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1. An international, multi-institution survey on performing EUS-FNA and fine needle biopsy

Author

Guo, Jintao, Sahai, Anand, Teoh, Anthony, Arcidiacono, Paolo, Larghi, Alberto, Siddiqui, Ali, Arturo Arias, Brenda, Jenssen, Christian, Adler, Douglas, Lakhtakia, Sundeep, Seo, Dong Wan, Itokawa, Fumihide, Giovannini, Marc, Mishra, Girish, Sabbagh, Luis, Irisawa, Atsushi, Iglesias-Garcia, Julio, Poley, Jan, Vila, Juan, Jesse, Lachter, Kubota, Kensuke, Kalaitzakis, Evangelos, Kida, Mitsuhiro, El-Nady, Mohamed, Mukai, Sh, Ogura, Takeshi, Fusaroli, Pietro, Vilmann, Peter, Rai, Praveer, Nguyen, Nam, Ponnudurai, Ryan, Achanta, Chalapathi, Baron, Todd, Yasuda, Ichiro, Wang, Hsiu Po, Hu, Jinlong, Duan, Bowen, Bhutani, Manoop, Sun, Siyu, Guo, Jintao, Sahai, Anand, Teoh, Anthony, Arcidiacono, Paolo, Larghi, Alberto, Siddiqui, Ali, Arturo Arias, Brenda, Jenssen, Christian, Adler, Douglas, Lakhtakia, Sundeep, Seo, Dong Wan, Itokawa, Fumihide, Giovannini, Marc, Mishra, Girish, Sabbagh, Luis, Irisawa, Atsushi, Iglesias-Garcia, Julio, Poley, Jan, Vila, Juan, Jesse, Lachter, Kubota, Kensuke, Kalaitzakis, Evangelos, Kida, Mitsuhiro, El-Nady, Mohamed, Mukai, Sh, Ogura, Takeshi, Fusaroli, Pietro, Vilmann, Peter, Rai, Praveer, Nguyen, Nam, Ponnudurai, Ryan, Achanta, Chalapathi, Baron, Todd, Yasuda, Ichiro, Wang, Hsiu Po, Hu, Jinlong, Duan, Bowen, Bhutani, Manoop, and Sun, Siyu

Abstract

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and fine needle biopsy (FNB) are effective techniques that are widely used for tissue acquisition. However, it remains unclear how to obtain high-quality specimens. Therefore, we conducted a survey of EUS-FNA and FNB techniques to determine practice patterns worldwide and to develop strong recommendations based on the experience of experts in the field. Methods: This was a worldwide multi-institutional survey among members of the International Society of EUS Task Force (ISEUS-TF). The survey was administered by E-mail through the SurveyMonkey website. In some cases, percentage agreement with some statements was calculated; in others, the options with the greatest numbers of responses were summarized. Another questionnaire about the level of recommendation was designed to assess the respondents' answers. Results: ISEUS-TF members developed a questionnaire containing 17 questions that was sent to 53 experts. Thirty-five experts completed the survey within the specified period. Among them, 40% and 54.3% performed 50-200 and more than 200 EUS sampling procedures annually, respectively. Some practice patterns regarding FNA/FNB were recommended. Conclusion: This is the first worldwide survey of EUS-FNA and FNB practice patterns. The results showed wide variations in practice patterns. Randomized studies are urgently needed to establish the best approach for optimizing the FNA/FNB procedures.

Published
2020

2. An international, multi-institution survey on performing EUS-FNA and fine needle biopsy

Author

Guo, Jintao, Sahai, Anand, Teoh, Anthony, Arcidiacono, Paolo, Larghi, Alberto, Siddiqui, Ali, Arturo Arias, Brenda, Jenssen, Christian, Adler, Douglas, Lakhtakia, Sundeep, Seo, Dong Wan, Itokawa, Fumihide, Giovannini, Marc, Mishra, Girish, Sabbagh, Luis, Irisawa, Atsushi, Iglesias-Garcia, Julio, Poley, Jan, Vila, Juan, Jesse, Lachter, Kubota, Kensuke, Kalaitzakis, Evangelos, Kida, Mitsuhiro, El-Nady, Mohamed, Mukai, Sh, Ogura, Takeshi, Fusaroli, Pietro, Vilmann, Peter, Rai, Praveer, Nguyen, Nam, Ponnudurai, Ryan, Achanta, Chalapathi, Baron, Todd, Yasuda, Ichiro, Wang, Hsiu Po, Hu, Jinlong, Duan, Bowen, Bhutani, Manoop, Sun, Siyu, Guo, Jintao, Sahai, Anand, Teoh, Anthony, Arcidiacono, Paolo, Larghi, Alberto, Siddiqui, Ali, Arturo Arias, Brenda, Jenssen, Christian, Adler, Douglas, Lakhtakia, Sundeep, Seo, Dong Wan, Itokawa, Fumihide, Giovannini, Marc, Mishra, Girish, Sabbagh, Luis, Irisawa, Atsushi, Iglesias-Garcia, Julio, Poley, Jan, Vila, Juan, Jesse, Lachter, Kubota, Kensuke, Kalaitzakis, Evangelos, Kida, Mitsuhiro, El-Nady, Mohamed, Mukai, Sh, Ogura, Takeshi, Fusaroli, Pietro, Vilmann, Peter, Rai, Praveer, Nguyen, Nam, Ponnudurai, Ryan, Achanta, Chalapathi, Baron, Todd, Yasuda, Ichiro, Wang, Hsiu Po, Hu, Jinlong, Duan, Bowen, Bhutani, Manoop, and Sun, Siyu

