- Inflammatory Bowel Disease
- Microscopic Colitis
- Immunodeficiency and Autoimmune Disorders
- Eosinophilic Esophagitis
- Diverticular Disease and Complications
- Adolescent and Pediatric Healthcare
- Pregnancy and Medication Impact
- Liver Diseases and Immunity
- Gastrointestinal Bleeding Diagnosis and Treatment
- Esophageal and GI Pathology
- Colorectal Cancer Screening and Detection
- Colorectal Cancer Surgical Treatments
- Pharmaceutical studies and practices
- Diversity and Career in Medicine
- Gastrointestinal disorders and treatments
- Diagnosis and treatment of tuberculosis
- Reproductive System and Pregnancy
- Vitamin D Research Studies
- Autoimmune and Inflammatory Disorders
- Helicobacter pylori-related gastroenterology studies
- Primary Care and Health Outcomes
- Effects of Radiation Exposure
- Endometriosis Research and Treatment
- Liver Disease Diagnosis and Treatment
- Colorectal Cancer Treatments and Studies
Yale University
2021-2025
Virginia Commonwealth University
2012-2021
Hunter Holmes McGuire VA Medical Center
2015-2021
Virginia Commonwealth University Medical Center
2008-2012
University of Florida
2009-2011
Florida College
2010-2011
University of Ulster
2009
Altnagelvin Area Hospital
2009
Endoscopy-related injury (ERI) is common in gastroenterologists (GI). The study aim was to assess the prevalence of self-reported ERI, patterns injury, and endoscopist knowledge preventative strategies a nationally representative sample.A 38-item electronic survey sent 15,868 American College Gastroenterology physician members. completed by 1,698 members included analyses. Descriptive, univariate, multivariate analyses were conducted evaluate likelihood ERI based on workload parameters...
Abstract Objectives: Nonalcoholic fatty liver disease (NAFLD) is an increasingly prevalent clinical syndrome reflecting a mixture of pathological histology with the potential to progress cryptogenic cirrhosis. Liver biopsy (LB) only way determine severity disease. However, LB invasive, has complications and financial costs. The aim this study benefits early for diagnosis treatment. Methods: A decision tree model tracked outcomes NAFLD between LB‐directed approach vs. no initial LB. Each...
Introduction Targeted immunomodulators (eg, advanced therapies) effectively achieve symptomatic remission in patients with inflammatory bowel disease (IBD). However, ~25%–50% of IBD achieving an therapy may have continued endoscopically/radiologically active inflammation, and it is uncertain whether changing alternative therapies asymptomatic will reduce inflammation durable deep remission. Methods analysis The QUality Outcomes Treating to Target (QUOTIENT) study open-label, multicentre,...
DescriptionThe purpose of this American Gastroenterological Association (AGA) Institute Clinical Practice Update (CPU) is to review the available evidence and provide expert advice regarding management patients with an enteral stoma.MethodsThis CPU was commissioned approved by AGA Committee Governing Board timely guidance on a topic high clinical importance membership underwent internal peer external through standard procedures Gastroenterology Hepatology. This commentary incorporates...
Abstract Background Patients with inflammatory bowel disease (IBD) may be at higher risk for complications from radiation treatment prostate cancer. However, available data are limited, and controversy remains regarding the best approach IBD patients who develop Methods A retrospective cohort study across 4 Department of Veterans Affairs hospital systems. established were diagnosed treated cancer between 1996–2015 included. We assessed flares IBD, IBD-related hospitalizations, surgeries...
Abstract Background Patients with inflammatory bowel disease (IBD) are more susceptible to mental health problems than the general population; however, temporal trends in psychiatric diagnoses’ incidence or prevalence United States lacking. We sought identify these among patients IBD using national Veterans Heath Administration data. Methods ascertained presence of anxiety, depression, posttraumatic stress disorder veterans (ulcerative colitis Crohn’s disease) during fiscal years 2000–2015....
Background: Consequences of physician burnout include medical errors, higher rate staff turnover, and decreased patient satisfaction. We examined the prevalence identified contributing factors in gastroenterologists fellows training. Methods: performed 3 separate surveys through American College Gastroenterology. (1) A national survey practicing United States that measured factors, (2) a gastroenterology training to determine self-identified burnout, as well mitigating exacerbating (3)...
Abstract Background and study aims Endoscopy-related injury (ERI) is widespread among practicing gastroenterologists. However, less known about the incidence trainees. This assesses rate of self-reported ERI occurrence, patterns injury, knowledge preventive strategies in a nationally representative sample gastroenterology fellows. Methods A 38-item electronic survey was sent to members American College Gastroenterology. One hundred sixty-eight fellows were included analyses. Descriptive...
Abstract Background As treatments, management strategies, and the role of advanced practice providers (APPs) have evolved in recent years, Crohn’s & Colitis Foundation sought to understand educational resource needs clinicians caring for patients with inflammatory bowel diseases (IBDs). The aim this study was describe self-identified IBD knowledge gaps inform development future programming. Methods A survey containing 19 questions created by foundation’s Professional Education Committee,...
Streptococcus pneumoniae is an important pathogen responsible for severe pneumococcal diseases, including pneumonia, bacteraemia/sepsis, and meningitis. Inflammatory bowel disease [IBD] patients have increased risk infections due to altered immune system treatment with immunosuppressive medications. The aim of this study was assess the prevalence [SPD] evaluate impact vaccination on SPD in Veterans IBD.Subjects IBD were identified from VA Health Administration database using ICD9/10 codes....
Abstract Background Inflammatory bowel disease (IBD) treatment targets include mucosal healing based on standardized endoscopic scoring systems. The rates and ease of use these systems in practice have not been well described. We aimed to assess the factors associated with IBD from LIVE attendees. Methods Live is an international case-based conference focusing management patients IBD. created a web-based survey consisting 38 questions frequency various scores. This was emailed listserv March...
Abstract Background Colonoscopy withdrawal time (CWT) of at least 6–9 minutes is the minimum needed for adequate adenoma detection in general population. The ideal CWT patients with inflammatory bowel disease (IBD) has not been determined. We aimed to identify optimal associated visible dysplasia IBD. Methods This a retrospective study from 1/1/2017 9/1/2022 adult IBD endoscopic healing undergoing surveillance via high-definition white light colonoscopy. primary outcome was association...
Abstract Background Since 2009, inflammatory bowel disease (IBD) specialists have utilized “IBD LIVE,” a weekly live video conference with global audience, to discuss the multidisciplinary management of their most challenging cases. While cases presented were confirmed IBD, substantial number diseases that mimic IBD. We categorized all IBD LIVE and identified “IBD-mimics” consequent clinical implications. Methods Cases been recorded/archived since May 2018; we reviewed 371 from 2018–February...
BackgroundBiological therapies are effective for inducing and maintaining remission in inflammatory bowel disease (IBD), but patients often require changes biological agents over the course of their illness. We sought to evaluate rate reasons discontinuing identify risk factors discontinuation.
Abstract Background With the management of inflammatory bowel disease (IBD) becoming increasingly complex, incorporating preventive care health maintenance measures can be challenging. The aim developing these updated recommendations is to provide more specific details facilitate their use into a busy clinical practice setting. Method Fifteen statements were formulated with regarding target, timing, and frequency interventions in patients IBD. We used modified Delphi method literature review...