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Infra-colic gastrostomy: Technique and anatomical considerations

Wong JJ, Ganti S, Mullan D, Edwards D, Laasch HU

Background: Infra-colic radiologically inserted gastrostomy is not well documented, and the presence of an insertion window solely below the transverse colon is generally regarded as a contraindication to gastrostomy insertion....
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The vanishing stent: Repeated fracture and dissolution of nitinol gastric stents in a long term cancer survivor

Randle Lunt C, Najaran P, Edwards DE, Bell JK, Mullan D, Laasch HU

Nitinol self expandable metal stents are increasingly utilised for malignant obstruction in the proximal gastrointestinal tract. We describe a case in which repeated fracture of proximal duodenal stents with dissolution...
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Biodegradable stent insertion for ischaemic colorectal strictures: Tiger country

Najran PS, Mullan D, Laasch HU

We describe our initial experience with the use of biodegradable (BD) stents in benign ischemic colorectal strictures with two cases. The first case is of a 40-year-old male with a...
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Percutaneous colonic stent insertion via a radiologically placed distal 'cecostomy' tube for the management of acute malignant bowel obstruction

Najran PS, Kallampallil J, Bell J, Laasch HU, Mullan D

Percutaneous cecostomy is an uncommon procedure but is reported as an effective temporising measure to achieve acute decompression of bowel obstruction. It has been reported as a safe procedure in...
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The obstructed afferent loop: Percutaneous options

Mullan D, Uberoi R

Endoscopic drainage can be considered the treatment of choice in benign and malignant obstruction of the distal biliary tree, with percutaneous intervention reserved for cases of difficult access or complex...
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Coil occlusion of anal cushions in severe lower gastrointestinal haemorrhage

Najran PS, Wilson M, Mullan D

Coil occlusion of colonic vessels is uncommon due to a risk of colonic ischemia and perforation, and should only be performed as a bridge to emergent surgery. Colonic haemorrhage can...
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