Publications by authors named "G Willemien Erkelens"
Background: Cholecystectomy in patients with idiopathic acute pancreatitis (IAP) is controversial. A randomized trial found cholecystectomy to reduce the recurrence rate of IAP but did not include preoperative endoscopic ultrasonography (EUS). As EUS is effective in detecting gallstone disease, cholecystectomy may be indicated only in patients with gallstone disease.
View Article and Find Full Text PDFBackground: Active surveillance is being investigated as an alternative to standard surgery after neoadjuvant chemoradiotherapy for oesophageal cancer. It is unknown whether dysphagia persists or develops when the oesophagus is preserved after neoadjuvant chemoradiotherapy. The aim of this study was to assess the prevalence and severity of dysphagia during active surveillance in patients with an ongoing response.
View Article and Find Full Text PDFObjective: The aim of this study was to evaluate the safety and efficacy of a modified CAL-WR.
Summary Background Data: The use of segmental colectomy in patients with endoscopically unresectable colonic lesions results in significant morbidity and mortality. CAL-WR is an alternative procedure that may reduce morbidity.
Introduction: Idiopathic acute pancreatitis (IAP) remains a dilemma for physicians as it is uncertain whether patients with IAP may actually have an occult aetiology. It is unclear to what extent additional diagnostic modalities such as endoscopic ultrasonography (EUS) are warranted after a first episode of IAP in order to uncover this aetiology. Failure to timely determine treatable aetiologies delays appropriate treatment and might subsequently cause recurrence of acute pancreatitis.
View Article and Find Full Text PDFUrgent endoscopic retrograde cholangiopancreatography with sphincterotomy versus conservative treatment in predicted severe acute gallstone pancreatitis (APEC): a multicentre randomised controlled trial.
Lancet
July 2020
Article Synopsis
- * 232 patients were randomly assigned to either urgent ERCP with sphincterotomy or conservative treatment, with the main goal being to assess rates of mortality or major complications within 6 months.
- * Results showed no significant differences in the primary endpoint between the two groups, with 38% in the ERCP group and 44% in the conservative treatment group experiencing complications, suggesting that urgent ERCP may not confer a clear advantage.