Ring-Shaped Thread Counter Traction–Assisted Endoscopic Retrograde Cholangiopancreatography of a Huge Periampullary Diverticula

Ishikawa-Kakiya, Yuki; Maruyama, Hirotsugu; Yamamoto, Kei; Yamamura, Masafumi; Tanoue, Kojiro; Ominami, Masaki; Fukunaga, Shusei; Taira, Koichi; Nagami, Yasuaki; Watanabe, Toshio; Fujiwara, Yasuhiro

doi:10.14309/ajg.0000000000000842

Cited by 3 publications

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“…By comparing the differences in clinical characteristics between patients in the symptomatic and asymptomatic groups, we found that patients with DD located in periampullary and ≥1 cm seemed to be more likely to have clinical symptoms. It is well known that DD is more common in the 2nd portion and periampullary, and different hypotheses ( 16 , 17 ) have also been proposed that DD in this area is more likely to be combined with various pathological states. Our results firstly provide the evidence of this association, meanwhile we suggesting a possible association between diverticular size and the presence of clinical symptoms.…”

Section: Discussionmentioning

confidence: 99%

Evaluation and management of symptomatic duodenal diverticula: a single-center retrospective analysis of 647 patients

Ren,

Ding,

et al. 2023

Front. Surg.

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AimsTo explore the clinical characteristics of patients with symptomatic duodenal diverticula and to generalize how to make appropriate treatment choices for this group of patients.Materials and methodsFrom January 2010 to September 2020, a total of 647 patients with duodenal diverticula (DD) were included in this study. 345 of them with relevant symptoms were divided into the symptomatic group and the other 302 patients were in the asymptomatic group.ResultsAmong all patients, most DD were located in the periampullary area, <1 cm in size, and single in number. The distribution of DD localized in the 2nd portion/periampullary (P = 0.002/P < 0.001) and with a 1 cm size cut-off value (P = 0.003) was significantly different between the symptomatic and asymptomatic groups. Multivariate Logistics analysis further suggests that diverticular size (<1 cm, 1–3 cm) and combined biliary comorbidities (bile duct stones and gallstones, primary bile duct stones, cholangitis without bile duct stones) may be factors influencing the choice of treatment modality. Of all patients undergoing surgical treatment, a total of 7 cases developed various postoperative complications, and no one died.ConclusionsPatients with DD ≥1 cm or located in the periampullary were more likely to be symptomatic. The specific size of the DD and the combination of specific biliary comorbidities may have an impact on the choice of treatment modality.

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Section: Discussionmentioning

confidence: 99%

Evaluation and management of symptomatic duodenal diverticula: a single-center retrospective analysis of 647 patients

Ren,

Ding,

et al. 2023

Front. Surg.

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“…This variant has a squishy bend and a highly mobile bile duct, making cannulation difficult 2 . We previously reported the usefulness of the “ring‐shaped thread–assisted method,” 3 and several similar traction band methods have also been reported 4,5 . However, this method is difficult and requires many steps.…”

Section: Brief Explanationmentioning

confidence: 99%

Endoclip with traction band‐assisted traction method for endoscopic retrograde cholangiopancreatography with long oral protrusion of papilla

Ishikawa‐Kakiya,

Maruyama,

Fujiwara

2023

Digestive Endoscopy

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Evaluation and management of symptomatic duodenal diverticula: A single-center retrospective analysis of 647 patients

Ren

Ding

et al. 2022

Preprint

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Aims To explore the clinical characteristics of symptomatic patients and to generalize how to make appropriate treatment choices for this group of patients. Materials and methods From January 2010 to September 2020, a total of 647 patients with duodenal diverticula (DD) were included in this study. 345 of them with relevant symptoms were divided into the symptomatic group and the other 302 patients were in the asymptomatic group. Results Among all patients, most DD were located in the periampullary area, <1cm in size, and single in number. The distribution of DD localized in the 2nd portion/periampullary (P = 0.002/P < 0.001) and with a 1cm size cut-off value (P = 0.003) was significantly different between the symptomatic and asymptomatic groups. Multivariate Logistics analysis further suggests that diverticular size (< 1cm, 1-3cm) and combined biliary comorbidities (bile duct stones and gallstones, primary bile duct stones, cholangitis without bile duct stones) may be factors influencing the choice of treatment modality. Of all patients undergoing surgical treatment, a total of 7 cases developed various postoperative complications, and no one died. Conclusions Patients with DD ≥ 1 cm or located in the periampullary were more likely to be symptomatic. The specific size of the DD and the combination of specific biliary comorbidities may have an impact on the choice of treatment modality.

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Ring-Shaped Thread Counter Traction–Assisted Endoscopic Retrograde Cholangiopancreatography of a Huge Periampullary Diverticula

Cited by 3 publications

References 0 publications

Evaluation and management of symptomatic duodenal diverticula: a single-center retrospective analysis of 647 patients

Evaluation and management of symptomatic duodenal diverticula: a single-center retrospective analysis of 647 patients

Endoclip with traction band‐assisted traction method for endoscopic retrograde cholangiopancreatography with long oral protrusion of papilla

Evaluation and management of symptomatic duodenal diverticula: A single-center retrospective analysis of 647 patients

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