Abstract

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and fine needle biopsy (FNB) are effective techniques that are widely used for tissue acquisition. However, it remains unclear how to obtain high-quality specimens. Therefore, we conducted a survey of EUS-FNA and FNB techniques to determine practice patterns worldwide and to develop strong recommendations based on the experience of experts in the field. Methods: This was a worldwide multi-institutional survey among members of the International Society of EUS Task Force (ISEUS-TF). The survey was administered by E-mail through the SurveyMonkey website. In some cases, percentage agreement with some statements was calculated; in others, the options with the greatest numbers of responses were summarized. Another questionnaire about the level of recommendation was designed to assess the respondents' answers. Results: ISEUS-TF members developed a questionnaire containing 17 questions that was sent to 53 experts. Thirty-five experts completed the survey within the specified period. Among them, 40% and 54.3% performed 50-200 and more than 200 EUS sampling procedures annually, respectively. Some practice patterns regarding FNA/FNB were recommended. Conclusion: This is the first worldwide survey of EUS-FNA and FNB practice patterns. The results showed wide variations in practice patterns. Randomized studies are urgently needed to establish the best approach for optimizing the FNA/FNB procedures.

Published
2020

3. Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography, From Training Through Independent Practice.

Author

Wani, Sachin, Wani, Sachin, Keswani, Rajesh N, Han, Samuel, Aagaard, Eva M, Hall, Matthew, Simon, Violette, Abidi, Wasif M, Banerjee, Subhas, Baron, Todd H, Bartel, Michael, Bowman, Erik, Brauer, Brian C, Buscaglia, Jonathan M, Carlin, Linda, Chak, Amitabh, Chatrath, Hemant, Choudhary, Abhishek, Confer, Bradley, Coté, Gregory A, Das, Koushik K, DiMaio, Christopher J, Dries, Andrew M, Edmundowicz, Steven A, El Chafic, Abdul Hamid, El Hajj, Ihab, Ellert, Swan, Ferreira, Jason, Gamboa, Anthony, Gan, Ian S, Gangarosa, Lisa M, Gannavarapu, Bhargava, Gordon, Stuart R, Guda, Nalini M, Hammad, Hazem T, Harris, Cynthia, Jalaj, Sujai, Jowell, Paul S, Kenshil, Sana, Klapman, Jason, Kochman, Michael L, Komanduri, Srinadh, Lang, Gabriel, Lee, Linda S, Loren, David E, Lukens, Frank J, Mullady, Daniel, Muthusamy, V Raman, Nett, Andrew S, Olyaee, Mojtaba S, Pakseresht, Kavous, Perera, Pranith, Pfau, Patrick, Piraka, Cyrus, Poneros, John M, Rastogi, Amit, Razzak, Anthony, Riff, Brian, Saligram, Shreyas, Scheiman, James M, Schuster, Isaiah, Shah, Raj J, Sharma, Rishi, Spaete, Joshua P, Singh, Ajaypal, Sohail, Muhammad, Sreenarasimhaiah, Jayaprakash, Stevens, Tyler, Tabibian, James H, Tzimas, Demetrios, Uppal, Dushant S, Urayama, Shiro, Vitterbo, Domenico, Wang, Andrew Y, Wassef, Wahid, Yachimski, Patrick, Zepeda-Gomez, Sergio, Zuchelli, Tobias, Early, Dayna, Wani, Sachin, Wani, Sachin, Keswani, Rajesh N, Han, Samuel, Aagaard, Eva M, Hall, Matthew, Simon, Violette, Abidi, Wasif M, Banerjee, Subhas, Baron, Todd H, Bartel, Michael, Bowman, Erik, Brauer, Brian C, Buscaglia, Jonathan M, Carlin, Linda, Chak, Amitabh, Chatrath, Hemant, Choudhary, Abhishek, Confer, Bradley, Coté, Gregory A, Das, Koushik K, DiMaio, Christopher J, Dries, Andrew M, Edmundowicz, Steven A, El Chafic, Abdul Hamid, El Hajj, Ihab, Ellert, Swan, Ferreira, Jason, Gamboa, Anthony, Gan, Ian S, Gangarosa, Lisa M, Gannavarapu, Bhargava, Gordon, Stuart R, Guda, Nalini M, Hammad, Hazem T, Harris, Cynthia, Jalaj, Sujai, Jowell, Paul S, Kenshil, Sana, Klapman, Jason, Kochman, Michael L, Komanduri, Srinadh, Lang, Gabriel, Lee, Linda S, Loren, David E, Lukens, Frank J, Mullady, Daniel, Muthusamy, V Raman, Nett, Andrew S, Olyaee, Mojtaba S, Pakseresht, Kavous, Perera, Pranith, Pfau, Patrick, Piraka, Cyrus, Poneros, John M, Rastogi, Amit, Razzak, Anthony, Riff, Brian, Saligram, Shreyas, Scheiman, James M, Schuster, Isaiah, Shah, Raj J, Sharma, Rishi, Spaete, Joshua P, Singh, Ajaypal, Sohail, Muhammad, Sreenarasimhaiah, Jayaprakash, Stevens, Tyler, Tabibian, James H, Tzimas, Demetrios, Uppal, Dushant S, Urayama, Shiro, Vitterbo, Domenico, Wang, Andrew Y, Wassef, Wahid, Yachimski, Patrick, Zepeda-Gomez, Sergio, Zuchelli, Tobias, and Early, Dayna

