The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Jacques Himpens - One of the best experts on this subject based on the ideXlab platform.
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a hybrid endo laparoscopic therapy for common bile duct stenosis of a choledocho Duodenostomy after a roux en y gastric bypass
Obesity Surgery, 2009Co-Authors: Geert Peeters, Jacques HimpensAbstract:The essential growth of the number of Roux-en-Y gastric bypass procedures will obviously be accompanied by an increase of cases of common bile duct lithiasis. It seems evident that a close cooperation between surgeon and endoscopist will be needed on a routine basis. A laparoscopic-assisted transgastric ERCP is a well-documented approach to investigate the pancreatico-biliary tree in patients where the duodenum has been bypassed as in Roux-en-Y gastric bypass. In this case we present the possibility of assisting the endoscopist not only by providing access to the gastric remnant but also by helping with laparoscopic instruments during duodenoscopy. A formally obese woman who had benefited from a RYGB developed recurrent jaundice despite a precedent common bile duct exploration and choledocho-Duodenostomy. A laparoscopic-assisted transgastric endoscopy revealed an obstructed choledocho-Duodenostomy caused by accretions around a migrated clip. The obstructing clip could be extracted by laparoscopic instruments under endoscopic control.
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a hybrid endo laparoscopic therapy for common bile duct stenosis of a choledocho Duodenostomy after a roux en y gastric bypass
Obesity Surgery, 2009Co-Authors: Geert Peeters, Jacques HimpensAbstract:The essential growth of the number of Roux-en-Y gastric bypass procedures will obviously be accompanied by an increase of cases of common bile duct lithiasis. It seems evident that a close cooperation between surgeon and endoscopist will be needed on a routine basis. A laparoscopic-assisted transgastric ERCP is a well-documented approach to investigate the pancreatico-biliary tree in patients where the duodenum has been bypassed as in Roux-en-Y gastric bypass. In this case we present the possibility of assisting the endoscopist not only by providing access to the gastric remnant but also by helping with laparoscopic instruments during duodenoscopy. A formally obese woman who had benefited from a RYGB developed recurrent jaundice despite a precedent common bile duct exploration and choledocho-Duodenostomy. A laparoscopic-assisted transgastric endoscopy revealed an obstructed choledocho-Duodenostomy caused by accretions around a migrated clip. The obstructing clip could be extracted by laparoscopic instruments under endoscopic control.
Geert Peeters - One of the best experts on this subject based on the ideXlab platform.
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a hybrid endo laparoscopic therapy for common bile duct stenosis of a choledocho Duodenostomy after a roux en y gastric bypass
Obesity Surgery, 2009Co-Authors: Geert Peeters, Jacques HimpensAbstract:The essential growth of the number of Roux-en-Y gastric bypass procedures will obviously be accompanied by an increase of cases of common bile duct lithiasis. It seems evident that a close cooperation between surgeon and endoscopist will be needed on a routine basis. A laparoscopic-assisted transgastric ERCP is a well-documented approach to investigate the pancreatico-biliary tree in patients where the duodenum has been bypassed as in Roux-en-Y gastric bypass. In this case we present the possibility of assisting the endoscopist not only by providing access to the gastric remnant but also by helping with laparoscopic instruments during duodenoscopy. A formally obese woman who had benefited from a RYGB developed recurrent jaundice despite a precedent common bile duct exploration and choledocho-Duodenostomy. A laparoscopic-assisted transgastric endoscopy revealed an obstructed choledocho-Duodenostomy caused by accretions around a migrated clip. The obstructing clip could be extracted by laparoscopic instruments under endoscopic control.
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a hybrid endo laparoscopic therapy for common bile duct stenosis of a choledocho Duodenostomy after a roux en y gastric bypass
Obesity Surgery, 2009Co-Authors: Geert Peeters, Jacques HimpensAbstract:The essential growth of the number of Roux-en-Y gastric bypass procedures will obviously be accompanied by an increase of cases of common bile duct lithiasis. It seems evident that a close cooperation between surgeon and endoscopist will be needed on a routine basis. A laparoscopic-assisted transgastric ERCP is a well-documented approach to investigate the pancreatico-biliary tree in patients where the duodenum has been bypassed as in Roux-en-Y gastric bypass. In this case we present the possibility of assisting the endoscopist not only by providing access to the gastric remnant but also by helping with laparoscopic instruments during duodenoscopy. A formally obese woman who had benefited from a RYGB developed recurrent jaundice despite a precedent common bile duct exploration and choledocho-Duodenostomy. A laparoscopic-assisted transgastric endoscopy revealed an obstructed choledocho-Duodenostomy caused by accretions around a migrated clip. The obstructing clip could be extracted by laparoscopic instruments under endoscopic control.
Kazuhiko Yoshikawa - One of the best experts on this subject based on the ideXlab platform.
