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Greetings from the Guest Editor

Isayama H

No abstract available.
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Surgical management of the cases with both biliary and duodenal obstruction

Miyasaka Y, Ohtsuka T, Velasquez , Mori Y, Nakata K, Nakamura M

Endoscopic management is presently the recommended first-line of treatment for biliary strictures. However, surgery still has an important role especially for biliary obstruction (BO) with duodenal obstruction. Even though endoscopic...
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The vanishing stent: Repeated fracture and dissolution of nitinol gastric stents in a long term cancer survivor

Randle Lunt C, Najaran P, Edwards DE, Bell JK, Mullan D, Laasch HU

Nitinol self expandable metal stents are increasingly utilised for malignant obstruction in the proximal gastrointestinal tract. We describe a case in which repeated fracture of proximal duodenal stents with dissolution...
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Percutaneous placement of self-expandable metallic stents in patients with obstructive jaundice due to hepatocellular carcinoma

Hong HP, Park K

“Icteric type hepatoma” is a hepatocellular carcinoma (HCC) with tumor invasion to the bile duct (bile duct tumor thrombus, BDTT) causing obstructive jaundice. Effective and long-term decompression of the bile...
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Usefulness of stent placement above the papilla, so-called, ‘inside stent’

Chantarojanasiri T, Kogure H, Hamada T, Nakai Y, Isayama H

Stent occlusion and cholangitis are common complications after endoscopic biliary stenting caused by duodenobiliary refluxes and food impaction. To prolong the stent patency, the concept of stenting above the papilla,...
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Preoperative biliary drainage for pancreatic cancer

Ahmed O, Lee JH

Pancreatic cancer is a leading cause of cancer-related morbidity and mortality, but any meaningful improvement in its prognosis remains elusive. The lack of early diagnostic methods means that many patients...
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Which is better for unresectable malignant hilar biliary obstruction: Side-by-side versus stent-in-stent?

Naitoh I, Inoue T, Hayashi K

Biliary drainage is required for the management of unresectable malignant hilar biliary obstruction (UMHBO), and endoscopic transpapillary drainage is the first-line therapy because it is less invasive. Self-expandable metallic stents...
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Large-sized iatrogenic colonic perforation during diagnostic colonoscopy

Shin SY, Park EJ, Park JJ

SUMMARY OF EVENT: A 2 cm-sized colonic perforation occurred during diagnostic colonoscopy. Endoscopic closure was performed immediately using detachable snare and conservative management with intravenous antibiotics was followed for several...
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Lipiodol brain embolism through right inferior phrenic artery-pulmonary vein shunt after transcatheter arterial chemoembolization

Jang EH, Kim ET, Choi WS, Gwon DI

Lipiodol brain embolism is a rare complication associated with transcatheter arterial cheomoembolization (TACE). The present case describes a patient with lipiodol brain embolism who presented with several symptoms, including drowsy...
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TOKYO criteria: Standardized reporting system for endoscopic biliary stent placement

Hamada T, Nakai Y, Isayama H

Placement of a plastic or metal stent via endoscopic retrograde cholangiopancreatography (ERCP) currently serves as the first-line procedure for obstructive jaundice and acute cholangitis. Dysfunction of the biliary stent causes...
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Anastomotic stricture after liver transplantation: It is not Achilles' heel anymore!

Jang SI, Lee DK

Biliary-tract complications, such as biliary strictures, anastomotic leaks, choledocholithiasis, and biliary casts, can occur after liver transplantation (LT). Of these complications, biliary strictures are regarded as an Achilles' heel. Recently,...
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