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    The role of percutaneous transhepatic biliary drainage in the management of benign and malignant biliary disease has diminished significantly with the advancement of interventional endoscopy. Currently, endoscopic drainage is the primary method for biliary decompression, because of its relative lack of complications and better patient tolerance compared with the transhepatic approach. 11. What are the indications for PTBD?.

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    Close monitoring by a multidisciplinary team and buy viagra online yahoo answers immediate delivery, treatment consists of admission to hospital. Histology is characterized by microvesicular fatty infiltration, mostly in centrilobular zones. Liver biopsy, if feasible, is diagnostic in the appropriate clinical context. Biopsy is confirmatory but not pathognomonic or indispensable in making the diagnosis.

    Recovery is usually buy viagra online yahoo answers complete, although it may be delayed in patients with significant clinical complications before delivery (e.g., DIC, renal failure, infections). 21. Is biopsy pathognomonic for AFLP?. Thirst, a symptom of underlying vasopressin-resistant diabetes insipidus, is characteristic to AFLP or HELLP syndrome. AFLP is suggested by hepatic failure at or near term or shortly after delivery in the absence of risk factors or serology suggesting viral hepatitis.

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    These are usually elderly patients with atrophic gastritis in which autoantibodies buy viagra online yahoo answers or H. And how does it differ from the other special forms of chronic gastritis?, 16. What is Ménétrier disease. Despite the discovery of H. Pylori cannot be found. These patients may represent advanced H. pylori–associated gastritis, but no proof of this has been forthcoming.

    There remains a small group of undiagnosed patients with the endoscopic and histologic features of chronic gastritis, pylori and advances in other forms of chronic gastritis.

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