Abstract

Background & aimsIt is unclear whether participation in competency-based fellowship programs for endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) results in high-quality care in independent practice. We measured quality indicator (QI) adherence during the first year of independent practice among physicians who completed endoscopic training with a systematic assessment of competence.MethodsWe performed a prospective multicenter cohort study of invited participants from 62 training programs. In phase 1, 24 advanced endoscopy trainees (AETs), from 20 programs, were assessed using a validated competence assessment tool. We used a comprehensive data collection and reporting system to create learning curves using cumulative sum analysis that were shared with AETs and trainers quarterly. In phase 2, participating AETs entered data into a database pertaining to every EUS and ERCP examination during their first year of independent practice, anchored by key QIs.ResultsBy the end of training, most AETs had achieved overall technical competence (EUS 91.7%, ERCP 73.9%) and cognitive competence (EUS 91.7%, ERCP 94.1%). In phase 2 of the study, 22 AETs (91.6%) participated and completed a median of 136 EUS examinations per AET and 116 ERCP examinations per AET. Most AETs met the performance thresholds for QIs in EUS (including 94.4% diagnostic rate of adequate samples and 83.8% diagnostic yield of malignancy in pancreatic masses) and ERCP (94.9% overall cannulation rate).ConclusionsIn this prospective multicenter study, we found that although competence cannot be confirmed for all AETs at the end of training, most meet QI thresholds for EUS and ERCP at the end of their first year of independent practice. This finding affirms the effectiveness of training programs. Clinicaltrials.gov ID NCT02509416.

Published
2018

4. A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction

Author

Guo, Jintao, Giovannini, Marc, Sahai, Anand V., Saftoiu, Adrian, Dietrich, Christoph F., Santo, Erwin, Fusaroli, Pietro, Siddiqui, Ali A., Bhutani, Manoop S., Teoh, Anthony Yuen Bun, Irisawa, Atsushi, Arias, Brenda Lucia Arturo, Achanta, Chalapathi Rao, Jenssen, Christian, Seo, Dong Wan, Adler, Douglas G., Kalaitzakis, Evangelos, Artifon, Everson, Itokawa, Fumihide, Poley, Jan Werner, Mishra, Girish, Ho, Khek Yu, Wang, Hsiu Po, Okasha, Hussein Hassan, Lachter, Jesse, Vila, Juan J., Iglesias-Garcia, Julio, Yamao, Kenji, Yasuda, Kenjiro, Kubota, Kensuke, Palazzo, Laurent, Sabbagh, Luis Carlos, Sharma, Malay, Kida, Mitsuhiro, El-Nady, Mohamed, Nguyen, Nam Q., Vilmann, Peter, Garg, Pramod Kumar, Rai, Praveer, Mukai, Shuntaro, Carrara, Silvia, Parupudi, Sreeram, Sridhar, Subbaramiah, Lakhtakia, Sundeep, Rana, Surinder S., Ogura, Takeshi, Baron, Todd H., Dhir, Vinay, Sun, Siyu, Guo, Jintao, Giovannini, Marc, Sahai, Anand V., Saftoiu, Adrian, Dietrich, Christoph F., Santo, Erwin, Fusaroli, Pietro, Siddiqui, Ali A., Bhutani, Manoop S., Teoh, Anthony Yuen Bun, Irisawa, Atsushi, Arias, Brenda Lucia Arturo, Achanta, Chalapathi Rao, Jenssen, Christian, Seo, Dong Wan, Adler, Douglas G., Kalaitzakis, Evangelos, Artifon, Everson, Itokawa, Fumihide, Poley, Jan Werner, Mishra, Girish, Ho, Khek Yu, Wang, Hsiu Po, Okasha, Hussein Hassan, Lachter, Jesse, Vila, Juan J., Iglesias-Garcia, Julio, Yamao, Kenji, Yasuda, Kenjiro, Kubota, Kensuke, Palazzo, Laurent, Sabbagh, Luis Carlos, Sharma, Malay, Kida, Mitsuhiro, El-Nady, Mohamed, Nguyen, Nam Q., Vilmann, Peter, Garg, Pramod Kumar, Rai, Praveer, Mukai, Shuntaro, Carrara, Silvia, Parupudi, Sreeram, Sridhar, Subbaramiah, Lakhtakia, Sundeep, Rana, Surinder S., Ogura, Takeshi, Baron, Todd H., Dhir, Vinay, and Sun, Siyu

