Publications by authors named "L Numan"

Objective: We aimed to assess the hospital frailty risk score on the inpatient mortality, morbidity, and health care resource utilization among endoscopic retrograde cholangiopancreatography (ERCP)-related hospitalizations.

Background: Data regarding the inpatient mortality, morbidity, and health care resource utilization of ERCP among frail individuals remain limited.

Materials And Methods: Using the Nationwide Inpatient Sample, we compared the odds of inpatient mortality and morbidity of ERCP-related hospitalizations among individuals with low frailty scores, intermediate frailty scores (IFSs), and high frailty scores (HFSs).

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Article Synopsis
  • EUS-HGS is a promising alternative for biliary drainage when ERCP fails, with a high technical and clinical success rate of 98.1%.
  • The analysis covered 70 studies involving 3,527 patients, finding that the overall adverse event rate was 14.9%, with bile leakage as the most common issue.
  • The study suggests that EUS-HGS is effective and that advancements in technology may enhance its safety and accessibility for patients needing biliary drainage.
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Article Synopsis
  • Endoscopic retrograde cholangiopancreatography (ERCP) is crucial for treating biliary and pancreatic diseases, with needle-knife fistulotomy (NKF) and papillotomy (NKP) being common rescue techniques for challenging cases.
  • A meta-analysis of four studies involving 823 patients found no significant difference in success rates for biliary cannulation between NKF (91.7%) and NKP (86.9%), but NKF had a significantly lower rate of adverse events.
  • Overall, both NKF and NKP show similar effectiveness, but NKF appears to be safer in terms of complications.
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Background And Aims: Biliary drainage is vital in managing malignant biliary obstruction (MBO). Suprapapillary stenting has emerged as a viable alternative to transpapillary stenting and is performed using inside plastic (iPS) or metal stents (iMS). This meta-analysis aims to evaluate the outcomes of suprapapillary stent placement for MBO.

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Background And Aim: Luminal strictures, common in inflammatory bowel disease (IBD), especially Crohn's disease (CD), are typically treated with endoscopic balloon dilatation (EBD). The newer endoscopic stricturotomy (ESt) approach shows promise, but data is limited. This systematic review and meta-analysis assess the effectiveness and safety of ESt in IBD-related strictures.

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