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34篇 您的检索式:作者名="Gaidhane"
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1Management of pancreatic fluid collections: A comprehensive review of the literature显示文摘Pancreatic fluid collections(PFCs) are a frequent complication of pancreatitis. It is important to classify PFCs to guide management. The revised Atlanta criteria classifies PFCs as acute or chronic, with chronic fluid collections subdivided into pseudocysts and walled-off pancreatic necrosis(WOPN). Establishing adequate nutritional support is an essential step in the management of PFCs. Early attempts at oral feeding can be trialed in patients with mild pancreatitis. Enteral feeding should be implemented in patients with moderate to severe pancreatitis. Jejunal feeding remains the preferred route of enteral nutrition. Symptomatic PFCs require drainage; options include surgical, percutaneous, or endoscopic approaches. With the advent of newer and more advanced endoscopic tools and expertise, and an associated reduction in health care costs, minimally invasive endoscopic drainage has become the preferable approach. An endoscopic ultrasonography-guided approach using a seldinger technique is the preferred endoscopic approach. Both plastic stents and metal stents are efficacious and safe; however, metal stents may offer an advantage, especially in infected pseudocysts and in WOPN. Direct endoscopic necrosectomy is often required in WOPN. Lumen apposing metal stents that allow for direct endoscopic necrosectomy and debridement through the stent lumen are preferred in these patients. Endoscopic retrograde cholangio pancreatography with pancreatic duct(PD) exploration should be performed concurrent to PFC drainage. PD disruption is associated with an increased severity of pancreatitis, an increased risk of recurrent attacks of pancreatitis and long-term complications, and a decreased rate of PFC resolution after drainage. Any pancreatic ductal disruption should be bridged with endoscopic stenting.Amy Tyberg Kunal Karia Moamen Gabr Amit Desai Rushabh Doshi Monica Gaidhane Reem Z Sharaiha Michel Kahaleh 2016World Journal of Gastroenterology2016,22,7:15
2Safety of endoscopic retrograde cholangiopancreatography in pregnancy: Fluoroscopy time and fetal exposure, does it matter?显示文摘AIM: To estimate the fetal radiation exposure using thermoluminescent dosimeters (TLD's) in pregnant patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) and assess its relevance. METHODS: Data on thirty-five therapeutic ERCPs conducted in pregnant patients from 2001 to 2009 were retrieved from a prospective database. Techniques to minimize fluoroscopy time were implemented and the fluoroscopy times captured. TLD's were placed on the mother to estimate the fetal radiation exposure and the results were compared to the maximum allowed dose of radiation to the fetus [0.005 gray (Gy)]. Obstetrics consultations were obtained and the fetus was monitored before and after the ERCP. Fluoroscopy wasperformed at 75 kVp. ERCP was performed with the patients supine by dedicated biliary endoscopists performing more than 500 cases a year. RESULTS: A total of 35 pregnant patients underwent ERCP and biliary sphincterotomy (14 in first trimester, 11 in second trimester, and 10 in third trimester). Mean maternal age was 25 years (range 16-37 years) and mean gestational age was 18.9 wk (range 4-35 wk). Mean fluoroscopy time was 0.15 min (range 0-1 min). For 23 women, the estimated fetal radiation exposure was almost negligible (< 0.0001 Gy) while for 8 women, it was within the 0.0001-0.0002 Gy range. Three women had an estimated fetal radiation exposure between 0.0002 and 0.0005 Gy and 1 woman had an estimated fetal radiation exposure greater than 0.0005 Gy. Complications included 2 post-sphincterotomy bleeds, 2 post-ERCP pancreatitis, and 1 fatal acute respiratory distress syndrome. One patient developed cholecystitis 2 d after ERCP. CONCLUSION: ERCP with modified techniques is safe during pregnancy, and estimating the fetal radiation exposure from the fluoroscopy time or measuring it via TLD's is unnecessary.Ioana Smith Monica Gaidhane Allen Goode Michel Kahaleh 2013World Journal of Gastrointestinal Endoscopy2013,5,4:12
3Endoscopic ultrasonography guided drainage:Summary of consortium meeting,May 21,2012,San Diego,California显示文摘Endoscopic retrograde cholangiopancreatography(ERCP) is the preferred procedure for biliary and pancreatic drainage.While ERCP is successful in about 95% of cases,a small subset of cases are unsuccessful due to altered anatomy,peri-ampullary pathology,or malignant obstruction.Endoscopic ultrasound-guided drainage is a promising technique for biliary,pancreatic and recently gallbladder decompression,which provides multiple advantages over percutaneous or surgical biliary drainage.Multiple retrospective and some prospective studies have shown endoscopic ultrasoundguided drainage to be safe and effective.Based on the currently reported literature,regardless of the approach,the cumulative success rate is 84%-93% with an overall complication rate of 16%-35%.endoscopic ultrasoundguided drainage seems a viable therapeutic modality for failed conventional drainage when performed by highly skilled advanced endoscopists at tertiary centers with expertise in both echo-endoscopy and therapeuticMichel Kahaleh Everson LA Artifon Manuel Perez-Miranda Monica Gaidhane Carlos Rondon Takao Itoi Marc Giovannini 2015World Journal of Gastroenterology2015,21,3:6
