Publications by authors named "Theo Doyon"

Background: 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.

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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.

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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.
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