Publications by authors named "A Michael Devane"

Background: Evaluation of lesions of the biliary tract are essential to diagnose given the dismal outcomes of cholangiocarcinoma. Historically, these diagnoses were made using brush biopsies obtained under Endoscopic Retrograde Cholangiopancreatography (ERCP). To increase the accuracy of biliary biopsies, SpyGlassTM Discover cholangioscopy guided biopsy has been developed, providing greater tissue yield and direct visualization of the biliary epithelium.

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Acquired benign tracheoesophageal fistulas and bronchoesophageal fistulas (TEF) are typically associated with granulomatous mediastinal infections, 75% of which are iatrogenic. Candida albicans and Actinomyces are commonly occurring organisms, but are uncommon etiologies of TEF. Normal colonization and the slow growth characteristics of some species of these agents rarely result in infection, mycetoma, and broncholithiasis, and thus, delays in diagnosis and treatment are likely.

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Article Synopsis
  • Ciliated hepatic foregut cyst (CHFC) is a rare and generally benign liver cyst that comes from embryonic foregut epithelium and is often asymptomatic, though some may have vague abdominal symptoms.
  • Although imaging techniques are not enough for a correct diagnosis—since they can resemble other serious conditions like intrahepatic cholangiocarcinoma—histologic confirmation is necessary for a definitive diagnosis to rule out the potential for malignant transformation, especially in larger cysts.
  • The article discusses a specific case of CHFC and includes a literature review, along with a proposed algorithm for accurately diagnosing these cysts.
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