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您的检索式：作者名="Jeffrey Forris Beecham Chick"
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| 1 | Bugbee flexible electrocautery facilitates choledochoscopic biopsy,fulguration,and debulking of a high grade intraductal papillary neoplasm of the bile duct显示文摘Intraductal papillary neoplasm of the bile duct(IPNB)may occur in the setting of primary sclerosing cholangitis,choledochal cysts or hepatolithiasis[1].The entity may be a precursor of cancer or intrahepatic cholangiocarcinoma.Invasive carcinoma,tubular or mucinous adenocarcinoma is present in approximately 40%-80%of IPNBs[1–3].IPNB is frequently found in the resection margins of patients undergoing hepatectomy for cholangiocarcinoma[4].This report describes a patient with obstructive jaundice secondary to IPNB who underwent interventional radiology-operated choledochoscopic-guided flexible electrocautery and fulguration to facilitate diagnostic biopsy and debulking of intrabiliary tumor.Institutional review board approval was obtained for this report.A 35-year-old woman presented with scleral icterus and severe pruritus.Contrast-enhanced computed tomography(CT)showed severe biliary ductal dilatation,multiple large intra-biliary filling defects(Fig.1),and bilateral cavitary lung nodules.Endoscopic retrograde cholangiopancreatography(ERCP)at an outside hospital was unsuccessful.A 10-French external biliary drain was placed to provide drainage of the biliary system.However,the catheter could not penetrate the obstructed segment.Two weeks later,the patient presented with persistent jaundice,bilirubin of 16.6 mg/dL(normal:<1.2mg/dL),alkaline phosphatase of 527 IU/L(normal:Fig.1.Axial computed tomography image demonstrates diffuse intrahepatic biliary ductal dilatation(arrowheads)and a large mass(arrow)within the central biliary tree.Numerous additional filling defects in right and left sided bile ducts representing masses were also seen within the biliary tree,not pictured.30–116 IU/L),and CA 19–9 of 3029 U/mL(normal:0–40 U/mL).Interventional radiology was consulted to provide direct biliary visualization,obtain additional biopsies,and attempt internal/external biliary drain placement. | Ravi N Srinivasa Rajiv N Srinivasa Joseph J Gemmete Jeffrey Forris Beecham Chick | 2018 | Hepatobiliary & Pancreatic Diseases International2018，17，2： | 1 |
| 2 | Cesarean Section Scar Ectopic Pregnancy显示文摘 | Meaghan Marie Mackesy Jeffrey Forris Beecham Chick Jacob C. Mandell Bharti Khurana | 2013 | Journal of Emergency Medicine2013，，： | 1 |
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