FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2528497748> ?p ?o ?g. }

• W2528497748 endingPage "281" @default.
• W2528497748 startingPage "281" @default.
• W2528497748 abstract "Last one decade has seen a rapid expansion of indications and technical feasibility for endoscopic ultrasound (EUS)-guided interventions. EUS-guided gallbladder (GB) drainage is gradually emerging as an option among patients who are not eligible for surgical intervention. Calculous and acalculous cholecystitis, biliary malignancy with patent cystic duct and GB hydrops are few of the indications for this novel technique.[1] Previously, apart from surgery, percutaneous transhepatic GB drainage (PTGBD) and endoscopic retrograde GB drainage (ERGBD) were the options for patients. PTGBD has several limitations as it cannot be performed in patients with ascites, coagulopathy, and dementia.[234] Inadvertent self-removal or slippage of catheter, pneumoperitoneum, pneumothorax, and bile leakage can further be troublesome. It may result in pain at puncture site and significantly compromises the quality of life.[5] On the other hand, ERGBD has a good technical and clinical success rate, but it is challenging and sometimes difficult due to tortuosity, stricture, calculus and tumor of duct. Post-ERCP pancreatitis is a well-known complication related to ERGBD.[2] Initially, first EUS-guided GB drainage reported by Baron and Topazian, this procedure has improved in terms of technique and results.[6] This technique acts as a bridge to surgery in patients unfit for emergent cholecystectomy. Once it is decided that patient qualifies for EUS-guided GB drainage, next question is which approach and what type of stent. There are two approaches to puncture GB by EUS: Transgastric and transduodenal approach. In transgastric approach, body of gallbladder is punctured which is easy to perform but has certain limitations such as impaction of food material, bile leakage, distant stent migration and tissue overgrowth.[7] Transduodenal approach is technically challenging but yields better results and relatively safe. In this approach, neck of gallbladder is punctured, it is a preferred site as it is less mobile as compared to the body of gallbladder. Second, proximal part of stent is toward tail of GB which limits the passage of food particles into common bile duct.[8] It is hypothesized that transduodenal approach is associated with less tissue overgrowth and provides relatively stable tract to GB as compared to transgastric approach.[9] Transduodenal approach can be performed by two routes: Short and long route. In long route, tip of EUS scope should be positioned forward and upward in prepyloric antrum. For short route, inflate the balloon in duodenal bulb to anchor tip of echoendoscope and then pull slowly taking the short route as it provides stability and axial force during puncture.[10] Other important aspect is how to puncture duodenal wall. Puncturing with 19-gauge fine-needle aspiration cytology needle followed by application of cystotome attached with an electric cautery or dilatation catheter or balloon dilator. Gradual dilatation with catheter exerts an axial force which could detach the surface while diathermic effect keeps the surfaces together due to inflammatory reaction.[11] One more important dimension of this technique is to place which type of stent. Initially, when this technique emerged, plastic biliary stents and nasobiliary drainage catheters were applied but later with passage of time covered self-expandable metallic stents (CSEMS) rapidly gained popularity among endoscopists. Complications related to plastic stents such as bile leakage and early stent blockage were overcome with advent of CSEMS and several other limitations such as small caliber of plastic stent and inability to adjust plastic stents during placement were also rectified.[1213] In porcine models, it usually takes 4–5 weeks to mature a fistulous tract, but in humans, it takes about 10 days as noticed histologically on a resected specimen.[1415] These CSEMS can be kept as long as up to 3 years without any stent-related complications.[41216] Nowadays, single step approach is favored over multistep approach of self-expandable metallic stents placement. Each technique has its own advantages and limitations. Single step implies the application of hot delivery system with cautery and is superior to multistep CSEMS placement as it decreases the intraprocedural duration and reduces the possibility of slippage of guidewire during procedure, prevents bile leakage. Multistep procedures usually need fluoroscopy guidance whereas single step approach may be purely EUS guided so reduced exposure to radiation, which is a further advantage for endosonographer and patient.[10] Single step lumen apposing metal stent (AXIOS, Xlumena Inc., Mountain View, California, USA) has good clinical (96%–100%) and technical success rate (84.6%–100%). There are certain challenges in placing AXIOS stent. Uncontrolled release of stent and migration of distal flange of metallic stent into peritoneum are important procedural complications. Postprocedural complications include fever, hematochezia and hypochondrial pain. Recurrent cholecystitis observed after placement of CESMS can be challenging.[1917] When carefully analyzed, technical failures are high in a few studies, yet they achieved better rate by the placement of second CSEMS to ensure stent patency and stability.[17] Placement of double pigtail plastic stent inside CSEMS can be a good option as it prevents food impaction and hypermucosal tissue formation.[8] This technique evolved as EUS-natural orifice transluminal endoscopic surgery over a period of time. Formation of fistulous tract facilitates the entry of endoscope inside GB to perform endoscopic lithotomy and polypectomy.[1819] Endosonographers have taken stride to shift from porcine model to humans over a period of time and further improved the stent by modification in the design of stent and gradual improvement of technique to achieve high technical success rate and limited morbidity. Can this technique replace cholecystectomy for some patients? Answer lies in future. We still have a long way to go." @default.
