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6篇 您的检索式:作者名="Derek Manas"
    题名 作者 年代 出处 被引量
1Potentially fatal haemobilia due to inappropriate use of an expanding biliary stent显示文摘AIM: To highlight the fatal complication caused by expanding biliary stents and the importance of avoiding use of expanding stent in potentially curable diseases.METHODS: Arteriobiliary fistula is an uncommon cause of haemobilia. We describe a case of right hepatic artery pseudoaneurysm causing arteriobiliary fistula and presenting as severe malena and cholangitis, in a patient with a mesh metal biliary stent. The patient had lymphoma causing bile duct obstruction.RESULTS: Gastroduodenoscopy failed to establish the exact source of bleeding and hepatic artery angiography and selective embolisation of the pseudo aneurysm successfully controlled the bleeding.CONCLUSION: Bleeding from the pseudo aneurysm of the hepatic artery can be fatal. Mesh metal stents in biliary tree can cause this complication as demonstrated in this case.So mesh metal stent insertion should be avoided in potentially benign or in curable conditions. Difficulty in diagnosis and management is discussed along with the review of the literature.Rakesh Rai John Rose Derek Manas 2003World Journal of Gastroenterology2003,9,10:9
2Biliary cast syndrome:literature review and a single centre experience in liver transplant recipients显示文摘BACKGROUND:Biliary cast syndrome(BCS)is an unusual complication of orthotopic liver transplantation (OLTx),and its management is difficult.Limited success using endoscopic retrograde cholangiopancreatography (ERCP)or open exploration to clear casts has been reported, but failure usually results in re-transplantation.We aimed to review our experience with BCS and highlight a novel combined percutaneous and endoscopic approach for duct clearance.A brief review of the literature is given. METHODS:We retrospectively reviewed our experience of managing BCS using case notes review.Details were also gathered from radiology,where interventional procedures were carried out. RESULTS:We had a total of three cases of BCS reported between 2002 and 2005.Multiple attempts were made to remove these casts.All three were treated in a variety of ways.Management is discussed along with highlighting a novel combined percutaneous and endoscopic approach for duct clearance. CONCLUSIONS:BCS is a potential complication of OLTx. Surgical and endoscopic methods of removing casts are used.However,in circumstances where these methods are technically difficult,a percutaneous endoscopic approach with serial dilatation of the cutaneous port and surgical removal of casts can be done.Narasimhaiah Srinivasaiah Mettu Srinivas Reddy Schlok Balupuri David Talbot Bryon Jaques Derek Manas 2008Hepatobiliary & Pancreatic Diseases International2008,7,3:8
3Radiofrequency ablation of recurrent cholangiocarcinoma after orthotopic liver transplantation—a case report显示文摘AIM: To report the use of radiofrequency ablation in the treatment of recurrenct cholangiocarcinoma in the transplanted liver.METHODS: A lady who underwent orthotopic liver transplantation (OLT) for intrahepatic cholangiocarcinoma recurrence of tumour 13 mo after tralsplantation inspite of adjuvant chemotherapy. Her recurrent tumour was treated with radiofrequency ablation.RESULTS: She survived for 18 mo following the recurrence of her tumour.CONCLUSION: Radiofrequency ablation can be used safely in the transplanted liver to treat recurrent tumour.Rakesh Rai Derek Manas John Rose 2005World Journal of Gastroenterology2005,11,4:4
4Use of Fibrin-Based Sealants and Gelatin-Matrix Hemostats in Laparoscopic Liver Surgery显示文摘Rehan Saif Mathew Jacob Stuart Robinson Amien Amer Douglas Kei-Hui Gourab Sen Derek Manas Steve White 2011Surgical Laparoscopy Endoscopy & Percutaneous Techniques2011,,3:1
5SJES14121200034981显示文摘Jessica Dyson Bryan Jaques Dipankar Chattopadyhay Rajiv Lochan Janine Graham Debasish Das Tahira Aslam Imran Patanwala Sameer Gaggar Michael Cole Kate Sumpter Stephen Stewart John Rose Mark Hudson Derek Manas Helen L. Reeves 2014Journal of Hepatology2014,,1:1
6Summary of the British Transplantation Society/Renal Association UK Guidelines for Living Donor Kidney Transplantation显示文摘Peter A. Andrews Lisa Burnapp Derek Manas J. Andrew Bradley Chris Dudley 2012Transplantation2012,,7:1
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