Publications by authors named "Suprabhat Giri"

9 Publications

  • Page 1 of 1

Albumin for AKI in cirrhosis - Sham therapy or effective?

Liver Int 2021 Nov 24. Epub 2021 Nov 24.

Department of Gastroenterology, Seth GS Medical College and KEM Hospital, Mumbai, India.

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http://dx.doi.org/10.1111/liv.15114DOI Listing
November 2021

Screening for esophageal adenocarcinoma- Should we use Barrett's screening protocols?

Clin Gastroenterol Hepatol 2021 Nov 15. Epub 2021 Nov 15.

Department of Digestive Diseases and Clinical Nutrition TATA Memorial Hospital, Mumbai, India.

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http://dx.doi.org/10.1016/j.cgh.2021.11.015DOI Listing
November 2021

Does timing of endoscopy matter for acute upper gastrointestinal bleeding in pediatric portal hypertension?

Dig Liver Dis 2021 Nov 12. Epub 2021 Nov 12.

Department of Digestive Diseases and Clinical Nutrition, TATA Memorial Hospital, Mumbai, India.

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http://dx.doi.org/10.1016/j.dld.2021.10.008DOI Listing
November 2021

Decompensation in Patients With Advanced NAFLD: More Questions That Need Answering.

Clin Gastroenterol Hepatol 2021 Nov 6. Epub 2021 Nov 6.

Department of Digestive Diseases and Clinical Nutrition, TATA Memorial Hospital, Mumbai, India.

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http://dx.doi.org/10.1016/j.cgh.2021.10.043DOI Listing
November 2021

Approach to management of pancreatic strictures: the gastroenterologist's perspective.

Clin J Gastroenterol 2021 Dec 17;14(6):1587-1597. Epub 2021 Aug 17.

Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Homi Bhabha National Institute, Dr. E Borges Road, Parel, Mumbai, 400012, India.

Pancreatic strictures represent a complex clinical problem which often requires multidisciplinary management with a team of gastroenterologists, surgeons and radiologists. Dominant strictures are largely due to inflammatory processes of the pancreas like chronic pancreatitis. However, differentiating benign from malignant processes of the pancreas, leading to strictures is imperative and remains a challenge. With advances in endoscopic management, options for therapy include endoscopic retrograde cholangiopancreatography (ERCP), and endoscopic ultrasound-guided pancreatic drainage (EUS-PD) in situations where ERCP is not feasible or fails. However, endoscopic therapy is suited for a select group of patients and surgery remains key to management in many patients. In this narrative review, we look at the gastroenterologist's perspective and approach to pancreatic ductal strictures, including endoscopic and surgical management.
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http://dx.doi.org/10.1007/s12328-021-01503-6DOI Listing
December 2021

Budd-Chiari syndrome: consensus guidance of the Asian Pacific Association for the study of the liver (APASL).

Hepatol Int 2021 Jun 8;15(3):531-567. Epub 2021 Jul 8.

Institute of Liver and Biliary Sciences, New Delhi, India.

Budd Chiari syndrome (BCS) is a diverse disease with regard to the site of obstruction, the predisposing thrombophilic disorders and clinical presentation across the Asia-Pacific region. The hepatic vein ostial stenosis and short segment thrombosis are common in some parts of Asia-Pacific region, while membranous obstruction of the vena cava is common in some and complete thrombosis of hepatic veins in others. Prevalence of myeloproliferative neoplasms and other thrombophilic disorders in BCS varies from region to region and with different sites of obstruction. This heterogeneity also raises several issues and dilemmas in evaluation and approach to management of a patient with BCS. The opportunity to recanalize hepatic vein in patients with hepatic vein ostial stenosis or inferior vena cava stenting or pasty among those membranous obstruction of the vena cava is a unique opportunity in the Asia-Pacific region to restore hepatic outflow closely mimicking physiology. In order to address these issues arising out of the diversity as well as the unique features in the region, the Asia Pacific Association for Study of Liver has formulated these guidelines for clinicians.
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http://dx.doi.org/10.1007/s12072-021-10189-4DOI Listing
June 2021

Outcomes of Dilation of Recalcitrant Pancreatic Strictures Using a Wire-Guided Cystotome.

