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1.
Arab Journal of Gastroenterology. 2015; 16 (3-4): 145-147
en Inglés | IMEMR | ID: emr-174972

RESUMEN

Endoscopic ultrasound-guided choledochoduodenostomy [EUS-CDS] using a fully-covered self-expandable metal stent [SEMS] is increasingly used as an alternative to failed endoscopic retrograde cholangiopancreatography. An EUS-CDS fistula can provide endoscopists with a new approach route for intrahepatic bile ducts. Here, we present successful placement of multiple SEMS for intrahepatic biliary obstruction via an EUS-CDS fistula


Asunto(s)
Anciano , Femenino , Humanos , Fístula , Biopsia por Aspiración con Aguja Fina Guiada por Ultrasonido Endoscópico , Neoplasias Pancreáticas , Coledocostomía
2.
Gut and Liver ; : 563-568, 2014.
Artículo en Inglés | WPRIM | ID: wpr-91769

RESUMEN

BACKGROUND/AIMS: To determine the nutritional markers important for assessing the degree of pancreatic insufficiency due to chronic pancreatitis in routine clinical practice. METHODS: A total of 137 patients with chronic pancreatitis were followed up for more than 1 year. They were divided into two groups: a pancreatic diabetes mellitus (DM) group, consisting of 47 patients undergoing medical treatment for DM of pancreatic origin, and a nonpancreatic DM group, consisting of 90 other patients (including 86 patients without DM). Serum albumin, prealbumin, total cholesterol, cholinesterase, magnesium, and hemoglobin were compared between the two groups. RESULTS: The total cholesterol was significantly lower in the pancreatic than the nonpancreatic DM group (164 mg/dL vs 183 mg/dL, respectively; p=0.0028). Cholinesterase was significantly lower in the former group (263 U/L vs 291 U/L, respectively; p=0.016). Among the 37 patients with nonalcoholic pancreatitis, there was no difference in the cholinesterase levels between the pancreatic and nonpancreatic (296 U/L vs 304 U/L, respectively; p=0.752) DM groups, although cholesterol levels remained lower in the former (165 mg/dL vs 187 mg/dL, respectively; p=0.052). CONCLUSIONS: Cholinesterase levels are possibly affected by concomitant alcoholic liver injury. The total cholesterol level should be considered when assessing pancreatic insufficiency due to chronic pancreatitis.


Asunto(s)
Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Colesterol/sangre , Colinesterasas/sangre , Diabetes Mellitus Tipo 2/complicaciones , Insuficiencia Pancreática Exocrina/sangre , Estudios de Seguimiento , Cirrosis Hepática Alcohólica/sangre , Estado Nutricional , Páncreas/enzimología , Pancreatitis Alcohólica/sangre , Pancreatitis Crónica/sangre , Albúmina Sérica/análisis
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