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This video shows the technique for intrahepatic infusion of Islet cells for the treatment of type 1 diabetes mellitus. This patient has had a previous Islet cell transplant several years earlier with good improvement in glycaemic control. This had eventually failed requiring this second transplant. The technique is very similar to PTC, but in this case the portal vein is accessed rather than the biliary system. Islet cell transplantation can give up to 80% 1 year freedom from insulin. Pubmed Literature on Islet Cell Transplantation can be found here.   Dr Ralph Jackson,...

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Ultrasound guided gastrostomy
Added 21 June 2012

This technique is very useful in patients in whom NG access to inflate the stomach is not possible. An ultrasound puncture is made using a Skater set or other micropuncture set. Contrast is trickled in as the needle is withdrawn until it is seen to flow freely into the stomach. The Skater set can then be advanced over a guidewire into the stomach and used for air insuflation followed by standard gastrostomy insertion. (The background noise is due to the suction machine for the patients productice tracheostomy) Pubmed references can be found here Dr Phil Haslam, Consultant...

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