Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
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Letter Randomized Controlled Trial
Is topical pharyngeal anesthesia necessary in esophagogastroduodenoscopy in all unsedated patients?
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Case Reports
One-step, simultaneous triple endoscopic nasobiliary drainage for hilar biliary stricture.
The management of advanced hilar malignant and benign biliary strictures remains difficult regardless of the advances in endoscopic biliary stenting. Endoscopic nasobiliary drainage (ENBD) is suitable for the management, but the number of ENBD tubes is limited by the diameter of the accessory channel of the duodenoscope. In the present study,we demonstrated the feasibility and safety of one-step simultaneous triple ENBD insertion to manage hilar biliary strictures. ⋯ Three patients with hilar biliary stricture who suffered from acute cholangitis due to stent occlusion were successfully managed by one-step, simultaneous triple ENBD insertion. There were no procedure-related complications. One-step simultaneous triple ENBD is the most suitable drainage method for patients with advanced hilar biliary obstruction, especially in the setting of acute cholangitis due to occlusion of the previously placed stent.
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To determine the immediate and long-term results of endoscopic drainage and necrosectomy for symptomatic pancreatic fluid collections. ⋯ Endoscopic drainage of symptomatic pancreatic fluid collections is safe and effective, with excellent immediate and long-term results. Endoscopic necrosectomy has a risk of serious complications. The underlying pancreatic duct abnormalities must be addressed to prevent recurrence of fluid collections.
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Randomized Controlled Trial Comparative Study
Sedation with dexmedetomidine hydrochloride during endoscopic submucosal dissection of gastric cancer.
Although the treatment of early gastric cancer with endoscopic submucosal dissection (ESD) has been widely carried out, a standardized method of sedation for ESD has not been established. The purpose of the present study was to evaluate the efficacy and safety of sedation with dexmedetomidine (DEX). ⋯ Sedation with DEX is effective and safe for patients with gastric tumors who are undergoing ESD.
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Letter Case Reports
Refractory gastric ulcer bleeding treated with new endoloop/clips technique.