Introduction of GB polyp
|
|
- Roger Phillips
- 5 years ago
- Views:
Transcription
1 Management of Gallbladder Polyp as Physician's View Sang Hyub Lee, MD, PhD Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Internal Medicine Division of Gastroenterology Introduction of GB polyp Outgrowths of the gallbladder mucosal wall Polypoid Lesion of Gallbladder Incidentally detected on ultrasonography or after cholecystectomy Epidemiology 0.01~13.8% of resected GBs % of GBs assessed by USG About 5% of GBs assessed by USG in Korea Yang HL, et al. Br J Surg 1992;79 Jørgensen T, et al. Scand J Gastroenterol 1990;25 Park JK, et al. Gut Liver 2008;2 262 분당서울대학교병원
2 제 8 회분당서울대학교병원내과연수강좌 2012 Histologic Classification of GB polyps Bang S. Korean J Gastroenterol 2009;53 Benign non-neoplastic polyp Cholesterol polyp - most common of the non-neoplastic polyps - lamina propria is infiltrated with lipid-laden foamy macrophages - about 60% of all gallbladder polyps - generally less than 10mm - often, multiple cholesterol polyps William C, et al. Gastroenterol Clin N Am 2010;39 분당서울대학교병원 263
3 Management of Gallbladder Polyp as Physician's View Adenomyomatosis - 25% of gallbladder polyp - usually localized to the gallbladder fundus mm Inflammatory polyps Benign non-neoplastic polyp - 10% of gallbladder polyps - result from granulation and fibrous tissue (secondary to chronic inflammation) - typically less than 10 mm William C, et al. Gastroenterol Clin N Am 2010;39 Adenoma Benign neoplastic polyp - 4% of gallbladder polyps mm - generally solitary - often associated with gallstones - Adenoma-to cancer progression: debate Miscellaneous neoplastic polyps leiomyomas, lipomas, neurofibromas and carcinoids less than 1% of gallbladder polyps varying sizes William C, et al. Gastroenterol Clin N Am 2010;39 Kozuka S, et al. Cancer 1982;50 Harbison J,et al. Ir Med J 1997; 분당서울대학교병원
4 제 8 회분당서울대학교병원내과연수강좌 2012 GB polyp & Symptom Generally thought not to cause any symptoms 대부분의용종은무증상 증상이있는용종 : 콜레스테롤용종또는유두상선종 전형적인담도성산통 : 용종이이탈하여담낭관폐쇄 특발성췌장염 : 총담관원위부에서췌관폐쇄 Laboratory abnormality Alkaline P Bilirubin Amylase Lipase OP DDx PUD Chronic pancreatitis GB polyp and symptom Terzi and colleagues et al 74 patients undergoing cholecystectomy for GB polyps 91% had symptoms RUQ pain, nausea, dyspepsia, and jaundice etc. Unclear association due to combined GB stones (60%) Japanese study 23% had abdominal symptoms 13% had elevated liver function tests Clue Recurrent pain DDx other causes Laboratory supportive evidence Evidence of polyp detachment Terzi C, et al. Surgery 2000;127 Ito H, et al. J Am Coll Surg 2009;208 분당서울대학교병원 265
5 Management of Gallbladder Polyp as Physician's View Risk Factors for GB polyp Positive risk factors Old age Male gender Obesity Medical conditions such as diabetes Peutz-Jeghers syndrome and Gardner syndrome Negative risk factors GB stones Consistent relationship? Jorgensen T, et al. Scand JGastroenterol 1990;25 Myers RP, et al. Can J Gastroentereol 2002;16 Wada K, et al. Dig Dis Sci 1987;32 Komorowski RA, et al. Dis Colon Rectum 1986;29 Risk Factors for GB polyp 34,669 chinese patients underwent a general check up ( ) Lin WR, et al. J Gastroenterol hepatol 2008; 분당서울대학교병원
6 제 8 회분당서울대학교병원내과연수강좌 2012 Diagnosis of GB polyps Ultrasonography Transabdominal USG (USG) Endoscopic Ultrasound Computed tomography Oral cholecystography MRI/MRCP ERCP PET USG Diagnostic accuracy of ultrasound Yang HL, et al. Br J Surg. 1992;79 Sensitivity: 90% If no stones are present, up to 99% Specificity: 94%\ 분당서울대학교병원 267
7 Management of Gallbladder Polyp as Physician's View Diagnostic accuracy of ultrasound USG Overall US-based diagnosis of GB polyp was accurate in 82% Akyurek N, et al. HPB (Oxford). 2005;7 Diagnostic accuracy of ultrasound 23/651 patients having polyp-like gallbladder lesion followed for 9 years Overall sensitivity and specificity of US scan are 66.66%, 100% Cut off value: 10 mm on US sensitivity 100%, specificity 86.95%, PPV 50% for diagnosis of malignancy Chattopadhyay D, et al. World J Gastroenterol 2005; 분당서울대학교병원
8 제 8 회분당서울대학교병원내과연수강좌 2012 Diagnosis of GB polyps Transabdominal Ultrasonography generally considered the first of line study by no means a definitive indicator The presence of a GB polyp The malignant potential of GB polyp Endoscopic Ultrasound (EUS) Risk factor evaluation for Malignancy Potential in GB polyp Akyurek N, et al. HPB (Oxford). 2005;7 Another modalities for diagnosis of GB polyp Computed tomography diagnostic sensitivity: 72% Positron emission tomography scanning case series Oral cholecystography less sensitive and specific than ultrasound Koh T, et al. Clin Positron Imaging 2000;3 분당서울대학교병원 269
9 Management of Gallbladder Polyp as Physician's View Management of GB polyp Indication of cholecystectomy Natural course of GB polyp? Risk factor of neoplastic GB polyp? Patient s preference? Eager to receive cholecystectomy Very low surgical morbidity Laparoscopic cholecystectomy Assurance of Patients How to follow up? Optimal Follow-up 270 분당서울대학교병원
10 제 8 회분당서울대학교병원내과연수강좌 2012 Optimal Follow-up Surgery or follow-up Natural History of Gallbladder Polyps Very low prevalence of GB adenoma compared to that of GB cancer. 담낭암의발생률 >> 담낭선종의발생률 Question 담낭선종은악성화하는가? 대부분의담낭암은선종을거쳐발생하는가? 분당서울대학교병원 271
