Publications by authors named "Vinh Sieu Lam"
Aortoesophageal fistula (AEF) is an uncommon complication of esophageal cancer and can be extremely fatal if left untreated. Compared to open repair, thoracic endovascular aortic repair (TEVAR), a less invasive technique, is the initial recommended treatment in cases of hemorrhagic shock secondary to AEF, as this procedure showed a favorable outcome in controlling the overt bleeding. Here, we present a case of a patient with a history of stage IV esophageal cancer being treated with chemotherapy and an esophageal stent due to a previous tracheoesophageal fistula who presented to the emergency room due to severe gastroesophageal bleeding and hemorrhagic shock.
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- A liver biopsy is an important diagnostic procedure for liver diseases, and while it's usually done using ultrasound guidance (PC-LB), there's a newer option called endoscopic ultrasound-guided liver biopsy (EUS-LB) that may offer advantages.
- A study analyzed data from nine research papers involving 785 patients, focusing on diagnostic adequacy, accuracy, and the safety of EUS-LB versus PC-LB, finding that both methods performed similarly in most respect.
- However, PC-LB outperformed EUS-LB in obtaining higher-quality specimens, which is essential for accurate diagnosis, leading the authors to suggest that clinicians should weigh specimen quality, procedural preferences, and expertise when choosing a biopsy