Abstract

Background and Objectives: EUS-guided biliary drainage (EUS-BD) was shown to be useful for malignant biliary obstruction (MBO). However, there is lack of consensus on how EUS-BD should be performed. Methods: This was a worldwide multi-institutional survey among members of the International Society of EUS conducted in February 2018. The survey consisted of 10 questions related to the practice of EUS-BD. Results: Forty-six endoscopists of them completed the survey. The majority of endoscopists felt that EUS-BD could replace percutaneous transhepatic biliary drainage after failure of ERCP. Among all EUS-BD methods, the rendezvous stenting technique should be the first choice. Self-expandable metal stents (SEMSs) were recommended by most endoscopists. For EUS-guided hepaticogastrostomy (HGS), superiority of partially-covered SEMS over fully-covered SEMS was not in agreement. 6-Fr cystotomes were recommended for fistula creation. During the HGS approach, longer SEMS (8 or 10 cm) was recommended. During the choledochoduodenostomy approach, 6-cm SEMS was recommended. During the intrahepatic (IH) approach, the IH segment 3 was recommended. Conclusion: This is the first worldwide survey on the practice of EUS-BD for MBO. There were wide variations in practice, and randomized studies are urgently needed to establish the best approach for the management of this condition.

Published
2018

5. A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction.

Author

Guo, Jintao, Giovannini, Marc, Sahai, Anand V., Saftoiu, Adrian, Dietrich, Christoph F., Santo, Erwin, Fusaroli, Pietro, Siddiqui, Ali, Bhutani, Manoop S., Bun Teoh, Anthony Yuen, Irisawa, Atsushi, Arturo Arias, Brenda Lucia, Achanta, Chalapathi Rao, Jenssen, Christian, Seo, Dong-Wan, Adler, Douglas G., Kalaitzakis, Evangelos, Artifon, Everson, Itokawa, Fumihide, Poley, Jan Werner, Mishra, Girish, Ho, Khek Yu, Wang, Hsiu-Po, Okasha, Hussein Hassan, Lachter, Jesse, Vila, Juan J., Iglesias-Garcia, Julio, Yamao, Kenji, Yasuda, Kenjiro, Kubota, Kensuke, Palazzo, Laurent, Sabbagh, Luis Carlos, Sharma, Malay, Kida, Mitsuhiro, El-Nady, Mohamed, Nguyen, Nam Q., Vilmann, Peter, Garg, Pramod Kumar, Rai, Praveer, Mukai, Shuntaro, Carrara, Silvia, Parupudi, Sreeram, Sridhar, Subbaramiah, Lakhtakia, Sundeep, Rana, Surinder S, Ogura, Takeshi, Baron, Todd H., Dhir, Vinay, Sun, Siyu, Guo, Jintao, Giovannini, Marc, Sahai, Anand V., Saftoiu, Adrian, Dietrich, Christoph F., Santo, Erwin, Fusaroli, Pietro, Siddiqui, Ali, Bhutani, Manoop S., Bun Teoh, Anthony Yuen, Irisawa, Atsushi, Arturo Arias, Brenda Lucia, Achanta, Chalapathi Rao, Jenssen, Christian, Seo, Dong-Wan, Adler, Douglas G., Kalaitzakis, Evangelos, Artifon, Everson, Itokawa, Fumihide, Poley, Jan Werner, Mishra, Girish, Ho, Khek Yu, Wang, Hsiu-Po, Okasha, Hussein Hassan, Lachter, Jesse, Vila, Juan J., Iglesias-Garcia, Julio, Yamao, Kenji, Yasuda, Kenjiro, Kubota, Kensuke, Palazzo, Laurent, Sabbagh, Luis Carlos, Sharma, Malay, Kida, Mitsuhiro, El-Nady, Mohamed, Nguyen, Nam Q., Vilmann, Peter, Garg, Pramod Kumar, Rai, Praveer, Mukai, Shuntaro, Carrara, Silvia, Parupudi, Sreeram, Sridhar, Subbaramiah, Lakhtakia, Sundeep, Rana, Surinder S, Ogura, Takeshi, Baron, Todd H., Dhir, Vinay, and Sun, Siyu

Abstract

Background and Objectives: EUS-guided biliary drainage (EUS-BD) was shown to be useful for malignant biliary obstruction (MBO). However, there is lack of consensus on how EUS-BD should be performed. Methods: This was a worldwide multi-institutional survey among members of the International Society of EUS conducted in February 2018. The survey consisted of 10 questions related to the practice of EUS-BD. Results: Forty-six endoscopists of them completed the survey. The majority of endoscopists felt that EUS-BD could replace percutaneous transhepatic biliary drainage after failure of ERCP. Among all EUS-BD methods, the rendezvous stenting technique should be the first choice. Self-expandable metal stents (SEMSs) were recommended by most endoscopists. For EUS-guided hepaticogastrostomy (HGS), superiority of partially-covered SEMS over fully-covered SEMS was not in agreement. 6-Fr cystotomes were recommended for fistula creation. During the HGS approach, longer SEMS (8 or 10 cm) was recommended. During the choledochoduodenostomy approach, 6-cm SEMS was recommended. During the intrahepatic (IH) approach, the IH segment 3 was recommended. Conclusion: This is the first worldwide survey on the practice of EUS-BD for MBO. There were wide variations in practice, and randomized studies are urgently needed to establish the best approach for the management of this condition.