11 Management of Gallbladder Polyp as Physician's View Development of GB Cancers Two or three pathway Adenoma to carcinoma De novo carcinoma De novo without APBDU De novo with APBDU Support Adenoma-to-carcinoma progression 1.8% of Cholecystectomy Specimens: Neopalstic polyp 23.5% of Neopalstic polyp: carcinoma Lee SH, et al. Korean J Gastroenterol 2010; 분당서울대학교병원
12 제 8 회분당서울대학교병원내과연수강좌 2012 Support Adenoma-to-carcinoma progression Lee SH, et al. Korean J Gastroenterol 2010;55 Support Adenoma-to-carcinoma progression Cha BH, Lee SH, et al. World J Gastroenterol. 2011;17 분당서울대학교병원 273
13 Management of Gallbladder Polyp as Physician's View Mutations in GB neoplastic lesions Wistuba II, et al. J Hepatobiliary Pancreat Surg. 1999;6 Support Mutations in neoplastic lesions Wistuba II, et al. J Hepatobiliary Pancreat Surg. 1999;6 274 분당서울대학교병원
14 제 8 회분당서울대학교병원내과연수강좌 2012 Adenoma-to-carcinoma progression Support UK study in 2009: - Mutation of K-ras (associated with an adenoma) is never detected in carcinoma Chile study in 2006: -196 completely mapped early carcinomas did not reveal adnoma residue support two different genetic pathways Wistuba II, et al. Hum Pathol 1999;30 Roa I, et al. Cancer J Surg Oncol 2006;93 Natural History of Gallbladder Polyps Question 담낭선종은악성화하는가? Yes 대부분의담낭암은선종을거쳐발생하는가? No 분당서울대학교병원 275
15 Management of Gallbladder Polyp as Physician's View Favor benign nature Retrospective analysis by Ito and colleagues 417 patients with GB polyps detected on USG Variable follow-up duration Ito H, et al. J Am Coll Surg 2009;208 Favor benign nature Retrospectively analysis by Shinkai and colleagues 145 patients with GB polyps 2 USG F/U at least 6 months apart till cholecystectomy Shinkai H, et al. Am J Surg 1998; 분당서울대학교병원
16 제 8 회분당서울대학교병원내과연수강좌 2012 Favor benign nature gallbladder polyps less than 10 mm do not need to be removed simply because they grow Shin SR, et al. J Clin Gastroenterol 2009;43 Favor benign nature prospective follow-up 56 patients with small GB polyp( <10 mm) over 5 years with annual US No any clinical symptoms developed No changes in polyp morphology Colecchia A, et al. Am J Gastroenterol 2009;104 분당서울대학교병원 277
17 Management of Gallbladder Polyp as Physician's View Favor malignant nature Retrospective analysis by Park and colleagues 1558 patients with gallbladder polyps over an average of 37 months Cumulative detection rate of neoplastic polyps: 1.7% at 1 year 2.8% at 5 years 4% at 8 years Park JY, et al. J Gastroenterol Hepatol 2009;24 Risk factors for Malignancy Potential in GB polyp Retrospectively analysis from the MayoClinic 137patients with preoperative USG Subsequent cholecystectomy Yang HL, et al. Br J Surg 1992; 분당서울대학교병원
18 제 8 회분당서울대학교병원내과연수강좌 2012 Risk factors for Malignancy Potential in GB polyp Terzi C, et al. Surgery 2000; 127 Risk factors for Malignancy Potential in GB polyp Shinkai H, et al. Am J Surg 1998;175 분당서울대학교병원 279
19 Management of Gallbladder Polyp as Physician's View Risk factors for Malignancy Potential in GB polyp Age over 60 Sessile morphology Size of 10 mm Kwon W, et al. J Korean Med Sci 2009;24 Risk factors for Malignancy Potential in GB polyp Frequency of malignant polyps according to number of risk factors Kwon W, et al. J Korean Med Sci 2009; 분당서울대학교병원
20 제 8 회분당서울대학교병원내과연수강좌 2012 Risk factors for Malignancy Potential in GB polyp Cha BH, Lee SH, et al. World J Gastroenterol. 2011;17 Risk factors for Malignancy Potential in GB polyp Cha BH, Lee SH, et al. World J Gastroenterol. 2011;17 분당서울대학교병원 281
21 Management of Gallbladder Polyp as Physician's View Risk factors for Malignancy Potential in GB polyp Sensitivity: 81%, Specificity: 86%, Accuracy: 83.7% Choi WB, et al. Gastrointest endosc 2000; 52 Risk factors for Malignancy Potential in GB polyp 88 surgical cases of gallbladder polyps less than 20mm in diameter Sensitivity: 90%, Specificity: 89% in predicting neoplastic polyps Cho JH, et al. Gastrointest Endosc 2009; 분당서울대학교병원
22 제 8 회분당서울대학교병원내과연수강좌 2012 Leung UC, et al. ANZ J Surg 2007; patients with gallbladder polyps 37 months cut-off point of 10mm: sensitivity and specificity of predicting neoplastic polyps were 54.5% and 94.1% 46% of the neoplastic polyps were less than 10 mm at the time of diagnosis / even small polyps warrant close follow-up Park JY, et al. J Gastroenterol Hepatol 2009;24 분당서울대학교병원 283
23 Management of Gallbladder Polyp as Physician's View Malignancy potential according to size High incidence of neoplasm Cholesterol polyp (50%) Neoplasm (100%) Low incidence of neoplasm (37%) (6%) mm Shinkai H, et al. Am J Surg 1998;175 Retrospective study from Mayo Clinic Zielinski MD, et al. J Gastrointest Surg 2009; 분당서울대학교병원
24 제 8 회분당서울대학교병원내과연수강좌 mm rule for follow-up of GB polyp 7.4% of polyps less than 1cm were neoplastic. polyp size greater than 6mm was a significant risk factor for malignancy. Zielinski MD, et al. J Gastrointest Surg 2009;13 Favor benign nature Less than 6mm on US: No neoplastic lesions Ito H, et al. J Am Coll Surg 2009;208 분당서울대학교병원 285
25 Management of Gallbladder Polyp as Physician's View Risk factors for Malignancy Potential in GB polyp Larger size Older age Increase in Size Sessile lesion Association of Gallstones DM High EUS score Hypoechoic foci in EUS Considerations for Cholecystectomy of GB polyp Clinical Practice Guideline Development Committee, Korean Association of HBP Surgery. Korean Journal of HBP Surgery 2010; 분당서울대학교병원
