Publications by authors named "G Lehman"
Background: Sphincter of Oddi dysfunction (SOD) is managed primarily by endoscopic sphincterotomy (ES); however, surgical transduodenal sphincteroplasty (TDS) is a treatment option for select patients. In our high-volume pancreatico-biliary practice, we have observed variable outcomes among TDS patients; therefore, we sought to determine preoperative predictors of durable improvement in quality of life.
Methods: SOD patients treated by TDS between January 2006 and December 2015 were studied.
Background And Aims: Extracorporeal shock wave lithotripsy (ESWL) is performed to fragment large main pancreatic duct (MPD) stones in symptomatic patients. Subsequent endoscopic retrograde cholangiopancreatography (ERCP) is often performed to clear the stone fragments. Edema of surrounding tissue after ESWL theoretically affects the ability to perform ERCP.
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- The study aimed to determine which psychological and psychosocial factors should be included in a core outcome set for clinical trials related to tendinopathy.
- An international panel of 38 participants reviewed 35 constructs over three online Delphi rounds, using a 9-point Likert scale to assess their importance.
- At the end of the rounds, the panel agreed that kinesiophobia, pain beliefs, pain-related self-efficacy, and fear-avoidance beliefs should be included, while factors like perceived injustice and family attitudes were deemed unimportant.
Background And Aims: Post-ERCP pancreatitis (PEP) is the most frequent adverse event of ERCP. Various prophylactic measures are endorsed by the American Society for Gastrointestinal Endoscopy and the European Society of Gastrointestinal Endoscopy to both lower the incidence of PEP and to decrease its severity. The extent to which these interventions are practiced throughout the United States is unclear.
View Article and Find Full Text PDFBackground: The cornerstone of treatment for acute cholangitis is source control with biliary drainage and early antibiotics. The primary aim of this study was to describe the microbiology of bile aspirate pathogens obtained at the time of endoscopic retrograde cholangiopancreatography (ERCP) in patients suspected of having acute cholangitis.
Methods: In this single-center retrospective study, patients were included if a bile aspirate was collected at ERCP for suspicion of acute cholangitis, from 1 January 2010 to 31 December 2016.