivor

Randle Lunt C, Najaran P, Edwards DE, Bell JK, Mullan D, Laasch HU

Nitinol self expandable metal stents are increasingly utilised for malignant obstruction in the proximal gastrointestinal tract. We describe a case in which repeated fracture of proximal duodenal stents with dissolution...
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Percutaneous placement of H-configured triple biliary and enteral stents through a single access: A solution for complex bilio-enteric obstruction

Park S, Park AW

A 75-year-old male with recurrent pancreatic adenocarcinoma after a previous Whipple's procedure presented with jaundice. The local advancement of the tumor caused obstructions of the common bile duct, intrahepatic bile...
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Laparoscopic gastrojejunostomy versus duodenal stenting in unresectable gastric cancer with gastric outlet obstruction

Min SH, Son SY, Jung DH, Lee CM, Ahn SH, Park DJ, Kim HH

PURPOSE: To compare the outcome between laparoscopic gastrojejunostomy (LapGJ) and duodenal stenting (DS) in terms of oral intake, nutritional status, patency duration, effect on chemotherapy and survival. METHODS: Medical records of...
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Gastroparesis Updates on Pathogenesis and Management

Liu N, Abell T

Gastroparesis (Gp) is a chronic disease that presents with clinical symptoms of early satiety, bloating, nausea, vomiting, and abdominal pain. Along with these symptoms, an objective finding of delayed gastric...
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A Novel Partially Covered Self-Expandable Metallic Stent with Proximal Flare in Patients with Malignant Gastric Outlet Obstruction

Takahara N, Isayama H, Nakai Y, Yoshida S, Saito T, Mizuno S, Yagioka H, Kogure H, Togawa O, Matsubara , Ito Y, Yamamoto N, Tada M, Koike K

BACKGROUND/AIMS: Endoscopic placement of self-expandable metal stents (SEMSs) has emerged as a palliative treatment for malignant gastric outlet obstruction (GOO). Although covered SEMSs can prevent tumor ingrowth, frequent migration of...
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Self-expandable metal stent placement for recurrent cancer in a surgically-altered stomach

Park JH, Tsauo J, Song HY

Gastric cancer is one of the most common malignancies and most frequent causes of cancer-related death worldwide. Radical surgical resection accomplished by total or distal gastrectomy represents the mainstay of...
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Cytomegalovirus Gastric Ulcer Complicated with Pyloric Obstruction in a Patient with Ulcerative Colitis

Kang SH, Lee KM, Shin SJ, Lim SK, Hwang JC, Kim JH

In patients with inflammatory bowel disease (IBD), cytomegalovirus (CMV) infections could aggravate the course of IBD but it is difficult to distinguish CMV infection from IBD exacerbation endoscopically. Usually, CMV...
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A Case Report of Gastric Outlet Obstruction Due to Gall Bladder Distension from Acute Cholecystitis

Lee DW, Park SH

Gastric outlet obstruction (GOO) is a disease that causes pyloric canal or duodenal atresia by various etiologies. It is mainly caused by malignancy or peptic ulcer and rarely caused by...
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Perioperative Epirubicin, Oxaliplatin, and Capecitabine Chemotherapy in Locally Advanced Gastric Cancer: Safety and Feasibility in an Interim Survival Analysis

Ostwal V, Sahu A, Ramaswamy , Sirohi B, Bose S, Talreja V, Goel M, Patkar S, Desouza A, Shrikhande SV

PURPOSE: Perioperative chemotherapy improves survival outcomes in locally advanced (LA) gastric cancer. MATERIALS AND METHODS: We retrospectively analyzed patients with LA gastric cancer who were offered perioperative chemotherapy consisting of epirubicin,...
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How to manage gastric polyps

Lanke G, Agarwal A, Lee JH

Gastric cancer is the second leading cause of cancer related death in the world. In United States, gastric polyps are found in approximately 6% of upper endoscopy. The incidence of...
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Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor

Caglar E, DoÄŸusoy G, Kabasakal , Dobrucali

Internal radioembolization with yttrium-90 is a promising treatment method, predominantly for liver tumors. However, the shifting of yttrium-90-loaded spherules into the arteries and veins that supply the duodenum and stomach,...
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