Published
2018

10. Esophageal stenting for benign and malignant disease : European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline

Author

Spaander, Manon C W, Baron, Todd H, Siersema, Peter D, Fuccio, Lorenzo, Schumacher, Brigitte, Escorsell, Àngels, Garcia-Pagán, Juan-Carlos, Dumonceau, Jean-Marc, Conio, Massimo, de Ceglie, Antonella, Skowronek, Janusz, Nordsmark, Marianne, Seufferlein, Thomas, Van Gossum, André, Hassan, Cesare, Repici, Alessandro, Bruno, Marco J, Spaander, Manon C W, Baron, Todd H, Siersema, Peter D, Fuccio, Lorenzo, Schumacher, Brigitte, Escorsell, Àngels, Garcia-Pagán, Juan-Carlos, Dumonceau, Jean-Marc, Conio, Massimo, de Ceglie, Antonella, Skowronek, Janusz, Nordsmark, Marianne, Seufferlein, Thomas, Van Gossum, André, Hassan, Cesare, Repici, Alessandro, and Bruno, Marco J

Published
2016

11. GI Endoscopic Emergencies / edited by Louis M. Wong Kee Song, Emmanuel C. Gorospe, Todd H. Baron.

Author

Wong Kee Song, Louis M. editor., Gorospe, Emmanuel C. editor., Baron, Todd H. editor., SpringerLink (Online service), Wong Kee Song, Louis M. editor., Gorospe, Emmanuel C. editor., Baron, Todd H. editor., and SpringerLink (Online service)

Abstract

This volume provides a concise, yet comprehensive, state-of-the art overview of GI endoscopic emergencies. Although the emphasis is on endoscopic management, peri-procedural considerations, adjunctive medical therapy, and clinical approaches to commonly encountered GI emergencies are discussed in detail. This sets the stage for the in-depth review of current as well as innovative devices and techniques for endotherapy in GI emergencies. Technical aspects of endoscopic procedures are emphasized and supplemented by online video clips to enhance the educational experience. Written by experts in the field, GI Endoscopic Emergencies serves as a valuable resource for practitioners who deal with GI emergencies.

Published
2016

12. GI Endoscopic Emergencies

Author

Wong Kee Song, Louis M., Gorospe, Emmanuel C., Baron, Todd H., Wong Kee Song, Louis M., Gorospe, Emmanuel C., and Baron, Todd H.

Published
2016

13. Esophageal stenting for benign and malignant disease : European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline

Author

Spaander, Manon C W, Baron, Todd H, Siersema, Peter D, Fuccio, Lorenzo, Schumacher, Brigitte, Escorsell, Àngels, Garcia-Pagán, Juan-Carlos, Dumonceau, Jean-Marc, Conio, Massimo, de Ceglie, Antonella, Skowronek, Janusz, Nordsmark, Marianne, Seufferlein, Thomas, Van Gossum, André, Hassan, Cesare, Repici, Alessandro, Bruno, Marco J, Spaander, Manon C W, Baron, Todd H, Siersema, Peter D, Fuccio, Lorenzo, Schumacher, Brigitte, Escorsell, Àngels, Garcia-Pagán, Juan-Carlos, Dumonceau, Jean-Marc, Conio, Massimo, de Ceglie, Antonella, Skowronek, Janusz, Nordsmark, Marianne, Seufferlein, Thomas, Van Gossum, André, Hassan, Cesare, Repici, Alessandro, and Bruno, Marco J

Published
2016

14. GI Endoscopic Emergencies

Author

Wong Kee Song, Louis M., Gorospe, Emmanuel C., Baron, Todd H., Wong Kee Song, Louis M., Gorospe, Emmanuel C., and Baron, Todd H.

Published
2016

15. Esophageal stenting for benign and malignant disease : European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline

Author

Spaander, Manon C W, Baron, Todd H, Siersema, Peter D, Fuccio, Lorenzo, Schumacher, Brigitte, Escorsell, Àngels, Garcia-Pagán, Juan-Carlos, Dumonceau, Jean-Marc, Conio, Massimo, de Ceglie, Antonella, Skowronek, Janusz, Nordsmark, Marianne, Seufferlein, Thomas, Van Gossum, André, Hassan, Cesare, Repici, Alessandro, Bruno, Marco J, Spaander, Manon C W, Baron, Todd H, Siersema, Peter D, Fuccio, Lorenzo, Schumacher, Brigitte, Escorsell, Àngels, Garcia-Pagán, Juan-Carlos, Dumonceau, Jean-Marc, Conio, Massimo, de Ceglie, Antonella, Skowronek, Janusz, Nordsmark, Marianne, Seufferlein, Thomas, Van Gossum, André, Hassan, Cesare, Repici, Alessandro, and Bruno, Marco J

Published
2016

16. GI Endoscopic Emergencies

Author

Wong Kee Song, Louis M., Gorospe, Emmanuel C., Baron, Todd H., Wong Kee Song, Louis M., Gorospe, Emmanuel C., and Baron, Todd H.

