Muzaffar Rashid Shawl

Use of a planned dual-gateway technique for endoscopic ultrasound-guided management of a large symptomatic pancreatic pseudocyst associated with complete pancreatic duct disruption in chronic pancreatitis

Akash Goel, Pankaj Singh, Vikas Singla, Muzaffar Rashid Shawl et autres

Endoscopic ultrasound (EUS)-guided drainage is the preferred treatment for symptomatic pancreatic pseudocysts.In patients with complete pancreatic duct disruption, prolonged transmural drainage may be needed to prevent recurrence after removal of lumen-apposing metal stents (LAMS).However, collapse of the pseudocyst cavity after LAMS removal …

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Endoscopic Ultrasound–Endoscopic Retrograde Pancreatography (EUS–ERP) Synergy in Detecting Small Pancreatic Tumours

Pankaj Singh, Vikas Singla, Muzaffar Rashid Shawl, Pankaj Kumar Gupta

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Trans-nasal PEG: An alternative approach to conventional PEG in patients with restricted mouth opening

Akash Goel, Pankaj Singh, Muzaffar Rashid Shawl, Vikas Singla

Enteral nutrition is crucial and prognostically significant in patients with advanced malignancies.However, in many such patients, limited mouth opening renders conventional percutaneous endoscopic gastrostomy (PEG) tube placement impossible.Available options include a long-term indwelling naso-gastric tube or a surgical feeding jejunostomy.Long-term naso-gastric tube …

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Endoscopic Submucosal Dissection for a Large Gastric Intramucosal Neoplasm

Akash Goel, Vikas Singla, Pankaj Singh, Pankaj Kumar Gupta et autres

A 64-year-old man presented with complaints of dyspepsia and epigastric burning for 3 months. In view of advanced age, patient underwent esophagogastroduodenoscopy (EGD) elsewhere and was diagnosed to have Helicobacter pylori gastritis and received eradication for the same. Patient was referred to …

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Percutaneous cholangioscopy-assisted rendezvous endoscopic retrograde cholangiography technique for a difficult postliver transplant anastomotic stricture

Pankaj Singh, Vikas Singla, Akash Goel, Muzaffar Rashid Shawl et autres

Background and Aims: In cases of postliver transplant biliary stricture with double-duct anastomsis, double-duct stenting is absolutely necessary to preserve graft function. Methods: We present a successful technique of percutaneous cholangioscopy-assisted rendezvous ERCP for difficult anastomotic stricture after failure of cholangioscopy-guided wire …

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