Publications by authors named "W Abel"
Background And Aims: Patients with concomitant gastric outlet obstruction (GOO) and biliary obstruction often have limited management options, particularly in the setting of severe debility. We detail the use of EUS guided gastro-duodenal placement of lumen apposing metal stent (LAMS) as a conduit for transduodenal ERCP: EUS-Directed transDuodenal ERCP (EDDE).
Methods: Nine patients that developed GOO with indwelling biliary metal stents or with anticipated biliary stent placement were retrospectively included.
Article Synopsis
- There is a rising concern regarding problematic cannabis use (PCU) in low- and middle-income countries like Jamaica, where cannabis has a rich cultural history, highlighting the need for further research.
- The study analyzed data from the Jamaica National Drug Prevalence Survey, focusing on 786 cannabis users to determine prevalence, sociodemographic factors, and psychosocial aspects linked to severe PCU.
- Findings revealed that over half of the cannabis users had severe PCU, with males and younger adults being at higher risk, and factors like early cannabis use onset, easy access, and perceived treatment needs contributing to these high prevalence rates.
Chronic physical illnesses (CPI) are highly prevalent among people with serious mental illnesses (PWSMI) yet people in this population experience significant challenges accessing healthcare. This study utilised a constructivist grounded theory approach to collect and analyse data related to the enablers and barriers to public healthcare access for PWSMI & CPI. Data were collected through semi-structured interviews conducted with fifty-seven participants comprising PWSMI &CPI and their caregivers, health policymakers, primary care physicians, psychiatrists, and mental health nurses.
View Article and Find Full Text PDFUpper gastrointestinal bleeding (UGIB) is a major cause of morbidity and mortality. Clinical symptoms that patients may present with include: hematemesis, coffee-ground emesis, melena, and hematochezia. Clinical signs can range from tachycardia to shock.
View Article and Find Full Text PDFBackground And Study Aims: Endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) has been well utilized in treating malignant gastric outlet obstructions (GOO) given its efficacy and lower risk profile compared to surgery. However, its efficacy and potential for use in patients with benign GOO who are poor surgical candidates is not well documented. The aim of this study was to examine the role of EUS-GJ in treatment of benign GOO in select patients.
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