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6/21/2016 8:27:00 AM | Browse: 692 | Download: 1065
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Received |
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2016-02-09 13:54 |
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Peer-Review Started |
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2016-02-09 14:26 |
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To Make the First Decision |
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2016-03-09 10:03 |
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Return for Revision |
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2016-03-11 12:52 |
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Revised |
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2016-03-16 07:09 |
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Second Decision |
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2016-03-22 16:45 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2016-04-06 13:54 |
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Articles in Press |
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2016-04-06 13:54 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2016-05-10 15:18 |
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Publish the Manuscript Online |
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2016-05-17 18:52 |
| ISSN |
1948-5190 (online) |
| Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Retrospective Cohort Study |
| Article Title |
Safety of direct endoscopic necrosectomy in patients with gastric varices
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Andrew C Storm and Christopher C Thompson |
| Funding Agency and Grant Number |
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| Corresponding Author |
Christopher C Thompson, MD, MHES, Department of Medicine, Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115,
United States. ccthompson@partners.org
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| Key Words |
Necrosectomy; Pancreatic necrosis; Endoscopy; Necrotizing pancreatitis; Gastric varices; Varices; Walled off necrosis; Walled-off necrosis; Gastrointestinal hemorrhage; Endoscopic ultrasound |
| Core Tip |
In this retrospective cohort, 15 out of 90 patients (16.7%) presenting for endoscopic necro-sectomy had gastric varices. When performed with best practice technique, direct endoscopic necrosectomy may be safely performed in patients with gastric varices. The best practice technique, from Thompson et al. Pancreatology, 2015 includes: (1) EUS evaluation with doppler to confirm absence of intervening vessels; (2) injection of contrast to distend collection and create wall tension for access; (3) stiff guidewire looped in cavity to mark access site for duration of the case; (4) entry into the cavity with stiff balloon catheter dilated to 4-8 mm, then 20 mm; (5) exchange for a large-channel endoscope for lavage and debridement of necrosis; (6) placement of pigtail catheters for ongoing drainage of the cavity; and (7) avoid proton pump inhibitor to encourage ongoing digestion of necrotic material.
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| Publish Date |
2016-05-17 18:52 |
| Citation |
Storm AC, Thompson CC. Safety of direct endoscopic necrosectomy in patients with gastric varices. World J Gastrointest Endosc 2016; 8(10): 402-408 |
| URL |
http://www.wjgnet.com/1948-5190/full/v8/i10/402.htm |
| DOI |
http://dx.doi.org/10.4253/wjge.v8.i10.402 |
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