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Your search keyword '"Thierry Degrez"' showing total 3 results
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3 results on '"Thierry Degrez"'

1. Portal cavernography during endoscopic retrograde cholangiopancreatography: from bilhemia to hemobilia

Author

Rawad A. Yared, Paraskevas Gkolfakis, Arnaud Lemmers, Vincent Huberty, Thierry Degrez, Jacques Devière, and Daniel Blero

Subjects
endoscopic retrograde cholangiopancreatography, hemobilia, portal cavernography, portobiliary fistula, Internal medicine, RC31-1245, Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Portobiliary fistulas are rare but may lead to life-threatening complications. Biliary plastic stent-induced portobiliary fistulas during endoscopic retrograde cholangiopancreatography have been described. Herein, we present a case of portal cavernography and recurrent hemobilia after endoscopic retrograde cholangiopancreatography in which a portobiliary fistula was detected in a patient with portal biliopathy. This likely indicates a change in clinical presentation (from bilhemia to hemobilia) after biliary drainage that was successfully treated by placement of a fully covered, self-expandable metallic stent.

Published
2023
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3. Sequential tumor-directed and lobar radioembolization before major hepatectomy for hepatocellular carcinoma

Author

Philippe Delatte, Alain Hendlisz, Patrick Flamen, Thierry Degrez, Fikri Bouazza, Maria Gomez Galdon, Michael Vouche, and Vincent Donckier

Subjects
medicine.medical_specialty, Cirrhosis, Efficacy, Hepatocellular carcinoma, Traitement de potabilisation de l'eau, Case Report, behavioral disciplines and activities, Gastroenterology, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, mental disorders, medicine, Resectability, Radioembolization, Hepatology, business.industry, respiratory system, medicine.disease, digestive system diseases, Sequential, nervous system diseases, Technologie de l'environnement, contrôle de la pollution, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Traitement des eaux résiduaires, Safety, business, Major hepatectomy
Abstract

Preoperative radioembolization may improve the resectability of liver tumor by inducing tumor shrinkage, atrophy of the embolized liver and compensatory hypertrophy of non-embolized liver. We describe the case of a cirrhotic Child-Pugh A patient with a segment IV hepatocellular carcinoma requiring a left hepatectomy. Preoperative angiography demonstrated 2 separated left hepatic arteries, for segment IV and segments II-III. This anatomic variant allowed sequential radioembolizations, delivering high-dose 90Yttrium (160 Gy) to the tumor, followed 28 d later by lower dose (120 Gy) to segments II-III. After 3 mo, significant tumor response and atrophy of the future resected liver were obtained, allowing uneventful left hepatectomy. This case illustrates that, when anatomic disposition permits it, sequential radioembolizations, delivering different 90Yttrium doses to the tumor and the future resected liver, could represent a new strategy to prepare major hepatectomy in cirrhotic patients, allowing optimal tumoricidal effect while reducing the toxicity of the global procedure., SCOPUS: ar.j, info:eu-repo/semantics/published

Published
2017

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