Publications by authors named "T Maniere"
Background: Pneumatosis cystoides intestinalis (PCI), characterized by a collection of gas-filled cysts in the intestinal wall, is an uncommon but well-known condition in gastroenterology. Abdominal pain is the most frequent symptom associated with PCI. Intussusception represents a potential cause of recurrent abdominal pain or emergency presentation.
View Article and Find Full Text PDFBackground: The recurrence of common bile duct stones and other biliary events after endoscopic retrograde cholangiopancreatography (ERCP) is frequent. Despite recommendations for early cholecystectomy, intervention during the same admission is carried out inconsistently.
Methods: We reviewed the records of patients who underwent ERCP for gallstone disease and common bile duct clearance followed by cholecystectomy between July 2012 and June 2022.
Background: Gallstone disease will affect 15% of the adult population with concomitant common bile duct stone (CBDS) occurring in up to 30%. Endoscopic retrograde cholangiopancreatography (ERCP) is the mainstay of management for removal of CBDS, as cholecystectomy for the prevention of recurrent biliary event (RBE). RBE occurs in up to 47% if cholecystectomy is not done.
View Article and Find Full Text PDFArticle Synopsis
- EUS-CDS (endoscopic ultrasound-guided choledochoduodenostomy) was compared to ERCP-M (endoscopic retrograde cholangiopancreatography with metal stenting) for treating malignant distal biliary obstruction in a randomized controlled trial involving patients with specific cancer types.
- The study found that EUS-CDS had a shorter procedure time and a high technical success rate (90.4%), comparable to ERCP-M (83.1%), with similar rates of stent dysfunction (9.6% vs 9.9%).
- The results suggest that while EUS-CDS is not superior, it is a safe and efficient alternative to ERCP-M, advocating for its broader use in clinical settings.
Endoscopic ultrasonography drainage and debridement of an infected subcapsular hepatic hematoma: A case report.
World J Gastrointest Endosc
May 2022
Article Synopsis
- Endoscopic ultrasonography (EUS) has advanced to become a therapeutic procedure for conditions that are not suitable for traditional drainage methods, especially for liver issues.
- An 82-year-old male patient with an infected subcapsular hepatic hematoma (SHH) underwent unsuccessful percutaneous drainage and could not have surgery, leading to the use of EUS for drainage and debridement.
- This case is notable as it marks the first successful endoscopic debridement of a SHH using a lumen apposing metal stent (LAMS), demonstrating the technique’s feasibility and safety.