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  • Gastric Varices

    Computed tomography (CT) showed splenic vein occlusion, gastric varices, and extra-gastric wall collateral veins.[] We were able to control a case of isolated gastric varices with a GPS by percutaneous transhepatic obliteration (PTO) using a microcatheter.[] There have been several studies examining this new technique for the treatment of esophageal and gastric varices.[] EVL using an endoscopic pneumo-activated ligating device was performed on a 53-year-old male patient with liver cirrhosis who presented with hematemesis.[] […] effect of weight reduction and treatment of gastric varices using a single surgical approach.[] The collateral circulation ran from the short gastric veins via the left gastric veins into the main portal vein.[] The irrigating hood is a device designed to be placed at the tip of the endoscope to allow forceful intragastric irrigation while maintaining an adequate intraluminal view[] An autosuture device was applied to dissect the splenic hilum and the left gastric and enlarged short gastric vessels.[] Abstract Iatrogenic splenic vein occlusion is known to be a rare cause of left-sided portal hypertension.[] This report describes percutaneous creation of a mesocaval shunt and balloon-occluded retrograde transvenous obliteration (BRTO) in a patient with cavernous transformation[]

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  • Portal Hypertension

    BACKGROUND: The treatment of portal hypertension caused by an occlusive lesion in the retrohepatic inferior vena cava and terminal portal venules is complicated because both[] […] communication deals with a case in which the diagnosis of portal vein thrombosis as the causative factor of portal hypertension was established prior to surgical intervention by percutaneous[] Esophageal varices are the major complication of portal hypertension.[] During the past two decades the development of new radiological devices and of new percutaneous image-guided treatment methods has resulted in fundamental changes in the clinical[] Abstract This study was performed to evaluate the feasibility of the splenic bed laparoscopic splenectomy approach (SBLS) for massive splenomegaly ( 30 cm) in patients with[] METHODS: Idealized portal vein (PV) system models were reconstructed with different angles of the PV-splenic vein (SV) and superior mesenteric vein (SMV)-SV.[] The combination of vasoconstrictor and endoscopic therapy is superior to vasoconstrictor or endoscopic therapy alone for control of acute esophageal variceal hemorrhage.[] Conversely, patent vessels may show increased intraluminal echogenicity because of artifact or erythrocyte rouleaux formation.[] Some of these trials have resulted in the approval of new drugs and devices in the United States.[] A multidisciplinary approach, including the resources for liver transplantation, is always required to treat these patients.[]

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  • Esophageal Varices

    Few reports describe downhill varices in dialysis patients with catheter-related SVC occlusion.[] Acute variceal bleeding Oesophagus varices Bleeding esophageal varices Bleeding esophageal varices (disorder) Bleeding oesophageal varices esophageal varices esophageal varices[] Once the varix has been located the scope will be removed and then a banding device will be attached to the end of the scope.[] BACKGROUND: One of the rare presentations of superior vena cava syndrome is bleeding of "downhill" esophageal varices (DEV) and different approaches have been used to control[] Type 1 showed inflow from the paraesophageal veins to the esophageal varices.[] One hundred and thirty-five endoscopies were performed, of which 15 showed normal findings, 27 showed grade 1 endoscopic esophageal varices, 49 showed grade 2 varices, and[] […] catheter, continuously perfused with distilled water at 0,6 mL/min by a low-compliance pneumohydraulic capillary infusion system (Biomedics – California, EUA) or solid-state intraluminal[] We discuss the stepwise approach to this situation and the challenges encountered in the process. Georg Thieme Verlag KG Stuttgart · New York.[] We thus, consider the occlusion of both the afferent and efferent vessels to be an effective treatment for gastric varices.[] […] complication of dialysis catheter-induced superior vena cava stenosis, which became symptomatic after the placement of an upper extremity arteriovenous graft and resolved with percutaneous[]

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  • Superior Vena Cava Syndrome

    Occlusive lesions are often encountered that cannot be opened using this intervention.[] It was thus decided to treat the patient with percutaneous angioplasty and stenting. Details of the occlusion were evaluated with computed tomography and venography.[] Presently described is case of Behçet's diseaserelated SVC occlusion in a patient who presented with gastrointestinal bleeding from upper esophageal varices.[] With the increasing use of intravascular devices, the incidence of the SVC syndrome arising from benign etiologies is increasing.[] We report a case of pacemaker-induced SVCS for which we used a hybrid approach for epicardial lead implantation and electrode extraction, balloon angioplasty, and stent implantation[] PICC insertion via upper extremity veins had also been investigated in 2604 cancer patients without SVCS as control.[] Williams & Wilkins, 2009 - 2552 من الصفحات Long considered the bible of thoracic surgery, this comprehensive two-volume textbook guides you through virtually every open and endoscopic[] It can be caused by either intraluminal obstruction of the SVC or extrinsic compression.[] CONCLUSION: Percutaneous endovascular techniques to treat benign SVC syndrome are safe with good long term patency.[] Lung computed tomography (CT) revealed lesions in the esophagus, which indicated esophageal cancer with mediastinal lymph nodes metastasis and signified SVCS.[]

