Publications by authors named "Hiren Umrania"

Article Synopsis
  • ICU delirium, a serious condition, is common in babies under 6 months old and can lead to worse health outcomes.
  • A study tested a special method called the Preschool Confusion Assessment Method to see if it can effectively find delirium in these young infants.
  • The results showed that this method is a good way to check for delirium, with nearly half of the babies in the study showing signs of it.
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Background/aims: Surgery is the mainstay of treatment for cholecystitis. However, gallbladder stenting (GBS) has shown promise in debilitated or high-risk patients. Endoscopic transpapillary GBS and endoscopic ultrasound-guided GBS (EUS-GBS) have been proposed as safe and effective modalities for gallbladder drainage.

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Cholecystectomy is contraindicated in patients with comorbidities or unresectable cancer. Percutaneous transhepatic gallbladder drainage (PTGBD) is typically offered with response rates ranging from 56% to 100%, but has several risks such as bleeding, pneumothorax, pneumoperitoneum, bile leak, and/or catheter migration. Endoscopic transpapillary gallbladder drainage (ETGD) and endoscopic ultrasound-guided transmural gallbladder drainage (EUS-GBD) are alternative endoscopic modalities that have a technical feasibility, efficacy and safety profile comparable with PTGBD.

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