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Risk Factors for Acute Cholangitis Caused by Enterococcus faecalis and Enterococcus faecium

Karasawa Y, Kato J, Kawamura S, Kojima K, Ohki T, Seki M, Tagawa K, Toda N

Background/Aims: Acute cholangitis (AC) is a potentially life-threatening bacterial infection, and timely antimicrobial treatment, faster than that achieved with bacterial cultures, is recommended. Although the current guidelines refer to empirical antimicrobial...
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Combined Fistulotomy and Contralateral Anal Internal Sphincterotomy for Recurrent and Complex Anal Fistula to Prevent Recurrence

Handaya AY, Fauzi AR

The ideal intervention in the treatment of perianal fistula prevents the onset of infection to speed healing and prevent fistula recurrence while maintaining the function of the anal sphincter. Currently,...
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Endoscopic Papillary Balloon Dilation/Endoscopic Papillary Large Balloon Dilation

Jeong S

Endoscopic papillary balloon dilation (EPBD) and endoscopic papillary large balloon dilation (EPLBD) have been performed all around the world over several decades for the treatment of common bile duct stone....
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Endoscopic Sphincterotomy, Balloon Stone Extraction, and Basket Stone Extraction

Jang SI, Lee DK

Endoscopic sphincterotomy is performed after selective cannulation to remove the gallstone. Endoscopic sphincterotomy can cause complications such as bleeding, perforation and pancreatitis. Various types of endoscopic sphincter incision method and...
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A Case of an AUPBD Treated by Drainage of Major Papilla

Kim MH, Lee JK, Kim HS, Park I, Park JK, Oh DM, Ha JH

Anomalous union of the pancreaticobiliary duct (AUPBD) is a rare congenital anomaly, defined as the pancreaticobiliary ductal union located outside of the duodenal wall, usually forming a markedly long common...
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The Role of Endoscopic Biliary Drainage without Sphincterotomy in Gallstone Patients with Cholangitis and Suspected Common Bile Duct Stones Not Detected by Cholangiogram or Intraductal Ultrasonography

Goong HJ, Moon JH, Lee YN, Choi HJ, Choi SY, Choi MH, Kim MJ, Lee TH, Park SH, Lee HK

BACKGROUND/AIMS: Treatment for cholangitis without common bile duct (CBD) stones has not been established in patients with gallstones. We investigated the usefulness of endoscopic biliary drainage (EBD) without endoscopic sphincterotomy...
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Post-Endoscopic Sphincterotomy Bleeding: Strategic Approach with Multiple Endoscopic Arms

Ahn DW, Park SM, Han JH

Endoscopic retrograde cholangiopancreatography (ERCP) is an essential method for diagnosis and treatment of various pancreatobiliary diseases and endoscopic sphincterotomy (EST) is the gateway to complete ERCP. Although techniques and instruments...
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The outcome of endoscopic management of bile leakage after hepatobiliary surgery

Yun SU, Cheon YK, Shim CS, Lee TY, Yu HM, Chung HA, Kwon SW, Jeong TG, An SH, Jeong GW, Kim JW

BACKGROUND/AIMS: Despite improvements in surgical techniques and postoperative patient care, bile leakage can occur after hepatobiliary surgery and may lead to serious complications. The aim of this retrospective study was...
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The Wire-Grasping Method as a New Technique for Forceps Biopsy of Biliary Strictures: A Prospective Randomized Controlled Study of Effectiveness

Yamashita , Ueda K, Kawaji Y, Tamura T, Itonaga M, Yoshida T, Maeda H, Magari H, Maekita T, Iguchi M, Tamai H, Ichinose M, Kato J

BACKGROUND/AIMS: Transpapillary forceps biopsy is an effective diagnostic technique in patients with biliary stricture. This prospective study aimed to determine the usefulness of the wire-grasping method as a new technique...
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Sphincter of Oddi Manometry: Reproducibility of Measurements and Effect of Sphincterotomy in the EPISOD Study

Suarez AL, Pauls Q, Durkalski-Mauldin V, Cotton PB

  • KMID: 2327953
  • J Neurogastroenterol Motil.
  • 2016 Jul;22(3):477-482.
  • doi: 10.5056/jnm15123
BACKGROUND/AIMS: The reproducibility of sphincter of Oddi manometry (SOM) measurements and results of SOM after sphincterotomy has not been studied sufficiently. The aim of our study is to evaluate the...
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Endoscopic Intervention through Endoscopic Retrograde Cholangiopancreatography in the Management of Symptomatic Pancreas Divisum: A Long-Term Follow-Up Study