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  • Hepatic Vein Occlusion

    HV angioplasty was performed in 18 patients with HV occlusion, combined HV and IVC angioplasty in 9 patients with HV and IVC occlusion, TIPS in 12 patients with HV occlusion[] […] temporary percutaneous balloon occlusion (PBO) of a large hepatic or portal vein.[] Abstract We report new operative approaches to the treatment of hepatic vein occlusion due to malignant tumors in the liver and their results in four patients.[] Endoscopic sclerotherapy and beta-blockers have come to be widely used in the man agement and prevention of variceal bleeding.[] The blood can no longer reach the central vein, which develops intraluminal fibrosis by disuse.[] Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located.[] The purpose of the study was to assess the feasibility of intermittent hepatic vein balloon occlusion during percutaneous radiofrequency (RF) ablation.[] Abstract Background Budd–Chiari syndrome (BCS) with hepatic vein (HV) occlusion is manifested by severe liver damage in acute cases and esophageal variceal bleeding or refractory[] Make effective use of the latest endoscopic, robotic, and minimally invasive procedures as well as medical therapies with unbeatable advice from a "who’s who" of international[] An inferior vena cavogram performed from the right jugular approach showed mild compression of the intrahepatic cava by an enlarged caudate lobe with no reflux into the hepatic[]

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  • Budd-Chiari Syndrome

    HV angioplasty was performed in 18 patients with HV occlusion, combined HV and IVC angioplasty in 9 patients with HV and IVC occlusion, TIPS in 12 patients with HV occlusion[] CONCLUSION: Percutaneous recanalization can provide good long-term patency and survival in HV-type BCS patients.[] In this case report, we describe the occurrence of an unrecognized ICC that induced BCS and esophageal achalasia. KEYWORDS: Esophageal invasion; ICC; pseudoachalasia[] Learn more Rent/Cloud Rent for 48h to view Buy Cloud Access for unlimited viewing via different devices Synchronizing in the ReadCube Cloud Printing and saving restrictions[] This was performed by exposing the thoracic IVC through a trans-abdominal approach.[] […] cases of diffuse hepatic vein occlusion or failed angioplasty.[] […] attention to achieving volume control in patients with BCS, particularly during laparoscopic surgery and minimizing the duration of pneumoperitoneum. 2015 Japan Society for Endoscopic[] intraluminal invasion by a parasite or malignant tumor or extraluminal compression by an abscess, solid tumor, or cyst, such as a hydatid cyst.[] To assess the operative procedure, the perioperative course of esophageal varices (EVs) was evaluated.[] Antibiotics are given, and compression devices are used on the calves to reduce the risk of deep vein thrombosis.[]

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  • Pancreatic Pseudocyst

    However, debris within the pseudocyst may impair the outcome of endoscopic drainage by leading to premature stent occlusion (blockage).[] KEYWORDS: Drain; Endoscopic ultrasound; Migrated Stent; Pancreas; Percutaneous; Pseudocyst; Removal; Snaring[] CT and MRCP of the abdomen showed a cystic lesion located in the tail of the pancreas, which entered the chest cavity via an esophageal hiatal hernia.[] Stent Company Length (mm) Internal diameter (mm) Maximal flange diameter (mm) Delivery device length (mm) Delivery device diameter (Fr) Axios TM Xlumena 10 10 or 15 21 or[] AIM: The aim of this study is to introduce recent progress in the treatment of pancreatic pseudocyst, abscess and necrosis using the endoscopic approach.[] Although we were able to successfully catheterize the percutaneous transhepatic portal vein (PTP), we could not achieve recanalization of the portal vein.[] Laparoscopic intraluminal cystogastrostomy was first described by Gagner and Way et al [1, 10, 11].[] The fluid then travels through the esophageal and aortic openings in the diaphragm to gain access to the posterior mediastinum [ 4–6 ].[] To date, no prospective controlled studies have compared directly these approaches.[] […] pseudocysts in body / tail, drain pseudocysts in head Gross description 85% solitary, usually unilocular, in / near pancreas Thick, irregular wall, ragged inner surface, cloudy intraluminal[]