26 제 8 회분당서울대학교병원내과연수강좌 2012 Optimal Follow-up Asymptomatic, 6 mm 6 ~10mm, risk factor evaluation : Age, morphology, gallstones, DM, EUS finding Optimal Follow-up 분당서울대학교병원 287
27 Management of Gallbladder Polyp as Physician's View USG Accuracy of diagnostic modality 23/651 patients having polyp-like gallbladder lesion followed for 9 years Overall sensitivity and specificity of US scan are 66.66%, 100% Cut off value: 10 mm on US sensitivity 100%, specificity 86.95%, PPV 50% for diagnosis of malignancy Chattopadhyay D, et al. World J Gastroenterol 2005;11 USG Accuracy of diagnostic modality Overall US-based diagnosis of GB polyp was inaccurate in 82% Akyurek N, et al. HPB (Oxford). 2005;7: 분당서울대학교병원
28 제 8 회분당서울대학교병원내과연수강좌 2012 Accuracy of diagnostic modality Total 194 patients with small polypoid lesions Underwent both ultrasonography and EUS Followed up with US alone or with EUS for years EUS Accuracy of EUS: 97%, of abdominal ultrasound: 76% Sugiyama M, et al. Gut. 2000;46 EUS Accuracy of diagnostic modality Total 194 patients with small polypoid lesions Underwent both ultrasonography and EUS Followed up with US alone or with EUS for years Sugiyama M, et al. Gut. 2000;46 분당서울대학교병원 289
29 Management of Gallbladder Polyp as Physician's View Accuracy of diagnostic modality 98 surgical cases of gallbladder polyps less than 20 mm in diameter EUS Cheon YK, et al. World J Gastroenterol 2009;15 HRUSG-EUS Accuracy of diagnostic modality 144 patients with more than 1cm-sized GB polyp, underwent surgery Jang JY, et al. Ann Surg 2009; 분당서울대학교병원
30 제 8 회분당서울대학교병원내과연수강좌 2012 Optimal follow-up modality Consideration besides diagnostic accuracy Cost-effectiveness Easy availability Invasiveness Radiation exposure Ultrasound (HR USG) is recommanded by experts Park JY, et al. J Gastroenterol Hepatol. 2009;24 Noone TC, et al. Maqn Reson Imaging. 2004;22 Optimal Follow-up After initial w/u with USG and ESU, USG (HR USG) is recommended for F/U 분당서울대학교병원 291
31 Management of Gallbladder Polyp as Physician's View Optimal Follow-up Natural History of GB polyp Retrospective analysis by Park and colleagues 1558 patients with gallbladder polyps over an average of 37 months Cumulative detection rate of neoplastic polyps: 1.7% at 1 year 2.8% at 5 years 4% at 8 years Park JY, et al. J Gastroenterol Hepatol 2009; 분당서울대학교병원
32 제 8 회분당서울대학교병원내과연수강좌 2012 Average age of Dysplasia cancer sequence 1,326 patients (201 dysplasias and 1,125 cancers) dysplasia: 51.9 years early cancer: 56.8 years advanced carcinoma: 62.9 years metastasis: 63.1 years 80% of invasive gallbladder cancers present areas adjacent to the CIS and epithelial dysplasia period (dysplasia advanced carcinoma) : theoretically 10 years RoaI, et al. J Surg Oncol. 2006;93 Adenoma-to-carcinoma progression Cha BH, Lee SH, et al. World J Gastroenterol. 2011;17 분당서울대학교병원 293
33 Management of Gallbladder Polyp as Physician's View 72 GB polyp patients monitored with US till cholecystectomy 16 GB cancer detected among them 5/16 patients 1.5 ~ 4 fold increase in maximum diameter during 4 to 12 months of follow -up 4-6month interval follow-up Kubota K, et al. Surgery 1995; patients with gallbladder polyps detected by US Prospective F/U for 6 years Every 6 monthly with US 24mm gallbladder cancer detected Less than 6months F/U Moriguchi H, et al. Gut 1996; 분당서울대학교병원
34 제 8 회분당서울대학교병원내과연수강좌 2012 Optimal Follow-up Interval: every 6-12 months Duration: more than 10 years Proposed F/U Strategy for GB Polyps GB polyp Symptomatic Asymptomatic > 10mm 6 ~ 10mm < 6mm EUS (HRUSG) Yes High risk for malignancy potential No Cholecystectomy Old age GB stone Sessile polyp DṂ. f/u USG q 6-12 month for >10 years 분당서울대학교병원 295
Analysis of gallbladder polypoid lesion size as an indication of the risk of gallbladder cancer
Korean J Hepatobiliary Pancreat Surg 24;8:9-3 http://dx.doi.org/.47/kjhbps.24.8..9 Original Article Analysis of gallbladder polypoid lesion size as an indication of the risk of gallbladder cancer Ji Eun
More informationREFERRAL GUIDELINES: GALLSTONES
REFERRAL GUIDELINES: GALLSTONES Document Purpose To ensure patients with gallstones disease are managed appropriately in primary/ secondary care Oxford Radcliffe Hospital Surgical Department Surgical Registrar
More informationPreoperative predictive factors for gallbladder cholesterol polyp diagnosed after laparoscopic cholecystectomy for polypoid lesions of gallbladder
Ann Hepatobiliary Pancreat Surg 2016;20:180-186 https://doi.org/10.14701/ahbps.2016.20.4.180 Original Article Preoperative predictive factors for gallbladder cholesterol polyp diagnosed after laparoscopic
More informationCurrent status of gastric ESD in Korea. Jun Haeng Lee. Department of Medicine Sungkyunkwanuniversity School of Medicie, Seoul, Korea
Current status of gastric ESD in Korea Jun Haeng Lee. Department of Medicine Sungkyunkwanuniversity School of Medicie, Seoul, Korea Contents Brief history of gastric ESD in Korea ESD/EMR for gastric adenoma
More informationManagement Strategies for Gallbladder Polyps: Is It Possible to Predict Malignant Gallbladder Polyps?
