Publications by authors named "Terry Yeager"

4 Publications

  • Page 1 of 1

Percutaneous removal of a retained appendicolith causing recurrent perihepatic abscesses between the liver and diaphragm.

BMJ Case Rep 2019 Jul 18;12(7). Epub 2019 Jul 18.

Department of Interventional Radiology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.

Many cases of appendicitis can be associated with appendicoliths. These may sometimes be lost during appendectomies and may be lodged in the body. Most of these cases lead to recurrent abscess formation, and these appendicoliths invariably need removal. Typically, this used to be done as an open surgery or laparoscopically. Here we describe the case of a transcutaneous removal of an appendicolith that was lodged between the liver and diaphragm that led to recurrent perihepatic abscess formation in a 24-year-old otherwise healthy man. The patient made a successful recovery without any recurrence. A transcutaneous approach to remove a retained appendicolith may be a feasible, a safe and an easy method to extract appendicoliths that are accessible for transcutaneous removal.
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http://dx.doi.org/10.1136/bcr-2019-230176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6663240PMC
July 2019

Non-surgical management of Boerhaave's syndrome: a case series study and review of the literature.

Endosc Int Open 2018 Jan 16;6(1):E92-E97. Epub 2018 Jan 16.

Department of Gastroenterology, University of South Dakota - Sanford School of Medicine, Sioux Falls, South Dakota, United States.

Background And Study Aims:  Boerhaave's syndrome (BS) is a life-threatening condition with morbidity and mortality rates as high as 50 % in some reports. Until recently, surgical intervention has been the mainstay of management plans. With advances in therapeutic endoscopy, however, there has been increasing interest in non-surgical options including endoscopic esophageal stenting.

Patients And Methods:  We reviewed the medical records of all patients diagnosed with BS and managed with endoscopic interventions between November 2011 and November 2016. The following variables were collected: patient demographics, clinical presentations, locations of esophageal perforation, primary interventions, complications, and outcomes.

Results:  Six patients were found to be diagnosed with BS during the study period. The median age at presentation was 55. There were 4 males and 2 females. The most common site of perforation was in the distal esophagus. The most common presenting symptom was chest pain (67 %) following an episode of vomiting or retching. Four patients (66.7 %) developed septic shock. Endoscopic treatment with a fully covered esophageal stent was the primary intervention in all patients (100 %). Interventional radiology was consulted in all cases for fluid drainage and chest tube placements. Clinical resolution of the BS was achieved in all patients (100 %) without any subsequent surgical interventions. There were no deaths within the study group, and the average follow-up duration was 2 years.

Conclusion:  Endoscopic treatment seems to be an effective management strategy in patients with BS. We also noted satisfactory results in patients presenting with sepsis, presumably due to urgent, interventional radiology-guided fluid drainage.
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http://dx.doi.org/10.1055/s-0043-124075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770272PMC
January 2018

Percutaneous Endoscopic Management for Oriental Cholangiohepatitis: A Case Report and a Brief Review of the Literature.

Case Rep Gastrointest Med 2017 27;2017:8575674. Epub 2017 Aug 27.

Department of Gastroenterology, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USA.

Oriental cholangiohepatitis (OCH) is a disease characterized by intrabiliary pigment stone formation, resulting in recurrent bouts of cholangitis. OCH is found mostly in Southeast Asia but it is occasionally recognized in Western societies. OCH etiology is largely unknown. We report our experience with a patient who presented with acute cholecystitis. Following laparoscopic cholecystectomy, she developed acute cholangitis due to multiple biliary tree stones. She underwent ERCP to clear the stones from common bile duct. For the intrahepatic stones, she underwent novel hybrid percutaneous endoscopic technique. The procedure resulted in complete clearance of biliary tree stones and resolution of her symptoms. The aim of this case is to increase awareness of this disease when patients from endemic areas present with biliary stones.
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http://dx.doi.org/10.1155/2017/8575674DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5591995PMC
August 2017

Hybrid Percutaneous-Endoscopic Treatment for Acute Calculous Cholecystitis in a High-Risk Surgical Patient.

ACG Case Rep J 2017 19;4:e89. Epub 2017 Jul 19.

Department of Gastroenterology, Sanford School of Medicine, University of South Dakota, Sioux Falls, SD.

Acute cholecystitis (AC) has long been treated with percutaneous cholecystostomy (PC) in patients who are poor surgical candidates, but it is associated with high recurrence rate. We report our experience with a hybrid percutaneous-endoscopic technique in an elderly patient with AC who had received a PC. In this technique, a pediatric endoscope was introduced through the PC opening to the gallbladder, and the stones were visualized, fragmented, and extracted using a retrieval basket. The patient's AC resolved, and within 2 weeks the PC tube was removed. The patient remained asymptomatic at the 6-month and 1-year follow-up visits. We believe that if this method is replicated in large scale, it could be an effective alternative to cholecystectomy in nonsurgical candidates.
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http://dx.doi.org/10.14309/crj.2017.89DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519400PMC
July 2017