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percutaneous endoscopic gastrostomy Duodenostomy and jejunostomy for alimentation in gastrectomized patients
Digestive Endoscopy, 1995Co-Authors: Yukio Nishiguchi, Akira Shigesawa, Kazuhiko Yoshikawa, Yuichi Arimoto, Yoshito Yamashita, Kazuhiro Takeuchi, Shigehiko Nishimura, Ryugo Sawada, M Ogawa, Kiyotaka YukimotoAbstract:: Percutaneous Endoscopic Gastrostomy (PEG) which can be accomplished with local anesthesia and without the necessity for laparotomy is now gaining popularity as a clinical treatment for patients who have difficulties in swallowing and require long term nutritional support but have an intact gut. A total of 40 patients underwent percutaneous endoscopic placement of a feeding tube in our clinic. They included 37 patients who had had PEG, 1 Percutaneous Endoscopic Duodenostomy (PED) and 2 Percutaneous Endoscopic Jejunostomy (PEJ). Of these patients, 3 had previously had a partial gastrectomy and 1 had had an esophagectomy with esophago-jejunostomy. Three patients who had undergone a previous partial gastrectomy received different procedures; 1 PEG, 1 PED and 1 PEJ, which were considered to be most appropriate for each patient. One patient with a previous esophagectomy had a PEJ. PEG, PED and PEJ for the patients who had previously undergone a gastrectomy were successfully done with great care. Our experience suggests that PEG, PED or PEJ are rapid, safe and useful procedures for patients who are a poor anesthetic or poor operative risk and can be used even for patients who have undergone previous surgery.
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Percutaneous Endoscopic Gastrostomy, Duodenostomy and Jejunostomy
Diagnostic and Therapeutic Endoscopy, 1994Co-Authors: Yukio Nishiguchi, Yuichi Fuyuhiro, Jae To Lee, Soon Myoung Kang, Akira Shigesawa, Yuichi Arimoto, Yoshito Yamashita, Kazuhiro Takeuchi, Mitsuru Baba, Kazuhiko YoshikawaAbstract:Although enteral feeding by nasal gastric tube is popular for the patients who have a swallowing disability and require long-term nutritional support, but have intact gut, this tube sometimes causes aspiration pneumonia or esophageal ulcer. For these patients, conventional techniques for performance of a feeding gastrostomy made by surgical laparotomy have been used so far. However, these patients are frequently poor anesthetic and operative risks. Percutaneous endoscopic gastrostomy (PEG) which can be accomplished with local anesthesia and without the necessity for laparotomy has become popular in the clinical treatment for these patients. PEG was performed in 31 cases, percutaneous endoscopic Duodenostomy (PED) in 1 case, and percutaneous endoscopic jejunostomy (PEJ) in 2 cases. All patients were successfully placed, and no major complication and few minor complications (9%) were experienced in this procedure. After this procedure, some patients could discharge their sputa easily and their pneumonia subsided. PED and PEJ for the patients who had previously received gastrostomy could also be done successfully with great care. Our experience suggests that PEG, PED, and PEJ are rapid, safe, and useful procedures for the patients who have poor anesthetic or poor operative risks.
Yukio Nishiguchi - One of the best experts on this subject based on the ideXlab platform.
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percutaneous endoscopic gastrostomy Duodenostomy and jejunostomy for alimentation in gastrectomized patients
Digestive Endoscopy, 1995Co-Authors: Yukio Nishiguchi, Akira Shigesawa, Kazuhiko Yoshikawa, Yuichi Arimoto, Yoshito Yamashita, Kazuhiro Takeuchi, Shigehiko Nishimura, Ryugo Sawada, M Ogawa, Kiyotaka YukimotoAbstract:: Percutaneous Endoscopic Gastrostomy (PEG) which can be accomplished with local anesthesia and without the necessity for laparotomy is now gaining popularity as a clinical treatment for patients who have difficulties in swallowing and require long term nutritional support but have an intact gut. A total of 40 patients underwent percutaneous endoscopic placement of a feeding tube in our clinic. They included 37 patients who had had PEG, 1 Percutaneous Endoscopic Duodenostomy (PED) and 2 Percutaneous Endoscopic Jejunostomy (PEJ). Of these patients, 3 had previously had a partial gastrectomy and 1 had had an esophagectomy with esophago-jejunostomy. Three patients who had undergone a previous partial gastrectomy received different procedures; 1 PEG, 1 PED and 1 PEJ, which were considered to be most appropriate for each patient. One patient with a previous esophagectomy had a PEJ. PEG, PED and PEJ for the patients who had previously undergone a gastrectomy were successfully done with great care. Our experience suggests that PEG, PED or PEJ are rapid, safe and useful procedures for patients who are a poor anesthetic or poor operative risk and can be used even for patients who have undergone previous surgery.