Gut and Liver, Vol. 2, No. 2, September 2008, pp. 88-94 original article Management Strategies for Gallbladder Polyps: Is It Possible to Predict Malignant Gallbladder Polyps? Joo Kyung Park*, Yong Bum
More informationESD for EGC with undifferentiated histology
ESD for EGC with undifferentiated histology Jun Haeng Lee, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Biopsy: M/D adenocarcinoma ESD: SRC >>
More informationTreatment outcomes and prognostic factors of gallbladder cancer patients after postoperative radiation therapy
Korean J Hepatobiliary Pancreat Surg 2011;15:152-156 Original Article Treatment outcomes and prognostic factors of gallbladder cancer patients after postoperative radiation therapy Suzy Kim 1,#, Kyubo
More informationmalignant polyp Daily Challenges in Digestive Endoscopy for Endoscopists and Endoscopy Nurses BSGIE Annual Meeting 18/09/2014 Mechelen
Plan Incidental finding of a malignant polyp 1. What is a polyp malignant? 2. Role of the pathologist and the endoscopist 3. Quantitative and qualitative risk assessment 4. How to decide what to do? Hubert
More informationIn Woong Han 1, O Choel Kwon 1, Min Gu Oh 1, Yoo Shin Choi 2, and Seung Eun Lee 2. Departments of Surgery, Dongguk University College of Medicine 2
Effect of Rowachol on Prevention of Postcholecystectomy Syndrome after Laparoscopic Cholecystectomy - Prospective multicenter Randomized controlled trial- In Woong Han 1, O Choel Kwon 1, Min Gu Oh 1, Yoo
More informationEndoscopic Ultrasonography Clinical Impact. Giancarlo Caletti. Gastroenterologia Università di Bologna. Caletti
Clinical Impact Giancarlo Gastroenterologia Università di Bologna AUSL di Imola,, Castel S. Pietro Terme (BO) 1982 Indications Diagnosis of Submucosal Tumors (SMT) Staging of Neoplasms Evaluation of Pancreato-Biliary
More informationACG Clinical Guideline: Diagnosis and Management of Pancreatic Cysts
ACG Clinical Guideline: Diagnosis and Management of Pancreatic Cysts Grace H. Elta, MD, FACG 1, Brintha K. Enestvedt, MD, MBA 2, Bryan G. Sauer, MD, MSc, FACG (GRADE Methodologist) 3 and Anne Marie Lennon,
More informationMANAGEMENT OF INCIDENTALLY DETECTED GALLBLADDER CANCER
MANAGEMENT OF INCIDENTALLY DETECTED GALLBLADDER CANCER Orlando Jorge M. Torres Full Professor and Chairman Department of Gastrointestinal Surgery Hepatopancreatobiliary Unit Federal University of Maranhão
More informationHyperplastische Polyps Innocent bystanders?
Hyperplastische Polyps Innocent bystanders?? K. Geboes P th l i h O tl dk d Pathologische Ontleedkunde, KULeuven Content Historical Classification Relation Hyperplastic polyps carcinoma The concept cept
More informationHepatobiliary and Pancreatic Malignancies
Hepatobiliary and Pancreatic Malignancies Gareth Eeson MD MSc FRCSC Surgical Oncologist and General Surgeon Kelowna General Hospital Interior Health Consultant, Surgical Oncology BC Cancer Agency Centre
More informationBiliary Tree Ultrasound - In a nutshell. Pamela Parker Lead Sonographer
Biliary Tree Ultrasound - In a nutshell Pamela Parker Lead Sonographer Aims Review what we know about the biliary system Common pathologies Pitfalls Reporting tips The Nutshell Background Biliary examinations
More informationIs Hepatic Resection Needed in the Patients with Peritoneal Side T2 Gallbladder Cancer?
Is Hepatic Resection Needed in the Patients with Peritoneal Side T2 Gallbladder Cancer? Lee H, Park JY, Youn S, Kwon W, Heo JS, Choi SH, Choi DW Department of Surgery, Samsung Medical Center Sungkyunkwan
More informationPancreatic Cysts. Darius C. Desai, MD FACS St. Luke s University Health Network
Pancreatic Cysts Darius C. Desai, MD FACS St. Luke s University Health Network None Disclosures Incidence Widespread use of cross sectional imaging Seen in over 2% of patients having abdominal imaging
More informationAn Approach to Pancreatic Cysts. Introduction
An Approach to Pancreatic Cysts Nalini M. Guda, MD Aurora St. Luke s Medical Center, Milwaukee Clinical Adjunct Professor of Medicine, University of Wisconsin School of Medicine and Public Health Introduction
More informationIndex. Surg Oncol Clin N Am 16 (2007) Note: Page numbers of article titles are in boldface type.
Surg Oncol Clin N Am 16 (2007) 465 469 Index Note: Page numbers of article titles are in boldface type. A Adjuvant therapy, preoperative for gastric cancer, staging and, 339 B Breast cancer, metabolic
More informationRole of Laparoscopic Cholecystectomy in the Management of Polypoid Lesions of the Gallbladder
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Vol. 11, No. 4, pp. 242 247 2001 Lippincott Williams & Wilkins, Inc., Philadelphia Role of Laparoscopic Cholecystectomy in the Management of Polypoid
More informationSonography of Gall Bladder
Sonography of Gall Bladder Vikram Dogra,MD Professor of Radiology, Urology and BME Director of Ultrasound Associate Chair of Education and Research University of Rochester, NY Objectives Describe the Congenital
More information췌장의단일종괴형태로재발해원발성췌장암으로오인된재발성폐암
Case Report The Korean Journal of Pancreas and Biliary Tract 2018;23:172-176 https://doi.org/10.15279/kpba.2018.23.4.172 pissn 1976-3573 eissn 2288-0941 췌장의단일종괴형태로재발해원발성췌장암으로오인된재발성폐암 대구가톨릭대학교의과대학내과학교실
More informationThe detection rate of early gastric cancer has been increasing owing to advances in
Focused Issue of This Month Sung Hoon Noh, MD, ph.d Department of Surgery, Yonsei University College of Medicine E - mail : sunghoonn@yuhs.ac J Korean Med Assoc 2010; 53(4): 306-310 Abstract The detection
More informationStructured Follow-Up after Colorectal Cancer Resection: Overrated. R. Taylor Ripley University of Colorado Grand Rounds April 23, 2007
Structured Follow-Up after Colorectal Cancer Resection: Overrated R. Taylor Ripley University of Colorado Grand Rounds April 23, 2007 Guidelines for Colonoscopy Production: Surveillance US Multi-Society
More informationThe impact of routine histopathological examination on cholecystectomy specimens from an Asian demographic
GENERAL SURGERY doi 10.1308/003588412X13171221501708 The impact of routine histopathological examination on cholecystectomy specimens from an Asian demographic KF Chin 1, AA Mohammad 2, YY Khoo 1, T Krishnasamy
More informationPreliminary Experience of Laparoscopic Cholecystectomy with Gallbladder Bed Dissection for Suspected Gallbladder Cancer
Showa Univ J Med Sci 26 2, 131 138, June 2014 Original Preliminary Experience of Laparoscopic Cholecystectomy with Gallbladder Bed Dissection for Suspected Gallbladder Cancer Hisashi KASUGAI, Kenta NAKAHARA,
More informationEvaluation of AGA and Fukuoka Guidelines for EUS and surgical resection of incidental pancreatic cysts
Evaluation of AGA and Fukuoka Guidelines for EUS and surgical resection of incidental pancreatic cysts Authors Alexander Lee 1, Vivek Kadiyala 2,LindaS.Lee 3 Institutions 1 Texas Digestive Disease Consultants,
More informationStudy of the degree of gall bladder wall thickness and its impact on outcomes following laparoscopic cholecystectomy in JSS Hospital
International Surgery Journal Chandra SBJ et al. Int Surg J. 2018 Apr;5(4):1417-1421 http://www.ijsurgery.com pissn 2349-3305 eissn 2349-2902 Original Research Article DOI: http://dx.doi.org/10.18203/2349-2902.isj20181122
More informationSubepithelial Lesions of the Gut: When Should I Worry?