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  • Splenorenal Shunt

    […] medical management resulted in no significant improvement, the splenorenal shunt was embolized from the jugular vein approach via renal vein access during temporary balloon occlusion[] Using a percutaneous approach, successful balloon angioplasty and recanalization was performed. The patient did well and was discharged without further bleeding.[] BACKGROUND/AIMS: This study was undertaken to evaluate the comparison of long-term results of distal splenorenal shunt and esophageal transection for the treatment of esophageal[] The magnetic devices used for the splenorenal shunt were then manufactured based on the anatomic parameters measured above.[] A discussion of the approach to a patient with both conditions is presented.[] In conclusion, we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis.[] Treatments: Endoscopic variceal sclerosis or distal splenorenal shunt.[] On an occlusion test of the gastrorenal shunt using a balloon catheter, portal vein pressure increased to as high as 26 cm H2O from the pretest value of 17.5 cm H2O.[] Learn more Rent/Cloud Rent for 48h to view Buy Cloud Access for unlimited viewing via different devices Synchronizing in the ReadCube Cloud Printing and saving restrictions[] As an alternative approach, the authors separated splenic and portal flows by embolizing only the proximal splenic vein while leaving the shunt intact.[]

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  • Esophageal Leiomyoma

    Seite 645 - Diabetes and peripheral arterial occlusive disease: prospective comparison of contrastenhanced three-dimensional MR angiography with conventional digital subtraction[] Surg Laparosc Endosc Percutan Tech. 2013;23(1):e32-4. DOI: 10.1097/SLE.0b013e318275b2a3. Markakis CG, Spartalis ED, Liarmakopoulos E, Kavoura EG, Tomos P.[] Eleven patients had been misdiagnosed as malignant esophageal disease, mediastinal or retroperitoneal tumor before operation.[] Innovatively the multiple variceal ligating devices and a standard snare were used.[] In 8 cases (61.54%) a thoracic approach was performed (4 thoracotomies and 4 thoracoscopies), and in 5 cases (38.56%) an abdominal approach was performed (3 laparotomies and[] […] a patient with an enlarged azygos vein.[] METHODS:: Two hundred and twenty-five patients who had suspected esophageal leiomyomas in endoscopic ultrasonography were enrolled at the Endoscopy Center of The First Affiliated[] Surg Laparosc Endosc Percutan Tech. 2013;23(1):e32-4. doi: 10.1097/SLE.0b013e318275b2a3. Markakis CG, Spartalis ED, Liarmakopoulos E, Kavoura EG, Tomos P.[] Gross- The tumour arises from the smooth muscle coat of the esophagus as a sessile or pedunculated ,polypoidal, exophytic intraluminal solid, grayish white whorled cut surface[] On occasion, those arising from the muscularis mucosa can present as polypoid intraluminal tumors.[]

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  • Diverticula Esophageal

    Angina Pectoris 86 Anorectal Abscess and Fistula 92 Anorexia Nervosa 96 Aortic Valve Insufficiency 100 Aortic Valve Stenosis 104 Aplastic Anemia 109 Appendicitis 113 Arterial Occlusive[] Keywords Percutaneous Endoscopic Gastrostomy Histoplasmosis Esophageal Wall Percutaneous Endoscopic Gastrostomy Tube Esophageal Diverticulum Traction esophageal diverticulum[] Orlando , Mark Feldman Springer Science & Business Media , ١١‏/١٢‏/٢٠١٣ - 248 من الصفحات The updated and expanded Second edition of the Atlas of Esophageal Diseases provides[] In order to have a better view during the procedure, devices were developed such a a hood attached to the endoscope and a flexible overtube called a diverticuloscope.[] Abstract The conventional treatment for an epiphrenic diverticulum consists of diverticulectomy with or without myotomy via a left thoracic approach.[] The epiphrenic diverticulum is often found at the level of the inferior pulmonary vein.[] KEYWORDS: Endoscopic treatment; Mid-esophageal diverticula; POEM[] Intraluminal esophageal diverticulae are usually related to mucosal damage secondary to increased intraluminal pressure.[] More precisely, while traction and pulsion mechanisms have long been deemed the main factors promoting development of a Zenker's diverticulum, current consensus considers occlusive[] In endoscopic repair or transoral repair, a stapling device is inserted through the mouth using metal tubes.[]

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