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150篇 您的检索式:作者名="Beckingham"
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1Percutaneous transhepatic cholangioscopy and lithotripsy in treating difficult biliary ductal stones: Two case reports显示文摘BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP) is preferred for managing biliary obstruction in patients with bilio-enteric anastomotic strictures(BEAS) and calculi. In patients whose duodenal anatomy is altered following upper gastrointestinal(UGI) tract surgery, ERCP is technically challenging because the biliary tree becomes difficult to access by per-oral endoscopy.Advanced endoscopic therapies like balloon-enteroscopy or rendevous-ERCP may be considered but are not always feasible. Biliary sepsis and comorbidities may also make these patients poor candidates for surgical management of their biliary obstruction.CASE SUMMARY We present two 70-year-old caucasian patients admitted as emergencies with obstructive cholangitis. Both patients had BEAS associated with calculi that were predominantly extrahepatic in Patient 1 and intrahepatic in Patient 2. Both patients were unsuitable for conventional ERCP due to surgically-altered UGl anatomy. Emergency biliary drainage was by percutaneous transhepatic cholangiography(PTC) in both cases and after 6-weeks' maturation, PTC tracts were dilated to perform percutaneous transhepatic cholangioscopy and lithotripsy(PTCSL) for duct clearance. BEAS were firstly dilated fluoroscopically,and then biliary stones were flushed into the small bowel or basket-retrieved under visualization provided by the percutaneously-inserted video cholangioscope. Lithotripsy was used to fragment impacted calculi, also under visualization by video cholangioscopy. Satisfactory duct clearance was achieved in Patient 1 after one PTCSL procedure, but Patient 2 required a further procedure to clear persisting intrahepatic calculi. Ultimately both patients had successful stone clearance confirmed by check cholangiograms.CONCLUSION PTCSL offers a pragmatic, feasible and safe method for biliary tract clearance when neither ERCP nor surgical exploration is suitable.Edward Alabraba Simon Travis Ian Beckingham 2019World Journal of Gastrointestinal Endoscopy2019,11,4:6
2Guidelines on the management of comlnon bile duct stones(CBDS)显示文摘Williams EJ Green J Beckingham I 2008Gut2008,57,7:1
3Guidelines on the management of common bile duct stones(CBDS)显示文摘Williams E J Green J Beckingham I 0,,07:1
4Surgical resection of colorectalliver metastases显示文摘Memom MA Beckingham IJ 2001Colorectal Dis2001,3,3:1
5British Society of Gastroenterology 显示文摘Williams E Green J Beckingham I Parks R Martin D Lombard M 2013Guidelines on the manage- ment of common bile duct stones (CBDS)2013,57,7:1
6Dynamic contrast-enhanced MR imaging of perianal fistulas显示文摘Spencer JA Ward J Beckingham U 1996AJR1996,167,:1
7Ductal dilatation and stentong for residual hepatolithiasis显示文摘Kirge JE Beckingham IJ Terblanche J 1999Gut1999,44,4:1
8The position of the vermiform appendix at laparoscopy显示文摘Irfan Ahmed Kristjan S. Asgeirsson Ian J. Beckingham Dileep N. Lobo 2007Surgical and Radiologic Anatomy2007,,2:1
9Is a T-tube nec essary after common bile duct explorat on? 显示文摘Ahmed I Pradhan C Beckingham IJ 2008World J Surg2008,32,7:1
10Guidelines on the management of common bile duct stones (CBDS)显示文摘Williams EJ Green J Beckingham I 2008Gut2008,57,7:1
11Is aT-tube necessary after common bile duct exploration显示文摘Ahmed I Pradhan C Beckingham IJ 0,,07:1
12Analysis of factors associated complications following renal transplant needle core biopsy 显示文摘Beckingham I J Nicholson M L Bell P R 1994Br J Urol1994,73,1:1
13Is a T-tube necessary after common bile duct exploration? 显示文摘Ahmed I Pradhan C Beckingham I J 2008World J Surg2008,32,7:1
14The position of the vermifom appendix at laparoscopy显示文摘Ahmed I Asgeirsson K Beckingham I J 2007surg Radiol Anat2007,29,2:1
15Increasing inci- dence of Clostrditm difficile infection, Australia, 2011 -2012显示文摘Slimings C Armstrong P Beckingham WD 2014Med J Aust2014,200,5:1
16Autonomous Control of Cell and Organ Size by CHICO, a Drosophila Homolog of Vertebrate IRS1–4显示文摘Ruth B?hni Juan Riesgo-Escovar Sean Oldham Walter Brogiolo Hugo Stocker Bernard F Andruss Kathy Beckingham Ernst Hafen 1999Cell1999,,7:1
17Percutaneous biliary metal wall stenting in malignant obstructive jaundice显示文摘Adrian A Indar Dileep N Lobo Andrew D Gilliam Roger Gregson Ian Davidson Simon Whittaker John Doran Brian J Rowlands Ian J Beckingham 2003European Journal of Gastroenterology & Hepatology2003,,:1
18Intravascular catheter bloodstream infections:an effective and sustained hospital-wide prevention program over 8 years显示文摘Collignon PJ Dreimanis DE Beckingham WD 2007Med J Aust2007,187,10:1
19Guidelines on the management of common bile duct stones显示文摘WILLIAMS E J GREEN J BECKINGHAM I 2008Gut2008,57,7:1
20Guidelines on the man- agement of common bile duct stones (CBDS) 显示文摘Williams EJ Green J Beckingham I 2008Gut2008,57,7:1
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