Clin Endosc 2021 Mar 4. Epub 2021 Mar 4.

Department of Gastroenterology, Seth GS Medical College and King Edward Memorial Hospital, Mumbai, India.

Background/aims: Pancreatic strictures in chronic pancreatitis are treated using endoscopic retrograde cholangiopancreatography (ERCP) with plastic stent placement. The management of recalcitrant strictures remains a challenge, with the use of a Soehendra stent retriever or a needle knife described in case reports. Here, we discuss our experience with dilation of dominant pancreatic strictures with a 6-Fr cystotome.

Methods: A retrospective review of an endoscopy database was performed to search for patients with pancreatic strictures recalcitrant to conventional methods of dilation in which a cystotome was used. Technical success was defined as the successful dilation of the stricture with plastic stent placement. Functional success was defined as substantial pain relief or resolution of pancreatic fistulae.

Results: Ten patients (mean age, 30.8 years) underwent dilation of a dominant pancreatic stricture secondary to chronic pancreatitis, with a 6-Fr cystotome. Seven patients presented with pain. Three patients had pancreatic fistulae (two had pancreatic ascites and one had a pancreaticopleural fistula). The median stricture length was 10 mm (range, 5-25 mm). The head of the pancreas was the most common location of the stricture (60%). Technical and functional success was achieved in all patients. One patient had self-limiting bleeding, whereas another patient developed mild post-ERCP pancreatitis.

Conclusions: The use of a 6-Fr cystotome (diathermy catheter) can be an alternative method for dilation of recalcitrant pancreatic strictures after the failure of conventional modalities.
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http://dx.doi.org/10.5946/ce.2020.297DOI Listing
March 2021

Outcomes of Endoscopic Management among Patients with Bile Leak of Various Etiologies at a Tertiary Care Center.

Clin Endosc 2020 Nov 21;53(6):727-734. Epub 2020 Aug 21.

Department of Gastroenterology, Seth GS Medical College and KEM Hospital, Mumbai, India.

Background/aims: Bile leak is a common complication of cholecystectomy, and it is also observed in other conditions such as ruptured liver abscess, hydatid cyst, and trauma. Endoscopic retrograde cholangiopancreatography (ERCP) is the first-line management for such conditions. However, studies on the outcomes of endoscopic management for bile leaks with etiologies other than post-cholecystectomy injury are extremely limited.

Methods: We conducted a retrospective review of patients with symptomatic bile leak who were referred to a tertiary care center and who underwent ERCP between April 2016 and April 2019. The primary outcome was complete symptomatic resolution without extravasation of the contrast medium during the second ERCP conducted after 6 weeks.

Results: In total, 71 patients presented with symptomatic bile leak. The etiologies of bile leak were post-cholecystectomy injury in 34 (47.8%), liver abscess in 20 (28.1%), and post-hydatid cyst surgery in 11 (15.4%) patients. All patients were managed with ERCP, sphincterotomy, and stent placement for 6 weeks, except for one who underwent surgery. The primary outcome was achieved in 65 (91.5%) of 71 patients. There was no significant difference in terms of outcome in relation to the interval between the diagnosis of bile leak and ERCP.

Conclusion: Most patients with bile leak can be successfully managed with ERCP even when performed on an elective basis.
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http://dx.doi.org/10.5946/ce.2020.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7719417PMC
November 2020

Von Hippel-Lindau Disease Presenting as Obstructive Jaundice.

ACG Case Rep J 2020 Feb 19;7(2):e00324. Epub 2020 Feb 19.

Department of Gastroenterology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

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http://dx.doi.org/10.14309/crj.0000000000000324DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145179PMC
February 2020
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