Published
2016

17. Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline

Author

MS MDL 1, Cancer, Spaander, Manon C W, Baron, Todd H, Siersema, Peter D, Fuccio, Lorenzo, Schumacher, Brigitte, Escorsell, Àngels, Garcia-Pagán, Juan-Carlos, Dumonceau, Jean-Marc, Conio, Massimo, de Ceglie, Antonella, Skowronek, Janusz, Nordsmark, Marianne, Seufferlein, Thomas, Van Gossum, André, Hassan, Cesare, Repici, Alessandro, Bruno, Marco J, MS MDL 1, Cancer, Spaander, Manon C W, Baron, Todd H, Siersema, Peter D, Fuccio, Lorenzo, Schumacher, Brigitte, Escorsell, Àngels, Garcia-Pagán, Juan-Carlos, Dumonceau, Jean-Marc, Conio, Massimo, de Ceglie, Antonella, Skowronek, Janusz, Nordsmark, Marianne, Seufferlein, Thomas, Van Gossum, André, Hassan, Cesare, Repici, Alessandro, and Bruno, Marco J

Published
2016

18. Evaluation of the short- and long-term effectiveness and safety of fully covered self-expandable metal stents for drainage of pancreatic fluid collections: results of a Spanish nationwide registry

Author

Vazquez-Sequeiros, Enrique, Baron, Todd H., Pérez-Miranda, Manuel, Sánchez-Yagüe, Andrés, Gornals, Joan, González-Huix, Ferran, Serna, Carlos de la, Gonzalez Martin, Juan Angel, Gimeno-Garcia, Antonio Z., Marra-Lopez, Carlos, Castellot, Ana, Alberca, Fernando, Fernandez-Urién, Ignacio, Aparicio, José Ramón, Legaz, María Luisa, Sendino, Oriol, Loras, Carmen, Subtil, Jose Carlos, Nerin, Juan, Pérez-Carreras, Mercedes, Diaz-Tasende, Jose, Perez, Gustavo, Repiso, Alejandro, Vilella, Angels, Dolz, Carlos, Álvarez, Alberto, Rodriguez, Santiago, Esteban, José Miguel, Juzgado, Diego, Albillos, Agustín, Vazquez-Sequeiros, Enrique, Baron, Todd H., Pérez-Miranda, Manuel, Sánchez-Yagüe, Andrés, Gornals, Joan, González-Huix, Ferran, Serna, Carlos de la, Gonzalez Martin, Juan Angel, Gimeno-Garcia, Antonio Z., Marra-Lopez, Carlos, Castellot, Ana, Alberca, Fernando, Fernandez-Urién, Ignacio, Aparicio, José Ramón, Legaz, María Luisa, Sendino, Oriol, Loras, Carmen, Subtil, Jose Carlos, Nerin, Juan, Pérez-Carreras, Mercedes, Diaz-Tasende, Jose, Perez, Gustavo, Repiso, Alejandro, Vilella, Angels, Dolz, Carlos, Álvarez, Alberto, Rodriguez, Santiago, Esteban, José Miguel, Juzgado, Diego, and Albillos, Agustín

Abstract

[Background and Aims]: Initial reports suggest that fully covered self-expandable metal stents (FCSEMSs) may be better suited for drainage of dense pancreatic fluid collections (PFCs), such as walled-off pancreatic necrosis. The primary aim was to analyze the effectiveness and safety of FCSEMSs for drainage of different types of PFCs in a large cohort. The secondary aim was to investigate which type of FCSEMS is superior., [Methods]:This was a retrospective, noncomparative review of a nationwide database involving all hospitals in Spain performing EUS-guided PFC drainage. From April 2008 to August 2013, all patients undergoing PFC drainage with an FCSEMS were included in a database. The main outcome measurements were technical success, short-term (2 weeks) and long-term (6 months) effectiveness, adverse events, and need for surgery., [Results]: The study included 211 patients (pseudocyst/walled-off pancreatic necrosis, 53%/47%). The FCSEMSs used were straight biliary (66%) or lumen-apposing (34%). Technical success was achieved in 97% of patients (95% confidence interval [CI], 93%-99%). Short-term- and long-term clinical success was obtained in 94% (95% CI, 89%-97%) and 85% (95% CI, 79%-89%) of patients, respectively. Adverse events occurred in 21% of patients (95% CI, 16%-27%): infection (11%), bleeding (7%), and stent migration and/or perforation (3%). By multivariate analysis, patient age (>58 years) and previous failed drainage were the most important factors associated with negative outcome., [Conclusions]: An FCSEMS is effective and safe for PFC drainage. Older patients with a history of unsuccessful drainage are more likely to fail EUS-guided drainage. The type of FCSEMS does not seem to influence patient outcome.

Published
2016

19. Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline

Author

Spaander, Manon C W, De Ceglie, Antonella, Skowronek, Janusz, Nordsmark, Marianne, Seufferlein, Thomas, Van Gossum, André, Hassan, Cesare, Repici, Alessandro, Bruno, Marco, Baron, Todd, Siersema, Peter D, Fuccio, Lorenzo, Schumacher, Brigitte, Escorsell, Àngels, Garcia-Pagan, Juan-Carlos, Dumonceau, Jean-Marc, Conio, Massimo, Spaander, Manon C W, De Ceglie, Antonella, Skowronek, Janusz, Nordsmark, Marianne, Seufferlein, Thomas, Van Gossum, André, Hassan, Cesare, Repici, Alessandro, Bruno, Marco, Baron, Todd, Siersema, Peter D, Fuccio, Lorenzo, Schumacher, Brigitte, Escorsell, Àngels, Garcia-Pagan, Juan-Carlos, Dumonceau, Jean-Marc, and Conio, Massimo

Abstract

SCOPUS: re.j, info:eu-repo/semantics/published

Published
2016

20. GI Endoscopic Emergencies

Author

Wong Kee Song, Louis M., Gorospe, Emmanuel C., Baron, Todd H., Wong Kee Song, Louis M., Gorospe, Emmanuel C., and Baron, Todd H.

