T stent potentially possesses exceptionally higher resistance force to migration regardless of whether the stent completely expands or not. The stent properties like radialP EUSGUIDED ANTEGRADE BILIARY STENTING FOR UNRESECTABLE MALIGNANT BILIARY OBSTRUCTION IN Sufferers WITH SURGICALLY ALTERED ANATOMY: A SINGLE CENTER Prospective PILOT STUDY T. Iwashita,I. Yasuda,T. Mukai,K. Iwata,S. Doi,S. Uemura,M. Mabuchi,M. Okuno,M. Shimizu First Department of Internal Medicine,Gifu University Hospital,Gifu,Department PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/27910150 of Gastroenterology,Teikyo University Mizonokuchi Hospital,Kanagawa,Japan Speak to E-mail Address: takujiw.dion.ne.jp Introduction: Therapeutic ERCP for malignant biliary obstruction (MBO) in sufferers with surgically altered anatomy (SAA) is difficult even with application of enteroscopies. Percutaneous transhepatic biliary (PTB) or surgical strategy is typical options for failed enteroscopybased ERCP,but is linked with considerable complications. Aims Solutions: The aim of this study was to evaluate the feasibility and safety of EUSantegrade biliary stenting (EUSABS) for MBO in patients with SAA in potential cohort. EUSABS for unresectable MBO was attempted in patients with SAA among and . EUSABS was performed as follows: The left intrahepatic bile duct (IHBD) was initially punctured from the intestine followed by cholangiography and antegrade guidewire manipulation. ABS with uncovered metallic stent was performed. A nasobiliary drainage tube (NBD) was placed if necesssary. Results: SAAs had been gastrectomy with RouxenY reconstruction in ,BillrothII reconstruction in ,and hepatectomy with biliary reconstruction in . Biliary puncture was prosperous in of the individuals . In the patient with failed biliary puncture,inadequate biliary dilation did not let EUSguided puncture. The guidewire placement and subsequent ABS have been productive in . As a result,the overall technical good results price was . NBD was placed in and was removed within a median of days. A median procedure time was min . antonellasantonicolagmail Introduction: Laparoscopic Sleeve Gastrectomy (LSG) is a bariatric procedure with documented efficacy at short and midterm followup but you will find only few information at long-term followup. Aims Methods Aim: To evaluate the longterm final results of LSG describing the impact on GERD symptoms. Solutions: obese patients eligible for bariatric surgery underwent LSG. Based on the preoperative BMI obese patients were divided in two Groups: Group (N,individuals with preoperative BMI Kgm) and Group (N,sufferers with preoperative BMI Kgm). All underwent a preoperative assessment like evaluation of comorbidities,standardized GERD questionnaire,a doublecontrast barium swallow,an uppergastrointestinal endoscopy. At years right after LSG the following data were collected: BMI,GERD symptoms,modification of comorbidities,complications. The adopted criteria of surgical good results were BMI kgmin patients of Group and BMI kgmin individuals of Group . Five percent was noted to have unresectable metastatic illness at presentation. Liver was the web-site of metastasis for all these instances. Ninetyfive percent underwent surgery and of which was reported to possess R resection. Majority were stratified as low danger (followed by high threat (then moderate risk ( Soon after a median follow up of . months. developed local recurrence and . was reported as mortality. Conclusion: This hospitalbased study showed that the clinicopathologic profile of GIST in PGH is comparable to other populationbased Licochalcone A chemical information research. Surv.