ing episodes of epigastric pain due to a large stone in the main pancreatic duct and a long (approximately 3 cm) stricture at the head of the pancreas (l" Fig. 1 a). She underwent endoscopic retrograde cholangiopancreatography (ERCP), where dilation of the pancreatic duct was performed using an 8-mm biliary dilating balloon (Boston Scientific, Natick, Massachusetts, USA) (l" Fig. 1 b). Four sin...

We read with interest the article by Loubani et al. [1] regarding the use of intra-aortic balloon pumps (IABP) for dilating oesophageal strictures. There are fundamental reasons why IABP is not the instrument of choice for oesophageal dilatation, even in difficult cases. IABP was never designed as a dilator. Its function is to produce diastolic augmentation of coronary and systemic blood flow b...

Recently, balloon enteroscopy has made possible the use of endoscopic approaches to the surgically reconstructed intestine [1–4], so that hepaticojejunostomy strictures can be treated endoscopically. We describe the successful endoscopic dilation of a severe hepaticojejunostomy stricture with a wire-guided diathermic dilator (6-Fr, 180-cm Cysto-Gastro-Set; Endo-flex, Voerde, Germany) (●" Fig.1)...

Endoscopic ultrasound (EUS)-guided antegrade treatment for biliary disorders was developed for patientswith an altered anatomy [1–5]. This report describes a case of successful EUS-guided bile duct stone (BDS) treatment followed by direct peroral transjejunal-hepatic cholangioscopy in a patient with Roux-en-Y reconstruction. An 80-year-old woman with a BDS and a history of total gastrectomy wit...

Dilator stretching is often a frequent part of treatment for multiple disorders involving the pelvic floor muscles and it unknown what time duration dilator use until patient goals are achieved. This paper looks at studies vaginal dilators with diagnoses vaginismus, dyspareunia, pain to begin answer question. It was determined recommendations given UIHC physical therapy patients these change in...

Endoscopic papillary large-balloon dilation (EPLBD) is a relatively new technology for removing large bile duct stones [1]. The efficacy and safety of EPLBD have been reported; however, severe complications occur in approximately 10% of patients [2]. Hemorrhage is one of the most common complications, and endoscopic hemostasis is effective [3]. Herein, we present a case of rupture of a pseudoan...

BACKGROUND The aim of this study was to assess the different methods of percutaneous tracheostomy in terms of successful performance of the tracheostomy as well as safety. Tracheostomy is the most common procedure performed on the airway for patients in ICUs. Lately, several methods of percutaneous tracheostomy (multiple dilator, progressive dilator, forceps dilation, screw-like dilation, ballo...

Objective Todetermine the cause, clinical presentation and the most suitable method of treatment for retrieving foreign bodies from urinary bladder. Patients and Methods This descriptive study was conducted at Department of Nephro-Urology Chandka Medical College Hospital (CMCH), Larkana. Patients were divided into two groups on the basis of having known or unknown foreign bodies in urinary blad...