Published
2016

21. Prophylaxe der Post-ERCP-Pankreatitis: Update der Leitlinie der Europäischen Gesellschaft für Gastrointestinale Endoskopie (ESGE) - Juni 2014

Author

Dumonceau, Jean-Marc, Andriulli, Angelo, Elmunzer, Joseph B.J., Mariani, Alberto, Testoni, Pier Alberto, Meister, Tobias, Devière, Jacques, Marek, Tomasz, Baron, Todd, Hassan, Cesare, Kapral, Christine, Schulz, Hans Joachim, Dumonceau, Jean-Marc, Andriulli, Angelo, Elmunzer, Joseph B.J., Mariani, Alberto, Testoni, Pier Alberto, Meister, Tobias, Devière, Jacques, Marek, Tomasz, Baron, Todd, Hassan, Cesare, Kapral, Christine, and Schulz, Hans Joachim

Abstract

This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It addresses the prophylaxis of post-endoscopic retrograde cholangiopancreatography (post-ERCP) pancreatitis. Main recommendations ESGE recommends routine rectal administration of 100mg of diclofenac or indomethacin immediately before or after ERCP in all patients without contraindication. In addition to this, in the case of high risk for post-ERCP pancreatitis (PEP), the placement of a 5-Fr prophylactic pancreatic stent should be strongly considered. Sublingually administered glyceryl trinitrate or 250μg somatostatin given in bolus injection might be considered as an option in high risk cases if nonsteroidal anti-inflammatory drugs (NSAIDs) are contraindicated and if prophylactic pancreatic stenting is not possible or successful. ESGE recommends keeping the number of cannulation attempts as low as possible. ESGE suggests restricting the use of a pancreatic guidewire as a backup technique for biliary cannulation to cases with repeated inadvertent cannulation of the pancreatic duct; if this method is used, deep biliary cannulation should be attempted using a guidewire rather than the contrast-assisted method and a prophylactic pancreatic stent should be placed. ESGE suggests that needle-knife fistulotomy should be the preferred precut technique in patients with a bile duct dilated down to the papilla. Conventional precut and transpancreatic sphincterotomy present similar success and complication rates; if conventional precut is selected and pancreatic cannulation is easily obtained, ESGE suggests attempting to place a small-diameter (3-Fr or 5-Fr) pancreatic stent to guide the cut and leaving the pancreatic stent in place at the end of ERCP for a minimum of 12-24 hours. ESGE does not recommend endoscopic papillary balloon dilation as an alternative to sphincterotomy in routine ERCP, but it may be advantageous in selected patients; if this technique is used, the durat, SCOPUS: ar.j, info:eu-repo/semantics/published

Published
2014

22. Prophylaxis of post-ERCP pancreatitis: European society of gastrointestinal endoscopy (ESGE) guideline - Updated June 2014

Author

Dumonceau, Jean-Marc, Andriulli, Angelo, Elmunzer, Joseph B.J., Mariani, Alberto, Testoni, Pier Alberto, Meister, Tobias, Devière, Jacques, Marek, Tomasz, Baron, Todd, Hassan, Cesare, Kapral, Christine, Dumonceau, Jean-Marc, Andriulli, Angelo, Elmunzer, Joseph B.J., Mariani, Alberto, Testoni, Pier Alberto, Meister, Tobias, Devière, Jacques, Marek, Tomasz, Baron, Todd, Hassan, Cesare, and Kapral, Christine

Abstract

This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It addresses the prophylaxis of post-endoscopic retrograde cholangiopancreatography (post-ERCP) pancreatitis. Main recommendations 1 ESGE recommends routine rectal administration of 100mg of diclofenac or indomethacin immediately before or after ERCP in all patients without contraindication. In addition to this, in the case of high risk for post-ERCP pancreatitis (PEP), the placement of a 5-Fr prophylactic pancreatic stent should be strongly considered. Sublingually administered glyceryl trinitrate or 250μg somatostatin given in bolus injection might be considered as an option in high risk cases if nonsteroidal anti-inflammatory drugs (NSAIDs) are contraindicated and if prophylactic pancreatic stenting is not possible or successful. 2 ESGE recommends keeping the number of cannulation attempts as low as possible. 3 ESGE suggests restricting the use of a pancreatic guidewire as a backup technique for biliary cannulation to cases with repeated inadvertent cannulation of the pancreatic duct; if this method is used, deep biliary cannulation should be attempted using a guidewire rather than the contrast-assisted method and a prophylactic pancreatic stent should be placed. 4 ESGE suggests that needle-knife fistulotomy should be the preferred precut technique in patients with a bile duct dilated down to the papilla. Conventional precut and transpancreatic sphincterotomy present similar success and complication rates; if conventional precut is selected and pancreatic cannulation is easily obtained, ESGE suggests attempting to place a small-diameter (3-Fr or 5-Fr) pancreatic stent to guide the cut and leaving the pancreatic stent in place at the end of ERCP for a minimum of 12-24 hours. 4 ESGE does not recommend endoscopic papillary balloon dilation as an alternative to sphincterotomy in routine ERCP, but it may be advantageous in selected patients; if this technique is used, SCOPUS: re.j, info:eu-repo/semantics/published

Published
2014

25. A multicenter, prospective study of a new fully covered expandable metal biliary stent for the palliative treatment of malignant bile duct obstruction.

