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CLINICAL CASES

    1. Leningrad regional clinical hospital (St. Petersburg, Russian Federation)
    2. SSC LM them. O. K. Skobelkin FMBA of Russia (Moscow, Russian Federation)
    3. Peoples friendship University of Russia (Moscow, Russian Federation)

    Keywords: laterally spreading tumor, endoscopic mucosal resection, control of the removal of the focus of residual tumor tissue, ZOOM, argon-plasma coagulation

    Abstract:The removal of the laterally spreading tumor is a radical method of its treatment; it is necessary to control the completeness of LST removal using ZOOM and destruction of residual tumor tissue by argon-plasma coagulation to prevent recurrence of the tumor.

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      6. Nakajima T, Saito Y, Tanaka S, Iishi H, Kudo S.E, Ikematsu H, Igarashi M, Saitoh Y, Inoue Y, Kobayashi K, Hisasbe T, Matsuda T, Ishikawa H, Sugihara K Current status of endoscopic resection strategy for large, early colorectal neoplasia in Japan. Surg Endosc. 2013 Sep;27(9):3262-70. doi: 10.1007/s00464-013-2903-x
     


    Full text is published :
    Chernykh D.A., Myaukina L.M., Filin A.A., Duvanskiy V.A. CONTROL OF THE COMPLETENESS REMOVAL LATERALLY SPREADING TUMOR (LST). Experimental and Clinical Gastroenterology Journal. 2018;152(04):99-100
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    1. The Federal State Budgetary Scientific Institution «Petrovsky National Research Center of Surgery» (Moscow, Russian Federation)

    Keywords: inflammatory myofibroblastic tumor, endoscopic ultrasonography, common bile duct (CBD), ERCP, EPST

    Abstract:Aim: The inflammatory myofibroblastic tumor (IMT) is rare and has an intermediate malignancy in terms of local invasiveness. There are pulmonary and extrapulmonary forms that are rare to be come across. Among extrapulmonary forms, biliary lesion occurs in isolated instances. Due to the rarity of the disease, we provide our own clinical observation. In a 35-year-old patient various instrumental methods showed the formation in the distal common bile duct (CBD), which manifested the painless form of jaundice. The presence of tissue mass in the distal CBD is often associated with malignant neoplasms. One of the informative instrumental techniques turned out to be endosonography and endoscopic retrograde therapeutic and diagnostic interventions on extrahepatic bile ducts with biopsy sampling. Due to the rarity of the disease and the precaution regarding the malignant origin of the neoplasm in the distal CBD, the patient underwent a surgery. Histological and immunohistochemical data confirmed the inflammatory myofibroblastic tumor.

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    Full text is published :
    Godzhello E. A., Khrustaleva M. V., Bulganina N. A., Dekhtyar M. A. ENDOSCOPIC DIAGNOSIS OF THE DISTAL COMMON BILE DUCT MYOFIBROBLASTIC TUMOR IN THE35-YEAR-OLD PATIENT. Experimental and Clinical Gastroenterology Journal. 2018;152(04):101-106
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    1. Fgbu “Institute of surgery. A. V. Vishnevsky” (Moscow, Russian Federation)

    Keywords: ERCP, endoscopic treatment, iatrogenic strictures, posttraumatic strictures, strictures of bile ducts, stenting, plastic stents, complications

    Abstract:Introduction. Iatrogenic bile duct injury continues to be one of the most important clinical problems in surgery. Due to the development of non-surgical ways of treatment, bile duct injury is mainly managed endoscopiccally. Materials and methods. 53 y. o. female patient was admitted in April of 2015. According to the anamnesis - laparoscopic cholecystectomy in February 2015, complicated with the injury of the right hepatic duct (clipped and cut). MRCP- right hepatic duct is blocked by the confluence. 27.04.2015 ERCP, ERS, ballon dilatation of the stump and placement of the 7Fr stent in the right hepatic duct. Results. Until May 2016 the patient had 3 restenting operations on the right hepatic duct with the bigger stent each time (8.5, 10 Fr). The last ERCP was finished with the removal of the plastic stent. During the contrast study the diameter of the duct in the structure area was 4 mm. The patient is monitored with no relapse for 1 year and 6 months. Conclusions. Minimally invasive endoscopic treatment of iatrogenic bile duct injuries with a step by step stenting is more preemptive then open reconstruction surgical procedures.

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    Full text is published :
    Starkov Y.G., Viborny M.I., Dzhantuhanova S.V., Andreytseva O.I., Hon E.I. ENDOSCOPIC SURGICAL TREATMENT OF INJURIES OF THE RIGHT LOBAR BILE DUCT IN A PATIENT OF 53 YEARS. Experimental and Clinical Gastroenterology Journal. 2018;152(04):107-110
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