Subepithelial Lesions of the Gut: When Should I Worry? President, ASGE Chairman, GI & Hepatology Scottsdale, AZ Faigel.douglas@mayo.edu Case 55 yo male with reflux EGD for Barrett s Screening SET, mucosal
More informationAll cholecystectomy specimens must be sent for histopathology to detect inapparent gallbladder cancer
DOI:10.1111/j.1477-2574.2012.00443.x HPB ORIGINAL ARTICLE All cholecystectomy specimens must be sent for histopathology to detect inapparent gallbladder cancer Anil K. Agarwal, Raja Kalayarasan, Shivendra
More informationManagement of pt1 polyps. Maria Pellise
Management of pt1 polyps Maria Pellise Early colorectal cancer Malignant polyp Screening programmes SM Invasive adenocar cinoma Advances in diagnostic & therapeutic endoscopy pt1 polyps 0.75 5.6% of large-bowel
More informationSex-related differences in predicting choledocholithiasis using current American Society of Gastrointestinal Endoscopy risk criteria
ORIGINAL ARTICLE Annals of Gastroenterology (2018) 31, 1-6 Sex-related differences in predicting choledocholithiasis using current American Society of Gastrointestinal Endoscopy risk criteria Ankit Chhoda
More informationGiant Brunner s Gland Hamartoma of the Duodenal Bulb Presenting with Upper Gastrointestinal Bleeding and Obstruction
CSE REPORT Clin Endosc 2016;49:570-574 https://doi.org/10.5946/ce.2016.022 Print ISSN 2234-2400 On-line ISSN 2234-2443 Open ccess Giant runner s Gland Hamartoma of the Duodenal ulb Presenting with Upper
More informationPage 1. Is the Risk This High? Dysplasia in the IBD Patient. Dysplasia in the Non IBD Patient. Increased Risk of CRC in Ulcerative Colitis
Screening for Colorectal Neoplasia in Inflammatory Bowel Disease Francis A. Farraye MD, MSc Clinical Director, Section of Gastroenterology Co-Director, Center for Digestive Disorders Boston Medical Center
More informationThe role of endoscopy in the diagnosis and treatment of cystic pancreatic neoplasms
The role of endoscopy in the diagnosis and treatment of cystic pancreatic neoplasms CYSTIC LESIONS AND FLUID COLLECTIONS OF THE PANCREAS Their pathology ranges from pseudocysts and pancreatic necrosis
More informationHigh-Resolution Sonography for Distinguishing Neoplastic Gallbladder Polyps and Staging Gallbladder Cancer
Gastrointestinal Imaging Original Research Kim et al. Sonography of the Gallbladder Gastrointestinal Imaging Original Research Jung Hoon Kim 1 Jae Young Lee 1 Jee Hyun Baek 1 Hyo Won Eun 2 Young Jae Kim
More informationThe campaign on laboratory: focus on Gallstone Disease and ERCP
The campaign on laboratory: focus on Gallstone Disease and ERCP Mauro Giuliani, MD, Specialist in Visceral Surgery, Vice Head Physician, Surgical Ward, Ospedale Regionale di Locarno Alberto Fasoli, MD,
More informationDr Claire Smith, Consultant Radiologist St James University Hospital Leeds
Dr Claire Smith, Consultant Radiologist St James University Hospital Leeds Imaging in jaundice and 2ww pathway Image protocol Staging Limitations Pancreatic cancer 1.2.4 Refer people using a suspected
More informationBiliary Tree Ultrasound - In a nutshell. Pamela Parker Lead Sonographer
Biliary Tree Ultrasound - In a nutshell Pamela Parker Lead Sonographer Aims Review what we know about the biliary system Common pathologies Pitfalls Reporting tips The Nutshell Background Biliary examinations
More informationGallbladder & Pancreas Ultrasonography
복부초음파 : 담낭과췌장 Gallbladder & Pancreas Ultrasonography 김정훈 Department of Radiology 1 Interaction of sound with matter (1) 반사 (Reflection) (2) 굴절 (Refraction) (3) 흡수 (Absorption) (4) 산란 (Scattering) 음향저항
More information담낭절제술후발생한미리찌증후군의내시경적치료 1 예
Case Report The Korean Journal of Pancreas and Biliary Tract 2014;19:199-203 http://dx.doi.org/10.15279/kpba.2014.19.4.199 pissn 1976-3573 eissn 2288-0941 담낭절제술후발생한미리찌증후군의내시경적치료 1 예 인하대학교의학전문대학원내과학교실 이정민
More informationThe Use of Pancreatoscopy in the Diagnosis of Intraductal Papillary Mucinous Tumor Lesions of the Pancreas
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2005;3:S53 S57 The Use of Pancreatoscopy in the Diagnosis of Intraductal Papillary Mucinous Tumor Lesions of the Pancreas KENJIRO YASUDA, MUNEHIRO SAKATA, MOOSE
More informationIntraductal papillary mucinous neoplasm (IPMN) is a distinct
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2008;6:815 819 Evaluation of the Guidelines for Management of Pancreatic Branch-Duct Intraductal Papillary Mucinous Neoplasm RAYMOND S. TANG,* BENJAMIN WEINBERG,
More informationIntraductal papillary mucinous neoplasm of the bile ducts: a rare form of premalignant lesion of invasive cholangiocarcinoma
Intraductal papillary mucinous neoplasm of the bile ducts: a rare form of premalignant lesion of invasive cholangiocarcinoma Authors: R. Revert Espí, Y. Fernandez Nuñez, I. Carbonell, D. P. Gómez valencia,
More informationShort and longterm outcomes after endoscopic resection of malignant polyps.