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Percutaneous Endoscopic Gastrostomy, Duodenostomy and Jejunostomy
Diagnostic and Therapeutic Endoscopy, 1994Co-Authors: Yukio Nishiguchi, Yuichi Fuyuhiro, Jae To Lee, Soon Myoung Kang, Akira Shigesawa, Yuichi Arimoto, Yoshito Yamashita, Kazuhiro Takeuchi, Mitsuru Baba, Kazuhiko YoshikawaAbstract:Although enteral feeding by nasal gastric tube is popular for the patients who have a swallowing disability and require long-term nutritional support, but have intact gut, this tube sometimes causes aspiration pneumonia or esophageal ulcer. For these patients, conventional techniques for performance of a feeding gastrostomy made by surgical laparotomy have been used so far. However, these patients are frequently poor anesthetic and operative risks. Percutaneous endoscopic gastrostomy (PEG) which can be accomplished with local anesthesia and without the necessity for laparotomy has become popular in the clinical treatment for these patients. PEG was performed in 31 cases, percutaneous endoscopic Duodenostomy (PED) in 1 case, and percutaneous endoscopic jejunostomy (PEJ) in 2 cases. All patients were successfully placed, and no major complication and few minor complications (9%) were experienced in this procedure. After this procedure, some patients could discharge their sputa easily and their pneumonia subsided. PED and PEJ for the patients who had previously received gastrostomy could also be done successfully with great care. Our experience suggests that PEG, PED, and PEJ are rapid, safe, and useful procedures for the patients who have poor anesthetic or poor operative risks.
Akira Shigesawa - One of the best experts on this subject based on the ideXlab platform.
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percutaneous endoscopic gastrostomy Duodenostomy and jejunostomy for alimentation in gastrectomized patients
Digestive Endoscopy, 1995Co-Authors: Yukio Nishiguchi, Akira Shigesawa, Kazuhiko Yoshikawa, Yuichi Arimoto, Yoshito Yamashita, Kazuhiro Takeuchi, Shigehiko Nishimura, Ryugo Sawada, M Ogawa, Kiyotaka YukimotoAbstract:: Percutaneous Endoscopic Gastrostomy (PEG) which can be accomplished with local anesthesia and without the necessity for laparotomy is now gaining popularity as a clinical treatment for patients who have difficulties in swallowing and require long term nutritional support but have an intact gut. A total of 40 patients underwent percutaneous endoscopic placement of a feeding tube in our clinic. They included 37 patients who had had PEG, 1 Percutaneous Endoscopic Duodenostomy (PED) and 2 Percutaneous Endoscopic Jejunostomy (PEJ). Of these patients, 3 had previously had a partial gastrectomy and 1 had had an esophagectomy with esophago-jejunostomy. Three patients who had undergone a previous partial gastrectomy received different procedures; 1 PEG, 1 PED and 1 PEJ, which were considered to be most appropriate for each patient. One patient with a previous esophagectomy had a PEJ. PEG, PED and PEJ for the patients who had previously undergone a gastrectomy were successfully done with great care. Our experience suggests that PEG, PED or PEJ are rapid, safe and useful procedures for patients who are a poor anesthetic or poor operative risk and can be used even for patients who have undergone previous surgery.
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Percutaneous Endoscopic Gastrostomy, Duodenostomy and Jejunostomy
Diagnostic and Therapeutic Endoscopy, 1994Co-Authors: Yukio Nishiguchi, Yuichi Fuyuhiro, Jae To Lee, Soon Myoung Kang, Akira Shigesawa, Yuichi Arimoto, Yoshito Yamashita, Kazuhiro Takeuchi, Mitsuru Baba, Kazuhiko YoshikawaAbstract:Although enteral feeding by nasal gastric tube is popular for the patients who have a swallowing disability and require long-term nutritional support, but have intact gut, this tube sometimes causes aspiration pneumonia or esophageal ulcer. For these patients, conventional techniques for performance of a feeding gastrostomy made by surgical laparotomy have been used so far. However, these patients are frequently poor anesthetic and operative risks. Percutaneous endoscopic gastrostomy (PEG) which can be accomplished with local anesthesia and without the necessity for laparotomy has become popular in the clinical treatment for these patients. PEG was performed in 31 cases, percutaneous endoscopic Duodenostomy (PED) in 1 case, and percutaneous endoscopic jejunostomy (PEJ) in 2 cases. All patients were successfully placed, and no major complication and few minor complications (9%) were experienced in this procedure. After this procedure, some patients could discharge their sputa easily and their pneumonia subsided. PED and PEJ for the patients who had previously received gastrostomy could also be done successfully with great care. Our experience suggests that PEG, PED, and PEJ are rapid, safe, and useful procedures for the patients who have poor anesthetic or poor operative risks.
