349 EUS-Guided or Interventional Radiology to Hepatic Intra-Arterial Chemotherapy: a Prospective Trial

Artifon, Everson L.; Cunha, Marco Antonio B.; Silveira, Edilene Aparecida Araújo da; Gupta, Kapil; Furuya, Carlos K.; Aparicio, Dayse P.; Paione, Jose B.

doi:10.1016/j.gie.2013.04.056

Cited by 5 publications

(2 citation statements)

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“…There been several previous reports on EUS-guided intravascular therapy. This year, there was a study of 25 patients with liver metastases secondary to colorectal cancer treated with 5-flurouracil or 5-fluorodeoxymidina injected into the hepatic artery either under EUS guidance (n = 12) or by the conventional approach with an implanted infusion pump (n = 13) [14]. The investigators looked at technical outcomes, treatment response, and safety profile.…”

Section: Eus-guided Therapiesmentioning

confidence: 99%

Endoscopic innovations

Hawes

2013

Endoscopy

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DDW Highlights 766New technology ! The adenoma detection rate is a critical statistic for colonoscopy. Current technology may be limited in its ability to see behind folds, which may result in missed polyps. A new colonoscope was introduced this year called the PeerScope (PeerMedical Ltd, Caesarea, Israel) [1]. It is characterized by having 2 viewing modes: a 160-degree forward-viewing mode and a 330-degree or greater full-spectrum view. The new colonoscope maintains the standard features a colonoscope such as tip deflection, working channel, suction, and irrigation. The general functionality of the colonoscope was tested in 50 patients, and the results revealed a 100 % cecal intubation rate, mean time to the cecum of 3.1 minutes, and a total procedure time of 15 minutes. Intubation of the ileocecal valve was achieved in 46 % of the patients. Forty-four percent of the patients underwent forceps biopsy or snare polypectomy. The abstract suggests that this new colonoscope has functionality comparable to that of standard colonoscopes, but the key issue will be whether this new instrument will improve adenoma detection by reducing the missed polyp rate. Many gastroenterologists believe that the future of screening and surveillance endoscopy lies with capsule technology. It is unlikely, however, that adequate visualization of the GI tract can be achieved without controlling the direction and transit speed of the capsule. A new capsule technology was introduced this year consisting of a radio-controlled, motor-driven capsule [2].

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Section: Eus-guided Therapiesmentioning

confidence: 99%

Endoscopic innovations

Hawes

2013

Endoscopy

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“…In future, EUS guided intra-tumoral administration of chemotherapy may be considered. Artifon et al[ 88 ] utilized EUS to deliver intra-arterial chemotherapy for liver metastases in colon cancer patients. The authors reported a statistically significant decrease in the median hospital stay after such a procedure, while maintaining the safety profile and response rates.…”

Section: Introductionmentioning

confidence: 99%

Utility of endoscopic ultrasound and endoscopy in diagnosis and management of hepatocellular carcinoma and its complications: What does endoscopic ultrasonography offer above and beyond conventional cross-sectional imaging?

Girotra

Soota

Dhaliwal

et al. 2018

WJGE

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Hepatocellular carcinoma constitutes over 90% of the primary liver tumors, the rest being cholangiocarcinoma. It has an insidious presentation, which is responsible for the delayed presentation. Hence, the management strategy relies on screening to diagnose it an early stage for curative resection and/or treatment with local ablative techniques or chemotherapy. However, even with different screening programs, more than 60% of tumors are still detected at an advanced stage, leading to an unchanged mortality rate, thereby implying a room for improvement in the screening and diagnostic process. In the last few years, there has been evolution of utility of endoscopy, specifically endoscopic ultrasonography along with Fine needle aspiration, for this purpose, which we comprehensively review in this article.

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