Journal Article10.1111/J.1440-1746.2009.05828.X
Single session versus separate session endoscopic ultrasonography plus endoscopic retrograde cholangiography in patients with low to moderate risk for choledocholithiasis
Carlo Fabbri,Anna Maria Polifemo,Carmelo Luigiano,Vincenzo Cennamo,Lorenzo Fuccio,Paola Billi,Antonella Maimone,Stefania Ghersi,S. Macchia,Constance Mwangemi,Pierluigi Consolo,Agata Zirilli,Leonardo Henry Eusebi,Nicola D'Imperio +13 more
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TL;DR: This trial is to compare, in patients with non‐high‐risk for CDBS, the clinical and economic impact of EUS plus ERC performed in a single endoscopic session versus EUSplus ERC in two separate sessions.
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Abstract: Background and Aim: Endoscopic ultrasonography (EUS) is a minimally invasive diagnostic tool for common bile duct stones (CBDS) and may be used to select patients for therapeutic endoscopic retrograde cholangiography (ERC). The aim of this trial is to compare, in patients with non-high-risk for CDBS, the clinical and economic impact of EUS plus ERC performed in a single endoscopic session versus EUS plus ERC in two separate sessions.
Methods: During an 11-month period, all adult patients admitted to the emergency department with suspicion of CBDS were categorized into either high-risk or non-high-risk groups, on the basis of clinical, biochemical, or transabdominal ultrasound findings. Patients in the non-high-risk group were randomized to receive EUS plus ERC in one single or in two separate sessions.
Results: Eighty patients were recruited and randomized. Forty patients underwent EUS plus ERC in a single session and 40 patients underwent EUS plus ERC in two separate sessions. Negative EUS examination for CBDS avoided unnecessary ERC to 33 patients. Out of 47 patients with positive EUS (25 from the single session group and 22 from the double session), ERC confirmed the presence of CBDS in 46 cases (EUS sensitivity 100% and specificity 98%). Average time of procedure and hospitalization were significantly shorter in the single session group compared to the two session group. The single session strategy was also less expensive.
Conclusion: Endoscopic ultrasonography plus ERC with sphincterotomy and stone extraction performed during the same endoscopic session was safe and efficacious with a reduction of procedure time, hospitalization and costs.
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Citations
Diagnostic and Therapeutic Roles of Endoscopic Ultrasound in Pediatric Pancreaticobiliary Disorders.
Isabelle Scheers,Meltem Ergun,Tarik Aouattah,Hubert Piessevaux,Ivan Borbath,Xavier Stéphenne,Catherine De Magnee,Raymond Reding,Etienne Sokal,Francis Veyckemans,Birgit Weynand,Pierre Henri Deprez +11 more
TL;DR: Considering EUS as a diagnostic and therapeutic tool in the management of pediatric pancreaticobiliary diseases is suggested, affording insights into novel EUS and combined EUS–ERCP therapeutic applications.
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Histological adequacy of EUS-guided liver biopsy when using a 19-gauge non-Tru-Cut FNA needle.
TL;DR: Evaluating the histological adequacy of liver tissue specimens obtained using a 19-gauge aspiration needle via a EUSguided approach found that the length of the biopsy specimen, the number of complete portal tracts (CPTs), and the ability of the pathologist to make a diagnosis with the obtained specimen were analyzed.
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Present status and perspectives of endosonography 2017 in gastroenterology.
TL;DR: This summary of established and novel applications of endoscopic ultrasound methods is compiled to inform the reader about what is already possible and where future developments will lead in improving patient care further.
Consecutive versus separate sessions of endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) for symptomatic choledocholithiasis
TL;DR: Performing endoscopic ultrasound and endoscopic retrograde cholangiopancreatography for symptomatic CBD stones in a single session reduces complications related to postponing treatment due to separate EUS and ERCP sessions, and demonstrates the safety in both options.
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The diagnostic accuracy of endoscopic ultrasound in suspected biliary obstruction and its impact on endoscopic retrograde cholangiopancreatography burden in real clinical practice: a consecutive analysis.
Abdul Zaheer,Malik M. Anwar,Claire L. Donohoe,Sinead O’Keeffe,Hamid Mushtaq,Barry Kelleher,E Clarke,Murat Kirca,Susan McKiernan,Nasir Mahmud,N Keeling,Padraic MacMathuna,Dermot O'Toole +12 more
TL;DR: EUS demonstrated high diagnostic accuracy in this mixed group of PBD, which accurately guided ERCP need and avoided unnecessary E RCP in 36%.
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TL;DR: In this paper, the authors performed a multicenter prospective study on complications of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) at nine centers in the Triveneto region of Italy over a 2-year period.
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Complications of diagnostic and therapeutic ERCP: a prospective multicenter study.
Enzo Masci,G. Toti,Alberto Mariani,S. Curioni,A. Lomazzi,Marco Dinelli,Giorgio Minoli,Cristiano Crosta,Comin U,A. M. Fertitta,Alberto Prada,G. Rubis Passoni,Pier Alberto Testoni +12 more
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