Author

Petersen, Bret T, Kahaleh, Michel, Kozarek, Richard A, Loren, David E, Gupta, Kapil, Kowalski, Thomas E, Freeman, Martin, Chen, Yang K, Branch, Malcolm S, Edmundowicz, Steven, Gluck, Michael, Binmoeller, Kenneth, Baron, Todd H, Shah, Raj J, Kinney, Timothy, Ross, William, Jowell, Paul, Carr-Locke, David, Petersen, Bret T, Kahaleh, Michel, Kozarek, Richard A, Loren, David E, Gupta, Kapil, Kowalski, Thomas E, Freeman, Martin, Chen, Yang K, Branch, Malcolm S, Edmundowicz, Steven, Gluck, Michael, Binmoeller, Kenneth, Baron, Todd H, Shah, Raj J, Kinney, Timothy, Ross, William, Jowell, Paul, and Carr-Locke, David

Abstract

Background and Study Aims. Endoscopic placement of self-expanding metal stents (SEMSs) is indicated for palliation of inoperable malignant biliary obstruction. A fully covered biliary SEMS (WallFlex Biliary RX Boston Scientific, Natick, USA) was assessed for palliation of extrahepatic malignant biliary obstruction. Patients and Methods. 58 patients were included in this prospective, multicenter series conducted under an FDA-approved IDE. Main outcome measurements included (1) absence of stent occlusion within six months or until death, whichever occurred first and (2) technical success, need for reintervention, bilirubin levels, stent patency, time to stent occlusion, and adverse events. Results. Technical success was achieved in 98% (57/58), with demonstrated acute removability in two patients. Adequate clinical palliation until completion of followup was achievedin 98% (54/55) of evaluable patients, with 1 reintervention due to stent obstruction after 142 days. Mean total bilirubin decreased from 8.9 mg/dL to 1.2 mg/dL at 1 month. Device-related adverse events were limited and included 2 cases of cholecystitis. One stent migrated following radiation therapy. Conclusions. The WallFlex Biliary fully covered stent yielded technically successful placement with uncomplicated acute removal where required, appropriate reduction in bilirubin levels, and low rates of stent migration and occlusion. This SEMS allows successful palliation of malignant extrahepatic biliary obstruction.

Published
2013

26. European Society of Gastrointestinal Endoscopy (ESGE)Guideline: Prophylaxis of post-ERCP pancreatitis

Author

Dumonceau, Jean-Marc, Andriulli, Angelo, Devière, Jacques, Mariani, Alberto, Rigaux, Johanne, Baron, Todd, Testoni, Pier Alberto, Dumonceau, Jean-Marc, Andriulli, Angelo, Devière, Jacques, Mariani, Alberto, Rigaux, Johanne, Baron, Todd, and Testoni, Pier Alberto

Abstract

Pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). Risk factors for post-ERCP pancreatitis (PEP) are both patient-related and procedure-related. Identification of patients at high risk for PEP is important in order to target prophylactic measures. Prevention of PEP includes administration of nonsteroidal inflammatory drugs (NSAIDs), use of specific cannulation techniques, and placement of temporary pancreatic stents. The aim of this guideline commissioned by the European Society of Gastrointestinal Endoscopy (ESGE) is to provide practical, graded, recommendations for the prevention of PEP. © Georg Thieme Verlag KG Stuttgart New York., SCOPUS: re.j, info:eu-repo/semantics/published

Published
2010

27. European Society of Gastrointestinal Endoscopy (ESGE)Guideline: Prophylaxis of post-ERCP pancreatitis

Author

Dumonceau, Jean-Marc, Andriulli, Angelo, Devière, Jacques, Mariani, Alberto, Rigaux, Johanne, Baron, Todd, Testoni, Pier Alberto, Dumonceau, Jean-Marc, Andriulli, Angelo, Devière, Jacques, Mariani, Alberto, Rigaux, Johanne, Baron, Todd, and Testoni, Pier Alberto

Abstract

Pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). Risk factors for post-ERCP pancreatitis (PEP) are both patient-related and procedure-related. Identification of patients at high risk for PEP is important in order to target prophylactic measures. Prevention of PEP includes administration of nonsteroidal inflammatory drugs (NSAIDs), use of specific cannulation techniques, and placement of temporary pancreatic stents. The aim of this guideline commissioned by the European Society of Gastrointestinal Endoscopy (ESGE) is to provide practical, graded, recommendations for the prevention of PEP. © Georg Thieme Verlag KG Stuttgart New York., SCOPUS: re.j, info:eu-repo/semantics/published

Published
2010

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