Browsing by Author "Santosh, D"
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Item Endoscopic ultrasound-guided biliary stent placement using Soehendra stent retriever.(2007-07-08) Lakhtakia, Sandeep; Gupta, Rajesh; Ramchandani, Mohan; Santosh, D; Rao, G V; Reddy, D NageshwarSymptomatic bilary obstruction with duodenal nar-rowing requires either surgical or percutaneous biliary drainage procedure. We report a 54-year-old woman suffering from carcinoma of the head of pancreas, who had combined duodenal and bilary obstruction and underwent successful endoscopic ultrasound-guided transduodenal biliary stent placement.Item Narrow band imaging cholangioscopy in hilar cholangiocarcinoma.(2010-03) Gupta, Rajesh; Lakhtakia, Sandeep; Santosh, D; Anuradha, S; Tandan, Manu; Ramchandani, Mohan; Rao, G V; Reddy, D NageshwarPer oral cholangioscopy has been developed as a diagnostic modality for evaluation of bile duct lesions. Per oral cholangioscope with narrow band imaging (NBI) system can provide good quality images of bile duct lesions. There is limited data on per oral cholangioscopy using NBI in biliary tract diseases. We report our experience of NBI cholangioscopy in hilar strictures.Item Safety of therapeutic ERCP in pregnancy - an Indian experience.(2005-07-06) Gupta, Rajesh; Tandan, Manu; Lakhtakia, Sandeep; Santosh, D; Rao, G V; Reddy, D NINTRODUCTION: Only limited data are available regarding the safety of therapeutic ERCP in pregnancy. We report our experience with therapeutic ERCP in pregnant women. METHODS: Medical records of 18 pregnant women (first trimester 4, second 6, third 8) who underwent ERCP between July 1994 and December 2004 were reviewed. Patients and their families were contacted to assess the well being of mother and baby. RESULTS: All the women underwent therapeutic ERCP and biliary sphincterotomy for common bile duct (CBD) stones. In 4 patients, 10-Fr CBD stents were inserted; three of these four cases required mechanical lithotripsy after delivery. Median procedure time was 17 min and median fluoroscopy time was 8 seconds. One patient each developed mild post ERCP pancreatitis and post sphincterotomy bleed. One woman had a preterm delivery. At follow up after a median of 6 years, all the babies were healthy. CONCLUSION: Therapeutic ERCP can be performed safely in all the trimesters of pregnancy provided appropriate precautions are taken.