4Safety and Efficacy of Radiofrequency Ablation in the Management of Unresectable Bile Duct and Pancreatic Cancer: A Novel Palliation Technique显示文摘Paola Figueroa-Barojas Mihir R. Bakhru Nagy A. Habib Kristi Ellen Jennifer Millman Armeen Jamal-Kabani Monica Gaidhane Michel Kahaleh Jose G. de la Mora-Levy 2013Journal of Oncology2013,,:5
5Endoscopic palliation of malignant biliary stricture显示文摘Malignant biliary strictures often present late after the window for curative resection has elapsed. In such patients, the goal of therapy is typically focused on palliation. While historically, palliative measures were performed surgically, the advent of endoscopic intervention offers minimally invasive options to provide relief of symptoms, improve quality of life, and in some cases, increase survival of these patients. Some of these therapies, such as endoscopic biliary decompression, have become mainstays of treatment for decades, whereas newer modalities, including radiofrequency ablation, and photodynamic therapy offer additional options for patients with incurable biliary malignancies.Sanjay M Salgado Monica Gaidhane Michel Kahaleh 2016World Journal of Gastrointestinal Oncology2016,8,3:3
6Pre‐ and post‐training session evaluation for interobserver agreement and diagnostic accuracy of probe‐based confocal laser endomicroscopy for biliary strictures显示文摘Jayant P. Talreja Brian G. Turner Frank G. Gress Sammy Ho Savreet Sarkaria Naveen Paddu Nikola Natov Sheila Bharmal Monica Gaidhane Amrita Sethi Michel Kahaleh 2014Digestive Endoscopy2014,,4:2
7Comparison of Metal Stenting with Radiofrequency Ablation Versus Stenting Alone for Treating Malignant Biliary Strictures: Is There an Added Benefit?显示文摘Reem Z. Sharaiha Nikola Natov Kati S. Glockenberg Jessica Widmer Monica Gaidhane Michel Kahaleh 2014Digestive Diseases and Sciences2014,,:2
8A computationally efficientapproach for template matching-based imageregistration显示文摘GAIDHANE GAIDHANE VILAS 2014Sadha-na2014,39,2:1
9Ghrelin:ghrelin as a regulatory Peptide in growth hormone secretion显示文摘Khatib N Gaidhane S Gaidhane AM 2014J Clin Diagn Res2014,8,8:1
10Endoscopic ultrasound‐guided endoluminal drainage of the gallbladder显示文摘Jessica Widmer Shashideep Singhal Monica Gaidhane Michel Kahaleh 2014Digestive Endoscopy2014,,4:1
11Endoscopic Ultrasound-Guided Radiofrequency Ablation (EUS-RFA) of the Pancreas in a Porcine Model显示文摘Monica Gaidhane Ioana Smith Kristi Ellen Jeremy Gatesman Nagy Habib Patricia Foley Christopher Moskaluk Michel Kahaleh Salem Omar 2012Gastroenterology Research and Practice2012,,:1
12Endoscopic ultrasonography‐guided cholecystogastrostomy in patients with unresectable pancreatic cancer using anti‐migratory metal stents: A new approach显示文摘Jessica Widmer Paloma Alvarez Monica Gaidhane Naveen Paddu Hiren Umrania Reem Sharaiha Michel Kahaleh 2014Digestive Endoscopy2014,,4:1
13Endoscopic ultrasound‐guided endoluminal drainage of the gallbladder显示文摘Jessica Widmer Shashideep Singhal Monica Gaidhane Michel Kahaleh 2014Digestive Endoscopy2014,,4:1
14Safety and Efficacy of Radiofrequency Ablation in the Management of Unresectable Bile Duct and Pancreatic Cancer: A Novel Palliation Technique显示文摘Paola Figueroa-Barojas Mihir R. Bakhru Nagy A. Habib Kristi Ellen Jennifer Millman Armeen Jamal-Kabani Monica Gaidhane Michel Kahaleh Jose G. de la Mora-Levy 2013Journal of Oncology2013,,:1
15Multimodality en- doscopic treatment of pancreatic duct disruption with stenting and pseudocyst drainage: how efficacious is it显示文摘Shrode CW Macdonough P Gaidhane M 2013Dig Liver Dis2013,45,2:1
16Ghrelin: ghrelin as a regulatory peptide in growth hormone secretion 显示文摘KHATIB N GAIDHANE S GAIDHANE A M 2014J Clin Diagu Res2014,8,8:1
17Safety and Efficacy of Radiofrequency Ablation in the Management of Unresectable Bile Duct and Pancreatic Cancer: A Novel Palliation Technique显示文摘Paola Figueroa-Barojas Mihir R. Bakhru Nagy A. Habib Kristi Ellen Jennifer Millman Armeen Jamal-Kabani Monica Gaidhane Michel Kahaleh Jose G. de la Mora-Levy 2013Journal of Oncology2013,,:1
18Probe-based confocal laser endomicroscopy in the pancreatic duct provides direct visualization of ductal structures and aids in clinical management显示文摘Michel Kahaleh Brian G. Turner Karl Bezak Reem Z. Sharaiha Savreet Sarkaria Michael Lieberman Armeen Jamal-Kabani Jennifer E. Millman Subha V. Sundararajan Ching Chan Shivani Mehta Jessica L. Widmer Monica Gaidhane Marc Giovannini 2014Digestive and Liver Disease2014,,:1
19Ghrelin: ghrelin as a regulatory Peptide in growth hormone secretion 显示文摘Khatib N Gaidhane S Gaidhane AM 2014J Clin Diagn Res2014,8,8:1
20Ghrelin : ghrelin as a regu- latory Peptide in growth hormone secretion 显示文摘Khatib N Gaidhane S Gaidhane AM 2014J Clin Disgn Res2014,8,8:1
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