Short and longterm outcomes after endoscopic resection of malignant polyps. Short and longterm outcomes High risk features Lymph node metastasis Lymph node metastases sm1 sm2 sm3 Son 2008 3.1 % 14.9% 25.0
More informationEndoscopic Submucosal Dissection ESD
Endoscopic Submucosal Dissection ESD Peter Draganov MD Professor of Medicine Division of Gastroenterology, Hepatology and Nutrition University of Florida Gastrointestinal Cancer Lesion that Can be Treated
More informationIndian Journal of Medical Research and Pharmaceutical Sciences July 2017;4(7) ISSN: ISSN: DOI: /zenodo Impact Factor: 3.
GALLBLADDER DISEASES ASSOCIATED WITH LAPAROSCOPIC SLEEVE GASTRECTOMY IN JORDAN, PILOT STUDY Dr. Osama T. Abu Salem*, Dr. Ibrahim Al Gwairy, Dr. Ramadan Al Hasanat & Dr. Talal Jalabneh** *Consultant Gneral
More informationGALLBLADDER CANCER. Lidie M. Lajoie MD Downstate Surgery M&M July 21, 2011
GALLBLADDER CANCER Lidie M. Lajoie MD Downstate Surgery M&M July 21, 2011 Agenda Case Presentation Epidemiology Pathogenesis & Pathology Staging Presentation & Diagnosis Stage-wise Management Outcomes/Prognosis
More informationIN THE DEVELOPMENT and progression of colorectal
Digestive Endoscopy 2014; 26 (Suppl. 2): 73 77 doi: 10.1111/den.12276 Treatment strategy of diminutive colorectal polyp
More informationHow good is EUS in the diagnosis of submucosal mass lesion
How good is EUS in the diagnosis of submucosal mass lesion Dr. Yuk Tong LEE MBChB, MD(CUHK), FRCP (Edin), FRCP(Lond), FHKCP, FHKAM Specialist in Gastroenterology and Hepatology Submucosal tumour, SMT Subepithelial
More informationAnatomy of the biliary tract
Harvard-MIT Division of Health Sciences and Technology HST.121: Gastroenterology, Fall 2005 Instructors: Dr. Jonathan Glickman Anatomy of the biliary tract Figure removed due to copyright reasons. Biliary
More informationEndoscopic Resection of Ampullary Neuroendocrine Tumor
CASE REPORT Endoscopic Resection of Ampullary Neuroendocrine Tumor Hiroyuki Fukasawa, Shigetaka Tounou, Masashi Nabetani and Tomoki Michida Abstract We report the case of a 57-year-old man with a 1.0-cm
More informationIntraductal papillary neoplasms in the bile ducts
Intraductal papillary neoplasms in the bile ducts Seok Hwa Youn Myunghee Yoon Dong Hoon Shin Kosin University Gospel Hospital Department of general surgery Hepato-biliary-pancreatic division Introduction
More informationOriginal Article. Rattanasupar A Attasaranya S Ovartlarnporn B ABSTRACT
74 THAI J GASTROENTEROL 2010 Esophagogastroduodenoscopy (EGD) plus Transabdominal Ultrasound (TUS) for Diagnosed Dyspepsia in Elderly Patients Original Article Esophagogastroduodenoscopy (EGD) plus Transabdominal
More informationFat Tissue Infiltration into the Pancreas Parenchyme and Its Effect on the Result of Surgery
Korean Journal of HBP Surgery Vol. 15,. 2, May 2011 O riginal Article Fat Tissue Infiltration into the Pancreas Parenchyme and Its Effect on the Result of Surgery Purpose: In Korea, there are few reports
More informationEndoscopic Corner CASE 1. Sirimontaporn N Klaikaew N Imraporn B Rerknimitr R
Endoscopic Corner Sirimontaporn N, et al. THAI J GASTROENTEROL 2010 Vol. 11 No. 3 Sept. - Dec. 2010 171 Sirimontaporn N Klaikaew N Imraporn B Rerknimitr R CASE 1 A 47- year-old female presented to the
More informationPrinciples of diagnosis, work-up and therapy The Gastroenterologist s role
Principles of diagnosis, work-up and therapy The Gastroenterologist s role Dr. Christos G. Toumpanakis MD PhD FRCP Consultant in Gastroenterology/Neuroendocrine Tumours Hon. Senior Lecturer University
More informationCase 1. Intro to Gallbladder & Pancreas Pathology. Case 1 DIAGNOSIS??? Acute Cholecystitis. Acute Cholecystitis. Helen Remotti M.D.
Cholecystitis acute chronic Gallbladder tumors Adenomyoma (benign) Adenocarcinoma Pancreatitis acute chronic Pancreatic tumors Intro to Gallbladder & Pancreas Pathology Helen Remotti M.D. Case 1 70 year
More informationSynchronous double primary cancers associated with a choledochal cyst and anomalous pancreaticobiliary ductal union
J Korean Surg Soc 2011;81:281-286 http://dx.doi.org/10.4174/jkss.2011.81.4.281 CASE REPORT JKSS Journal of the Korean Surgical Society pissn 2233-7903 ㆍ eissn 2093-0488 Synchronous double primary cancers
More informationChromoendoscopy and Endomicroscopy for detecting colonic dysplasia
Chromoendoscopy and Endomicroscopy for detecting colonic dysplasia Ralf Kiesslich I. Medical Department Johannes Gutenberg University Mainz, Germany Cumulative cancer risk in ulcerative colitis 0.5-1.0%
More informationEndoscopic Management of Biliary Strictures. Sammy Ho, MD Director of Pancreaticobiliary Services and Endoscopic Ultrasound Montefiore Medical Center
Endoscopic Management of Biliary Strictures Sammy Ho, MD Director of Pancreaticobiliary Services and Endoscopic Ultrasound Montefiore Medical Center Malignant Biliary Strictures Etiologies: Pancreatic
More information6 th August 2018 Day 1 - Gallbladder & Bile duct Topic
Venue: Sterling Hospital Auditorium, Sterling Hospitals, Gurukul Road Ahmedabad, Gujarat 6 th August 2018 Day 1 - Gallbladder & Bile duct Registration(8:00am-8:15am) Inauguration(8:15am-8:30am) Welcome
More informationContemporary Results with Ampullectomy for 29 Benign Neoplasms of the Ampulla
Contemporary Results with Ampullectomy for 29 Benign Neoplasms of the Ampulla Stephen R Grobmyer, MD, Chad N Stasik, MD, Peter Draganov, MD, Alan W Hemming, MD, FACS, Lisa R Dixon, MD, Stephen B Vogel,
More informationCongenital dilatation of the common bile duct and pancreaticobiliary maljunction clinical implications
Langenbecks Arch Surg (2009) 394:209 213 DOI 10.1007/s00423-008-0330-6 CURRENT CONCEPT IN CLINICAL SURGERY Congenital dilatation of the common bile duct and pancreaticobiliary maljunction clinical implications
More informationSuperficial Esophageal Neoplasms Overlying Leiomyomas Removed by Endoscopic Submucosal Dissection: Case Reports and Review of the Literature
CASE REPORT Clin Endosc 2015;48:322-327 http://dx.doi.org/10.5946/ce.2015.48.4.322 Print ISSN 2234-2400 On-line ISSN 2234-2443 Open Access Superficial Esophageal Neoplasms Overlying Leiomyomas Removed
More informationImaging in gastric cancer
Imaging in gastric cancer Gastric cancer remains a deadly disease because of late diagnosis. Adenocarcinoma represents 90% of malignant tumors. Diagnosis is based on endoscopic examination with biopsies.
