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Comprehensive analysis of adverse events associated with transmural use of LAMS in patients with liver cirrhosis: International multicenter study.
Endosc Int Open
June 2024
Division of Gastroenterology and Hepatology, Henry Ford Hospital, Detroit, United States.
Endoscopic ultrasound (EUS)-guided transmural (TM) deployment of lumen-apposing metal stents (LAMS) is considered relatively safe in non-cirrhotic patients and is cautiously offered to cirrhotic patients. This was a retrospective, multicenter, international matched case-control study to study the safety of EUS-guided TM deployment of LAMS in cirrhotic patients. Forty-three cirrhotic patients with model for end-stage liver disease score 12.
View Article and Find Full Text PDFAn Audit of Extrahepatic Portal Vein Obstruction: Experience from Tertiary Referral Center.
J Assoc Physicians India
July 2023
Ex Resident, Department of Gastroenterology, TN Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India.
Article Synopsis
- Extrahepatic portal vein obstruction (EHPVO) is a significant cause of portal hypertension in Indian patients, often presenting with upper gastrointestinal bleeding and abdominal pain.
- A study reviewed 318 patients over 8 years, revealing a mean age of 15.08 years, with many having a history of home delivery or umbilical sepsis, which are possible risk factors.
- Follow-up outcomes showed a high rebleeding rate (35.3%) and a prevalence of associated complications like esophageal varices (87.42%) and gallbladder varices (44.3%), leading to surgical interventions in a small percentage of cases.
Gallbladder Wall Thickness as a Non-Invasive Marker for Esophageal Varices: A Systematic Review and Meta-Analysis.
J Clin Exp Hepatol
September 2022
Baylor College of Medicine, Houston, USA.
Background: The early detection of esophageal varices (EV) is important in patients with chronic liver disease (CLD). Non-invasive diagnostic markers are preferred to avoid the cost and potential complications associated with endoscopy. The gallbladder venous blood is drained via small veins which terminate in the portal venous circulation.
View Article and Find Full Text PDFPericholecystic varices as the predominant manifestation in cryptogenic portal hypertension: A case report.
Curr Med Imaging
April 2023
Department of Hepatobiliary Surgery and Minimally Invasive Institute of Digestive Surgery and Prof. Cai's Laboratory, Linyi People's Hospital, Linyi 276000, China.
Background: Portal hypertension has various manifestations, and varices are a common manifestation. Varices can appear in any vein in the body associated with the portal venous system.
Case Presentation: Herein, we report a case of portal hypertension with gallbladder varices as the main manifestation, which was confirmed by abdominal contrast-enhanced CT with three-dimensional reconstruction and color Doppler ultrasonography.
Sonographic gallbladder wall thickness measurement and the prediction of esophageal varices among cirrhotics.
World J Hepatol
February 2023
Department of Hepatology, Gastroenterology and Infectious Diseases, Kafrelsheikh University, Kafr-Elshikh 33516, Egypt.
Acute variceal bleeding in patients with liver cirrhosis and portal hypertension (PHT) is the most serious emergency complication among those patients and could have catastrophic outcomes if not timely managed. Early screening by esophago-gastro-duodenoscopy (EGD) for the presence of esophageal varices (EVs) is currently recommended by the practice guidelines for all cirrhotic patients. Meanwhile, EGD is not readily accepted or preferred by many patients.
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