Publications by authors named "B Devereaux"
Article Synopsis
- The 2013 Asia-Pacific consensus on managing hilar cholangiocarcinoma was updated due to new evidence regarding endoscopic treatment for malignant hilar biliary obstruction (MHBO).
- A review of literature using a PICO framework led to the creation of consensus statements and key concepts, with expert approval through the modified Delphi method.
- The final recommendations address diagnosis, biliary drainage strategies, recurrent obstruction management, cholecystitis post-stenting, and pre-stenting treatments, but emphasize that they should complement, not replace, multidisciplinary decisions for individual patients.
Article Synopsis
- The first single-use duodenoscope was approved for use in the US in December 2019, and doctors needed more information on how well it worked in different situations.
- A study involved 61 doctors from 22 hospitals in 11 countries who performed a procedure called ERCP on adult patients, checking how many were successful and if there were any problems.
- Out of 551 patients treated, most (96%) had successful procedures using the single-use duodenoscope, with doctors expressing high satisfaction with its performance, despite some patients experiencing complications.
Background: Cholangiocarcinoma (CC) is a very aggressive cancer with a poor prognosis. As surgery is the only curative therapy, preoperative evaluation of the tumor extent is essential for surgical planning. Although high-quality image modalities such as computed tomography and magnetic resonance imaging have been used extensively in preoperative evaluation, the accuracy is low.
View Article and Find Full Text PDFBackground/objectives: Diagnosis of pancreatic cancer is often delayed, contributing to patient and family distress and leading to worse survival. We aimed to develop a decision support tool to support primary care providers to identify patients that should undergo investigations for pancreatic cancer, and to recommend initial diagnostic pathways.
Methods: A modified Delphi process, including a series of three surveys, was undertaken to ascertain clinical expert opinion on which combinations of signs, symptoms and risk factors should be included in a tool for the early identification of pancreatic cancer.