More informationThe Radiologic Features of Xanthogranulomatous Cholecystitis: An Important Mimic of Gallbladder Carcinoma
The Radiologic Features of Xanthogranulomatous Cholecystitis: An Important Mimic of Gallbladder Carcinoma Poster No.: C-0691 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit H. L. khosa
More informationIT 의료융합 1 차임상세미나 복부질환초음파 이재영
IT 의료융합 1 차임상세미나 2013-4-3 복부질환초음파 이재영 나는오늘누구를위하여 종을울리나? 전통적의료 의사 공학설계자 의사 최첨단진단장비들 USG, CT, MRI 환자 환자 현대의료 사용자중심의사고 US in the Abdomen Detection DDx Look Behavior Response by external stimuli Guiding Tool
More informationEndoscopic Management of the Iatrogenic CBD Injury
The Liver Week 2014, Jeju, Korea Endoscopic Management of the Iatrogenic CBD Injury Jong Ho Moon, MD, PhD Department of Internal Medicine Soon Chun Hyang University School of Medicine Bucheon/Seoul, KOREA
More informationParis classification (2003) 삼성의료원내과이준행
Paris classification (2003) 삼성의료원내과이준행 JGCA classification - Japanese Gastric Cancer Association - Type 0 superficial polypoid, flat/depressed, or excavated tumors Type 1 polypoid carcinomas, usually attached
More informationHistopathological examination of various lesions of gall bladder in routine 488 cholecystectomy specimens - A hospital based study.
International Journal of Current Research in Medical Sciences ISSN: 2454-5716 P-ISJN: A4372-3064, E -ISJN: A4372-3061 www.ijcrims.com Original Research Article Volume 3, Issue 8-2017 Histopathological
More informationAlberta Colorectal Cancer Screening Program (ACRCSP) Post Polypectomy Surveillance Guidelines
Alberta Colorectal Cancer Screening Program (ACRCSP) Post Polypectomy Surveillance Guidelines June 2013 ACRCSP Post Polypectomy Surveillance Guidelines - 2 TABLE OF CONTENTS Background... 3 Terms, Definitions
More informationBackground. RUQ Ultrasound Normal, Recommend Clinical Correlation. Sohail R. Shah, MD, MSHA, FACS, FAAP Texas Children s Hosptial
RUQ Ultrasound Normal, Recommend Clinical Correlation Sohail R. Shah, MD, MSHA, FACS, FAAP Texas Children s Hosptial Background Incidence of pediatric gallbladder disease continues to rise U.S. Pediatric
More informationBiliary Cystadenoma Causing Esophageal Varices
https://doi.org/10.7180/kmj.2016.31.2.191 KMJ Case Report Biliary Cystadenoma Causing Esophageal Varices Sung Ju Kang, Tae Hee Lee, Min Gyu Seok, Hyo Jin Yun, Ye Seul Jang, Jun Hyun Byun Department of
More informationBranch duct intraductal papillary mucinous neoplasm of the pancreas: single-center experience with 324 patients who underwent surgical resection
Korean J Hepatobiliary Pancreat Surg 2015;19:113-120 http://dx.doi.org/10.14701/kjhbps.2015.19.3.113 Original Article Branch duct intraductal papillary mucinous neoplasm of the pancreas: single-center
More informationThe Pancreas. Basic Anatomy. Endocrine pancreas. Exocrine pancreas. Pancreas vasculature. Islets of Langerhans. Acinar cells Ductal System
SGNA: Back to Basics Rogelio G. Silva, MD Assistant Clinical Professor of Medicine University of Illinois at Chicago Department of Medicine Division of Gastroenterology Advocate Christ Medical Center GI
More informationTrans-abdominal ultrasound features of the newly named intraductal papillary neoplasm of the bile duct
Original Article on Translational Imaging in Cancer Patient Care Trans-abdominal ultrasound features of the newly named intraductal papillary neoplasm of the bile duct Xian-Shui Fu 1 *, Meng-Na He 2 *,
More informationCase report Solid pseudopapillary tumor: a rare neoplasm of the pancreas
Gastroenterology Report 2 (2014) 145 149, doi:10.1093/gastro/gou006 Advance access publication 28 February 2014 Case report Solid pseudopapillary tumor: a rare neoplasm of the pancreas Asim Shuja 1, *
More informationORIGINAL ARTICLE. ONLINE FIRST Risk and Cost-effectiveness of Surveillance Followed by Cholecystectomy for Gallbladder Polyps
ORIGINAL ARTICLE ONLINE FIRST Risk and Cost-effectiveness of Surveillance Followed by Cholecystectomy for Gallbladder Vaux Cairns, MBChB; Christopher P. Neal, MD, MRCS; Ashely R. Dennison, MD, FRCS; Giuseppe
More informationWorld Journal of Colorectal Surgery
World Journal of Colorectal Surgery Volume 3, Issue 4 2013 Article 3 Sigmoidorectal Intussusception Presenting as Prolapse Per Anus in an Adult Venugopal Hg Hasmukh B. Vora Mahendra S. Bhavsar SMT.NHL
More informationMETASTASES FROM GASTRIC CARCINOMA TO COLON LESIONS: A CASE REPORT IN THE FORM OF MULTIPLE FLAT ELEVATED CASE PRESENTATION
H.C. Lee, M.T. Yang, K.Y. Lin, et al METASTASES FROM GASTRIC CARCINOMA TO COLON IN THE FORM OF MULTIPLE FLAT ELEVATED LESIONS: A CASE REPORT Hsi-Chang Lee, Min-Ta Yang, 1 Kuang-Yang Lin, 1 Hsing-Yang Tu,
More informationIatrogenic Gallbladder Perforation during Gastric Endoscopic Mucosal Resection
J Korean Surg Soc 2010;79:228-233 DOI: 10.4174/jkss.2010.79.3.228 증 례 Iatrogenic Gallbladder Perforation during Gastric Endoscopic Mucosal Resection Department of Surgery, CHA Gumi Medical Center, CHA
More informationRadiology of hepatobiliary diseases
GI cycle - Lecture 14 436 Teams Radiology of hepatobiliary diseases Objectives 1. To Interpret plan x-ray radiograph of abdomen with common pathologies. 2. To know the common pathologies presentation.
