FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2805800539> ?p ?o ?g. }

• W2805800539 endingPage "AB599" @default.
• W2805800539 startingPage "AB599" @default.
• W2805800539 abstract "Bleeding from sphincterotomy site during or after endoscopic retrograde cholangiopancreatography (ERCP) is a common complication, occurring up to 15% of all ERCP with biliary sphincterotomy. Endoscopic hemostasis can be challenging as apposition of tissue during a mechanical hemostasis attempt could negate the initial intent of sphincterotomy, while application of electrocautery near the pancreatic duct orifice during a thermal hemostatic attempt could trigger inflammatory cascade. Biliary stent has been used with variable degree of success as it not only offers mechanical tamponade, but also maintains luminal patency during hemostatic endeavor. We sought to assess the safety and efficacy of fully covered self-expandable metallic stent (FCSEMS) in the management of post sphincterotomy bleeding. A retrospective cohort study was conducted using a registry of consecutive cases of endoscopic retrograde cholangiopancreatography (ERCP) with biliary FCSEMS placement at the Cleveland Clinic. Electronic medical records were utilized to collect data on patient demographics, procedure indication, endoscopic findings/intervention and peri-procedural clinical outcomes. The primary outcome of interest was the rate of clinical success, defined as successful hemostasis with the use of FCSEMS without recurrence of bleeding from sphincterotomy site within 30 days. Other outcomes of interest included technical success rate and types and rates of adverse outcome. The study was approved by IRB of the Cleveland Clinic 31 patients received FCSEMS during their ERCP for the purpose of hemostasis between 2013 and 2017. 27 patients (87%) met the definition of clinical success defined above. 4 patients required additional intervention (endoscopic or radiological) to achieve hemostasis. Technical success rate was 100%. The mean duration of stent insertion was 43 days. The most common indication for ERCP was symptomatic choledocholithiasis (18 patients), followed by asymptomatic abnormal imaging of bile duct with elevated liver function test (8 patients). 7 patients suffered adverse outcomes: 6 patients (19.3%) with post procedure pancreatitis, and one patient with ascending cholangitis. There were 6 cases of stent migration, of which 3 (9.7%) were deemed clinically significant migration resulting in inadequate hemostasis. This is the largest study to date reporting efficacy of FCSEMS in achieving meaningful hemostasis in patients suffering from sphincterotomy site bleeding from their ERCP. The rate of successful hemostasis observed in our study (87%) is on par with the reported range of successful endoscopic hemostasis rate for acute upper gastro-intestinal bleeding. High rates of post procedure pancreatitis and clinically significant stent migration oblige larger prospective studies and enhancement of stent to further improve the outcome.Tabled 1Patient Characteristics and OutcomesCATEGORYNUMBER (N=33)Gender--- Male13- Female20Age (Years)61.1BMI (Kg/m2)27.4FCSEMS Diameter--- 8mm8- 10mm25Clinical Success29Complications--- Pancreatitis6- Cholangitis1- Stent migration with reintervention3 Open table in a new tab" @default.
• W2805800539 created "2018-06-13" @default.
• W2805800539 creator A5007542664 @default.
• W2805800539 creator A5018049008 @default.
• W2805800539 creator A5023694573 @default.
• W2805800539 creator A5047636285 @default.
• W2805800539 creator A5079042455 @default.
• W2805800539 date "2018-06-01" @default.
• W2805800539 modified "2023-09-25" @default.
• W2805800539 title "Tu1439 UTILITY OF FULLY COVERED SELF-EXPANDABLE METALLIC STENT IN THE MANAGEMENT OF POST-SPHINCTEROTOMY BLEEDING" @default.
• W2805800539 doi "https://doi.org/10.1016/j.gie.2018.04.2290" @default.
• W2805800539 hasPublicationYear "2018" @default.
• W2805800539 type Work @default.
• W2805800539 sameAs 2805800539 @default.
• W2805800539 citedByCount "0" @default.
• W2805800539 crossrefType "journal-article" @default.
• W2805800539 hasAuthorship W2805800539A5007542664 @default.
• W2805800539 hasAuthorship W2805800539A5018049008 @default.
• W2805800539 hasAuthorship W2805800539A5023694573 @default.
• W2805800539 hasAuthorship W2805800539A5047636285 @default.
• W2805800539 hasAuthorship W2805800539A5079042455 @default.
• W2805800539 hasBestOaLocation W28058005391 @default.
• W2805800539 hasConcept C141071460 @default.
• W2805800539 hasConcept C167135981 @default.
• W2805800539 hasConcept C2775967933 @default.
• W2805800539 hasConcept C2778444009 @default.
• W2805800539 hasConcept C2778583881 @default.
• W2805800539 hasConcept C2778589496 @default.
• W2805800539 hasConcept C61434518 @default.
• W2805800539 hasConcept C71924100 @default.
• W2805800539 hasConceptScore W2805800539C141071460 @default.
• W2805800539 hasConceptScore W2805800539C167135981 @default.
• W2805800539 hasConceptScore W2805800539C2775967933 @default.
• W2805800539 hasConceptScore W2805800539C2778444009 @default.
• W2805800539 hasConceptScore W2805800539C2778583881 @default.
• W2805800539 hasConceptScore W2805800539C2778589496 @default.
• W2805800539 hasConceptScore W2805800539C61434518 @default.
• W2805800539 hasConceptScore W2805800539C71924100 @default.
• W2805800539 hasIssue "6" @default.
• W2805800539 hasLocation W28058005391 @default.
• W2805800539 hasOpenAccess W2805800539 @default.
• W2805800539 hasPrimaryLocation W28058005391 @default.
• W2805800539 hasRelatedWork W1202277790 @default.
• W2805800539 hasRelatedWork W1967579424 @default.
• W2805800539 hasRelatedWork W2008878688 @default.
• W2805800539 hasRelatedWork W2105300990 @default.
• W2805800539 hasRelatedWork W2111022944 @default.
• W2805800539 hasRelatedWork W2173035756 @default.
• W2805800539 hasRelatedWork W2516684428 @default.
• W2805800539 hasRelatedWork W2767252183 @default.
• W2805800539 hasRelatedWork W2991948273 @default.
• W2805800539 hasRelatedWork W4311330234 @default.
• W2805800539 hasVolume "87" @default.
• W2805800539 isParatext "false" @default.
• W2805800539 isRetracted "false" @default.
• W2805800539 magId "2805800539" @default.
• W2805800539 workType "article" @default.