Lu Y, Xu B, Chen L, Bie LK, Gong B

BACKGROUND/AIMS: To evaluate the efficacy and safety of endoscopic retrograde cholangiopancreatography (ERCP) for the treatment of symptomatic pancreas divisum (PD) and to discuss whether ERCP procedures and outcomes in younger...
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Endoscopic intervention for persistent bile leakage after cholecystectomy

Kim HJ

SUMMARY OF EVENT: Persistent greenish discharge with abdominal pain and fever were developed in the patient who had undergone laparoscopic cholecystectomy. For the endoscopic treatment of postoperative bile leak, endoscopic...
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Does Endoscopic Sphincterotomy and/or Cholecystectomy Reduce Recurrence Rate of Acute Biliary Pancreatitis?

Bang KB, Kim HJ, Cho YK, Jeon WK

BACKGROUND/AIMS: Practice guidelines from international societies have recommended cholecystectomy during the same hospitalization for acute biliary pancreatitis (ABP). The aim of this study is to investigate the question of whether...
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New Technique of Endoscopic Sphincterotomy with Iso-Tome(R) to Incise the Distal Papillary Roof in Patients with Choledocholiths and Choledochoduodenal Fistula

Cho YS, Park SH, Jun BG, Lee TH, Choi HJ, Cha SW, Moon JH, Cho YD, Kim SJ

BACKGROUND/AIMS: It is sometimes difficult to incise the distal papillary roof (PR) completely in patients with choledocholiths and choledochoduodenal fistula (CDF). The Iso-Tome(R) (MTW-Endoskopie W. Haag KG), which is helpful...
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Spinal Cord Stimulation for Intractable Visceral Pain Due to Sphincter of Oddi Dysfunction

Lee KH, Lee SE, Jung JW, Jeon SY

Sphincter of Oddi dysfunction (SOD) is a syndrome of chronic biliary pain or recurrent pancreatitis due to the functional obstruction of the pancreaticobiliary flow. We report a case of spinal...
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Burdick's Technique for Biliary Access Revisited

Goenka MK, Rai VK

The precut sphincterotomy is used to facilitate selective biliary access in cases of difficult biliary cannulation. Needle-knife precut papillotomy is the standard of care but is associated with a high...
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Which Is the Better Treatment for the Removal of Large Biliary Stones? Endoscopic Papillary Large Balloon Dilation versus Endoscopic Sphincterotomy

Paik WH, Ryu JK, Park JM, Song BJ, Kim J, Park JK, Kim YT

  • KMID: 1792369
  • Gut Liver.
  • 2014 Jul;8(4):438-444.
BACKGROUND/AIMS: We evaluated the efficacy and cost-effectiveness of endoscopic papillary large balloon dilation (EPLBD) for large common bile duct (CBD) stone removal compared with endoscopic sphincterotomy (EST). METHODS: A total of...
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Endoscopic Management of Bile Leakage after Cholecystectomy: A Single-Center Experience for 12 Years

Kim KH, Kim TN

BACKGROUND/AIMS: Bile leakage is an uncommon but serious complication of cholecystectomy. The aim of this study is to evaluate the efficacy of the endoscopic management of bile leakage after cholecystectomy. METHODS:...
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Biliary-Pancreatic Endoscopic and Surgical Procedures in Patients under Dual Antiplatelet Therapy: A Single-Center Study

Abdel Samie A, Stumpf M, Sun R, Theilmann

  • KMID: 2425261
  • Clin Endosc.
  • 2013 Jul;46(4):395-398.
BACKGROUND/AIMS: Dual antiplatelet therapy has to be used for at least 1 month after placement of bare metal coronary stents and for a minimum of 1 year after placement of...
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Endoscopic Papillectomy for Benign Ampullary Neoplasms: How Can Treatment Outcome Be Predicted?

Ahn DW, Ryu JK, Kim J, Yoon WJ, Lee SH, Kim YT, Yoon YB

  • KMID: 2135077
  • Gut Liver.
  • 2013 Mar;7(2):239-245.
BACKGROUND/AIMS: Endoscopic papillectomy is increasingly performed with curative intent for benign papillary tumors. This study was performed to identify factors that predict the presence of malignancy and affect endoscopic success. METHODS:...
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