More informationIntraductal Papillary Mucinous Neoplasms: We Still Have a Way to Go! Francesco M. Serafini, MD, FACS
Intraductal Papillary Mucinous Neoplasms: We Still Have a Way to Go! Francesco M. Serafini, MD, FACS Brooklyn VAMC September 21 st GI Grand Rounds - What is it? - Clinical entity that has emerged from
More informationTerumitsu; Nagayasu, Takeshi
NAOSITE: Nagasaki University's Ac Title Author(s) Citation A rare case of segmental ulcerative Tominaga, Tetsuro; Nonaka, Takashi; Shuichi; Kunizaki, Masaki; Sumida, Terumitsu; Nagayasu, Takeshi Acta medica
More informationIncidence and Multiplicities of Adenomatous Polyps in TNM Stage I Colorectal Cancer in Korea
Original Article Journal of the Korean Society of J Korean Soc Coloproctol 2012;28(4):213-218 http://dx.doi.org/10.3393/jksc.2012.28.4.213 pissn 2093-7822 eissn 2093-7830 Incidence and Multiplicities of
More informationENDOSCOPIC TREATMENT OF A BILE DUCT
HPB Surgery, 1990, Vol. 3, pp. 67-71 Reprints available directly from the publisher Photocopying permitted by license only 1990 Harwood Academic Publishers GmbH Printed in the United Kingdom CASE REPORT
More informationCase Study: #3: Gallbladder Carcinoma?
Case Study: #3: Gallbladder Carcinoma? By: Megan Wyatt K. SON Wyatt 225 2B1 RDMS, RVT Patient: Male 85 YOA Caucasian Indication: Elevated Alkaline Phosphatase History Annual physical showed elevated alkaline
More informationSurgical management and results for cystic neoplasms of pancreas
Korean J Hepatobiliary Pancreat Surg 2013;17:118-125 Original Article Surgical management and results for cystic neoplasms of pancreas Kyung Won Han 1, Ryun Ha 1, Kun Kuk Kim 1, Jung Nam Lee 1, Yeon Suk
More informationSmall Bowel Metastatic Cancer Observed With Double Balloon Enteroscopy in a Patient With a Past History of Multiple Cancers
CASE REPORT ISSN 1598-9100(Print) ISSN 2288-1956(Online) http://dx.doi.org/10.5217/ir.2015.13.4.350 Intest Res 2015;13(4):350-354 Small Bowel Metastatic Cancer Observed With Double Balloon Enteroscopy
More informationERCP / PTC Surgical Laparoscopic vs open Timing and order of approach
Choledocholithiasis Which Approach and When? Lygia Stewart, MD University of California, San Francisco 2010 Naffziger Post-Graduate Course Clinical Manifestations of Choledocholithiasis Asymptomatic (no
More informationLarge Colorectal Adenomas An Approach to Pathologic Evaluation
Anatomic Pathology / LARGE COLORECTAL ADENOMAS AND PATHOLOGIC EVALUATION Large Colorectal Adenomas An Approach to Pathologic Evaluation Elizabeth D. Euscher, MD, 1 Theodore H. Niemann, MD, 1 Joel G. Lucas,
More informationTypes of IPMN. Pancreas Cysts: An Incidental Finding or Harbinger of Malignancy. Cysts: Early Neoplasia. Mucinous Cystic Lesions. EUS-guided FNA EUS
Pancreas Cysts: An Incidental Finding or Harbinger of Malignancy EUS-guided FNA William R. Brugge,, MD, FACG Professor of Medicine Harvard Medical School Director, GI Endoscopy Unit Massachusetts General
More informationDisclosure of Relevant Financial Relationships
Disclosure of Relevant Financial Relationships USCAP requires that all faculty in a position to influence or control the content of CME disclose any relevant financial relationship WITH COMMERCIAL INTERESTS
More informationInfluencing factors on postoperative hospital stay after laparoscopic cholecystectomy
Korean J Hepatobiliary Pancreat Surg 2016;20:12-16 http://dx.doi.org/10.14701/kjhbps.2016.20.1.12 Original Article Influencing factors on postoperative hospital stay after laparoscopic cholecystectomy
More informationFDG-PET/CT in Gynaecologic Cancers
Friday, August 31, 2012 Session 6, 9:00-9:30 FDG-PET/CT in Gynaecologic Cancers (Uterine) cervical cancer Endometrial cancer & Uterine sarcomas Ovarian cancer Little mermaid (Edvard Eriksen 1913) honoring
More informationManagement of Gallbladder Disease
Management of Gallbladder Disease Steven B. Johnson, MD, FACS, FCCM Professor and Chairman, Department of Surgery Program Director, Phoenix Integrated Surgical Residency University of Arizona College of
More informationImaging Evaluation of Polyps. CT Colonography: Sessile Adenoma. Polyps, DALMs & Megacolon Objectives
Polyps, DALMs & Megacolon: Pathology and Imaging of the Colon and Rectum Angela D. Levy and Leslie H. Sobin Washington, DC Drs. Levy and Sobin have indicated that they have no relationships which, in the
More informationJournal of Interventional Gastroenterology A Combination of Snare Polypectomy and APC Therapy for Prolapsing Common Bile Duct Adenoma
Journal of Interventional Gastroenterology A Combination of Snare Polypectomy and APC Therapy for Prolapsing Common Bile Duct Adenoma --Manuscript Draft-- Manuscript Number: Full Title: Article Type: Section/Category:
More information