• W2528497748 created "2016-10-14" @default.
• W2528497748 creator A5041339360 @default.
• W2528497748 creator A5089857691 @default.
• W2528497748 date "2016-01-01" @default.
• W2528497748 modified "2023-09-26" @default.
• W2528497748 title "Endoscopic ultrasound-guided gallbladder drainage: Redefines the boundaries" @default.
• W2528497748 cites W174488099 @default.
• W2528497748 cites W1872365855 @default.
• W2528497748 cites W1873628869 @default.
• W2528497748 cites W1963570619 @default.
• W2528497748 cites W1980637213 @default.
• W2528497748 cites W2000586180 @default.
• W2528497748 cites W2005357320 @default.
• W2528497748 cites W2018160057 @default.
• W2528497748 cites W2019594089 @default.
• W2528497748 cites W2043495369 @default.
• W2528497748 cites W2060519061 @default.
• W2528497748 cites W2064943764 @default.
• W2528497748 cites W2069101113 @default.
• W2528497748 cites W2094589608 @default.
• W2528497748 cites W2135030304 @default.
• W2528497748 cites W2145743286 @default.
• W2528497748 cites W2280150869 @default.
• W2528497748 cites W2340220686 @default.
• W2528497748 cites W839342651 @default.
• W2528497748 doi "https://doi.org/10.4103/2303-9027.191605" @default.
• W2528497748 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5070284" @default.
• W2528497748 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/27803899" @default.
• W2528497748 hasPublicationYear "2016" @default.
• W2528497748 type Work @default.
• W2528497748 sameAs 2528497748 @default.
• W2528497748 citedByCount "8" @default.
• W2528497748 countsByYear W25284977482017 @default.
• W2528497748 countsByYear W25284977482018 @default.
• W2528497748 countsByYear W25284977482020 @default.
• W2528497748 countsByYear W25284977482021 @default.
• W2528497748 countsByYear W25284977482022 @default.
• W2528497748 crossrefType "journal-article" @default.
• W2528497748 hasAuthorship W2528497748A5041339360 @default.
• W2528497748 hasAuthorship W2528497748A5089857691 @default.
• W2528497748 hasBestOaLocation W25284977482 @default.
• W2528497748 hasConcept C126838900 @default.
• W2528497748 hasConcept C141071460 @default.
• W2528497748 hasConcept C2775967933 @default.
• W2528497748 hasConcept C2777148285 @default.
• W2528497748 hasConcept C2778583881 @default.
• W2528497748 hasConcept C2778746874 @default.
• W2528497748 hasConcept C2779777945 @default.
• W2528497748 hasConcept C2780047204 @default.
• W2528497748 hasConcept C2780390042 @default.
• W2528497748 hasConcept C2780813298 @default.
• W2528497748 hasConcept C2781267111 @default.
• W2528497748 hasConcept C61434518 @default.
• W2528497748 hasConcept C71924100 @default.
• W2528497748 hasConceptScore W2528497748C126838900 @default.
• W2528497748 hasConceptScore W2528497748C141071460 @default.
• W2528497748 hasConceptScore W2528497748C2775967933 @default.
• W2528497748 hasConceptScore W2528497748C2777148285 @default.
• W2528497748 hasConceptScore W2528497748C2778583881 @default.
• W2528497748 hasConceptScore W2528497748C2778746874 @default.
• W2528497748 hasConceptScore W2528497748C2779777945 @default.
• W2528497748 hasConceptScore W2528497748C2780047204 @default.
• W2528497748 hasConceptScore W2528497748C2780390042 @default.
• W2528497748 hasConceptScore W2528497748C2780813298 @default.
• W2528497748 hasConceptScore W2528497748C2781267111 @default.
• W2528497748 hasConceptScore W2528497748C61434518 @default.
• W2528497748 hasConceptScore W2528497748C71924100 @default.
• W2528497748 hasIssue "5" @default.
• W2528497748 hasLocation W25284977481 @default.
• W2528497748 hasLocation W25284977482 @default.
• W2528497748 hasLocation W25284977483 @default.
• W2528497748 hasLocation W25284977484 @default.
• W2528497748 hasOpenAccess W2528497748 @default.
• W2528497748 hasPrimaryLocation W25284977481 @default.
• W2528497748 hasRelatedWork W161339683 @default.
• W2528497748 hasRelatedWork W1969393547 @default.
• W2528497748 hasRelatedWork W2006254892 @default.
• W2528497748 hasRelatedWork W2008621894 @default.
• W2528497748 hasRelatedWork W2008878688 @default.
• W2528497748 hasRelatedWork W2183119165 @default.
• W2528497748 hasRelatedWork W2425291801 @default.
• W2528497748 hasRelatedWork W263491355 @default.
• W2528497748 hasRelatedWork W2948814154 @default.
• W2528497748 hasRelatedWork W3168911473 @default.
• W2528497748 hasVolume "5" @default.
• W2528497748 isParatext "false" @default.
• W2528497748 isRetracted "false" @default.
• W2528497748 magId "2528497748" @default.
• W2528497748 workType "article" @default.