A5032487641- Pancreatic and Hepatic Oncology Research
- Liver Disease Diagnosis and Treatment
- Gallbladder and Bile Duct Disorders
- Pancreatitis Pathology and Treatment
- Pediatric Hepatobiliary Diseases and Treatments
- Gastrointestinal Tumor Research and Treatment
- Esophageal Cancer Research and Treatment
- Appendicitis Diagnosis and Management
- Gastrointestinal disorders and treatments
- Neuroendocrine Tumor Research Advances
- Alcohol Consumption and Health Effects
- Hepatocellular Carcinoma Treatment and Prognosis
- Healthcare cost, quality, practices
- Esophageal and GI Pathology
- Abdominal vascular conditions and treatments
- Intraperitoneal and Appendiceal Malignancies
- Primary Care and Health Outcomes
- Biliary and Gastrointestinal Fistulas
- Gastric Cancer Management and Outcomes
- Folate and B Vitamins Research
- Metastasis and carcinoma case studies
- Lymphatic Disorders and Treatments
- Bariatric Surgery and Outcomes
John Peter Smith Hospital
2024
Methodist Dallas Medical Center
2018-2020
AtlantiCare
2019
Regional Medical Center
2019
Detailed recommendations and guidelines for acute pancreatitis (AP) management currently exist. However, quality indicators (QIs) are required to measure performance in health care. The goal of the Acute Pancreatitis Task Force on Quality was formally develop QIs patients with known or suspected AP using a modified version RAND/UCLA Appropriateness Methodology.A multidisciplinary expert panel composed physicians (gastroenterologists, hospitalists, surgeons) who acknowledged leaders their...
Endoscopic ultrasound-guided liver biopsy (EUS-LB) is an effective and safe method of procuring tissue. The aims this study were to assess compare the outcomes tissue adequacy a single-pass, single-actuation, wet suction technique between 19 G 22 needles in patients undergoing EUS-LB.We performed prospective case series 20 EUS-LB at single center September 2017 April 2020. primary objective was evaluate differences sample via actuation core needle needle. Adequacy gauged by cumulative length...
The incidence of proximal pancreatic stent migration is unknown, though early studies report up to 5 %, with recently reported success rates < 80 % for retrieval using conventional techniques [1]. Stent remains challenging owing characteristically small duct diameters, strictures, tortuous distal course, location the genu, and small-caliber stents.
Introduction: Self-expanding metal stents have become a standard treatment for both benign and malignant esophageal strictures, but complications such as migration tissue overgrowth can arise. Though stent-in-stent (SIS) technique is commonly used removal of embedded partially-covered self-expanding stents, the optimal method fully-covered (FC-SEMS) not well known. In this case we describe use argon plasma coagulation (APC) an effective, cost-efficient FC-SEMS after failed SIS technique....
Introduction: Detailed recommendations and guidelines for acute pancreatitis (AP) management currently exist. However, serve a different purpose than quality indicators/measures. Quality indicators (QIs) are developed to measure performance in health care. The goal of the APTFQ was formally develop QIs AP patients utilizing modified version Rand/UCLA Appropriateness Methodology (RAM). Methods: methodology this study design is outlined Figure 1. A multidisciplinary expert panel...
A 50-year-old woman with no significant past medical history was referred to our clinic for evaluation and management of a large rectal tubulovillous adenoma high grade dysplasia that had been noted on routine screening colonoscopy.
INTRODUCTION: Minimally invasive surgery with surgical clip placement has become the gold standard for management of cholecystitis and biliary colic due to its favorable safety profile low risk complications. Though generally safe, clips can serve as a source complication years after cholecystectomy by migrating into common bile duct serving nidus stone formation. To date, very few cases this have been reported. While uncommon, should be considered in differential diagnosis...
INTRODUCTION: Non-alcoholic fatty liver disease (NAFLD) is pandemic across the world and has a wide spectrum of presentations. Both NAFLD its most severe histopathologic subtype, non-alcoholic steatohepatitis (NASH), can progress to cirrhosis, making early diagnosis pivotal. Liver histology critical for NASH, however little known about association social medical factors with histologic features. We are conducting retrospective analysis large single center database over 2000 patients proven...
Introduction: Following acute pancreatitis, patients can suffer complications related to injury from intense inflammation. Here we present a patient with refractory ascites for several months after resolution of an initial pancreatitis episode which was ultimately found be chylous. Further investigation revealed the suffering underlying retroperitoneal fibrosis (RPF). presence RPF is important consideration in setting persistent chylous and abdominal pain. Case Description/Methods: A 42 year...
Introduction: Neuroendocrine tumors (NETs) are a rare cancer of the gastrointestinal (GI) tract, accounting for less than 1% all colorectal cancers. GI NETs most commonly found in small bowel and may be completely asymptomatic incidental finding unless patient presents with obstruction or carcinoid syndrome. Here, we detail an unusual presentation who was eventually diagnosed ileocecal valve NET after presenting clinical signs symptoms concerning inflammatory disease (IBD). Case...