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Your search keyword '"Vedantam, Shyam"' showing total 28 results
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28 results on '"Vedantam, Shyam"'

14. “Infiltrative” Versus “Mass-Forming” Pancreatic Cancer: A New Radiological Classification System for Pancreatic Head Ductal Carcinoma and Its Pathological Correlation

Author

Darwish, Muhammad B., primary, Logarajah, Shankar, additional, McLaren, Patrick J., additional, Benzie, Annie L., additional, Schmidt, Jason, additional, Saad, Assad J., additional, Salicru, Mauricio, additional, Jackson, Terence, additional, Vedantam, Shyam, additional, Carenza, Jeffery, additional, Sanders, Clayton, additional, Nagatomo, Kei, additional, Cho, Edward, additional, Osman, Houssam, additional, and Jeyarajah, Dhiresh Rohan, additional

Published
2022
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16. No difference in outcomes with 15 mm vs. 20 mm lumenapposing metal stents for endoscopic ultrasound-guided gastroenterostomy for gastric outlet obstruction: a meta-analysis.

Author

Vedantam, Shyam, Shah, Rahil, Bhalla, Sean, Kumar, Shria, and Amin, Sunil

Subjects
*GASTRIC outlet obstruction, *GASTROENTEROSTOMY, *METALS
Abstract

Background/Aims: We compared outcomes between use of 15 vs. 20 mm lumen-apposing metal stents (LAMSs) in endoscopic ultrasound- guided gastroenterostomy (EUS-GE) for gastric outlet obstruction. Methods: Databases were queried for studies that used LAMS for EUS-GE to relieve gastric outlet obstruction, and a proportional meta- analysis was performed. Results: Thirteen studies were included. The 15 mm and 20 mm LAMS had pooled technical success rates of 93.2% (95% confidence interval [CI], 90.5%-95.2%) and 92.1% (95% CI, 68.4%-98.4%), clinical success rates of 88.6% (95% CI, 85.4%-91.1%) and 89.6% (95% CI, 79.0%-95.1%), adverse event rates of 11.4% (95% CI, 8.1%-15.9%) and 14.7% (95% CI, 4.4%-39.1%), and reintervention rates of 10.3% (95% CI, 6.7%-15.4%) and 3.5% (95% CI, 1.6%-7.6%), respectively. Subgroup analysis revealed no significant differences in technical success, clinical success, or adverse event rates. An increased need for reintervention was noted in the 15 mm stent group (pooled odds ratio, 3.59; 95% CI, 1.40-9.18; p=0.008). Conclusions: No differences were observed in the technical, clinical, or adverse event rates between 15 and 20 mm LAMS use in EUSGE. An increased need for reintervention is possible when using a 15 mm stent compared to when using a 20 mm stent. [ABSTRACT FROM AUTHOR]

Published
2023
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28. Endoscopic Ultrasound-Guided Biliary Interventions in Liver Disease

Author

Vedantam, Shyam and Amin, Sunil

Abstract

If ERCP fails in cases of biliary obstruction and jaundice, percutaneous drains have been traditionally the current second-line option. EUS-guided biliary drainage (EUS-BD) with choledocoduodenostomy or hepaticogastrostomy are alternative modalities that have shown equivalent or better technical and clinical success compared with percutaneous drainage. Similarly, EUS-guided gallbladder drainage has emerged as a therapeutic option in acute cholecystitis as well. Furthermore, EUS-BD avoids some of the pitfalls of percutaneous drainage. Current research in EUS-BD involves optimizing devices to improve technical and clinical success. In centers with advanced endoscopists trained in these procedures, EUS-guided biliary drainage is an excellent second-line modality.

Published
2021
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