A5077943640- Esophageal and GI Pathology
- Gastric Cancer Management and Outcomes
- Liver Disease and Transplantation
- Liver Disease Diagnosis and Treatment
- Helicobacter pylori-related gastroenterology studies
- Gastrointestinal disorders and treatments
- Mycobacterium research and diagnosis
- Microscopic Colitis
- Esophageal Cancer Research and Treatment
- Colorectal Cancer Treatments and Studies
- Gastrointestinal Tumor Research and Treatment
- Diverticular Disease and Complications
- Eosinophilic Esophagitis
- Gastroesophageal reflux and treatments
- Colorectal Cancer Screening and Detection
- Diagnosis and treatment of tuberculosis
- Pneumocystis jirovecii pneumonia detection and treatment
- Immunodeficiency and Autoimmune Disorders
- Chronic Myeloid Leukemia Treatments
- Tea Polyphenols and Effects
- Abdominal vascular conditions and treatments
- Cystic Fibrosis Research Advances
- Ginkgo biloba and Cashew Applications
- Neutropenia and Cancer Infections
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
Queen's Medical Center
2020-2024
Englewood Hospital and Medical Center
2022
University of Hawaiʻi at Mānoa
2020-2022
University of Hawaii System
2020-2022
University of Missouri
2022
East Tennessee State University
2022
California Pacific Medical Center
2021
Queens Hospital Center
2020
Banner - University Medical Center Tucson
2013-2017
Carondelet Health
2017
McKittrick-Wheelock Syndrome is a rare disorder, noted for electrolyte and fluid depletion caused by secretory colorectal adenomas carcinomas. We report here the first reported case of 55-year-old man with large rectal villous adenoma coexistent poorly differentiated neuroendocrine tumor rectum presenting Syndrome. Palliative chemotherapy resulted in complete resolution symptoms improved quality life.
Background: The natural course of hepatic fibrosis in HCV allograft recipients with sustained virological response (SVR) after anti-HCV therapy remains debatable. aim this study was to examine the progression a cohort patients who achieved SVR compared those without treatment. Methods: 167 met inclusion and exclusion criteria were chosen from transplant database. All required have histological evidence recurrent infection post-liver transplantation follow-up biopsy. 140 these had received...
Collagenous colitis is a chronic inflammatory condition and one type of bigger entity, microscopic colitis. associated with autoimmune diseases, such as psoriatic arthritis, suggesting an immune mechanism involved in the pathogenesis disease. New onset flares bowel disease have been use secukinumab, but no cases reported yet. We present case 41-year-old woman arthritis treated secukinumab who developed diarrhea was found to collagenous
INTRODUCTION: Mucormycosis is an opportunistic fungal infection typically occurring in the sinuses, lungs, or skin. Though rare, it has 85% mortality rate when presenting with gastrointestinal manifestations. It requires aggressive anti-fungals and often extensive debridement. We present a case of massive upper GI bleeding secondary to large gastric ulcer, suspicious for neoplasm, but biopsy yielding mucormycosis, which improved antifungal treatment. CASE DESCRIPTION/METHODS: A 74-year-old...
Purpose: Ipilimumab is a humanized monoclonal antibody that blocks the inhibitory receptor of cytotoxic T lymphocyte antigen 4 (CTLA-4), resulting in T-cell activation, proliferation, and infiltration into tumors, leading to tumor cell death. Normal host cells can be affected autoimmune colitis result. In this case, infliximab was used treatment ipilimumab-induced immune after patient failed respond high-dose steroids. Case: A 44-year-old female with metastatic melanoma lungs, brain, skin,...
INTRODUCTION: Nintedanib slows disease progression in patients with idiopathic pulmonary fibrosis (IPF). The most frequent adverse effects of nintedanib are nausea and diarrhea which reversible following dose reduction, drug discontinuation, or symptomatic therapy. This is a case 60-year-old female IPF on found to have colitis screening colonoscopy. CASE DESCRIPTION/METHODS: A Japanese breast carcinoma status post mastectomy was referred for surveillance Colonoscopy showed evidence...
INTRODUCTION: Collagenous colitis is a chronic inflammatory condition and one type of bowel disease (IBD). Endoscopically, the colonic mucosa appears normal, biopsy needed for diagnosis. Association new onset IBD as well exacerbation existing with use an IL-17 A antagonist (Secukinumab) has been reported in literature. We report case 41-year-old female psoriatic arthritis treated Secukinumab who developed diarrhea was found to have collagenous colitis. CASE DESCRIPTION/METHODS: past medical...
INTRODUCTION: Transient esophageal motor dysfunction in patients receiving vincristine is a rare complication. Patients often show varying degrees of peripheral neuropathy; however, severe dysphagia lesser known but potentially life-threatening side-effect. CASE DESCRIPTION/METHODS: An 82-year-old Filipino male with stage III mature B-cell lymphoma, sick sinus syndrome, hepatitis B, BPH, and HLD, presented acute starting one day prior to admission. Five days prior, he received induction...
INTRODUCTION: Acute esophageal necrosis (AEN) is a rare but important cause of hematemesis, melena, dysphagia, and chest pain typically seen in patients with vascular disease which circumferentially embodies the esophagus GEJ (gastroesophageal junction) sparing. We present case hematemesis secondary to AEN. CASE DESCRIPTION/METHODS: A 70-year-old male ESRD, DM, prior CVA on Eliquis, altered mental status, hypotension, neck, back, pain. In ED, he was hypotensive 67/51mmHg, had coffee ground...
Plummer-Vinson syndrome (PVS), the triad of dysphagia, iron-deficiency anemia (IDA), and esophageal webs, is a relatively rare disease entity that mostly observed in Caucasian populations Scandinavia North America. As these regions have become more developed with improved nutrition, PVS now commonly seen developing world. We present case 29-year-old Pacific-islander woman who presented progressive dysphagia IDA was found to an web Helicobacter pylori (H. pylori) gastritis on upper endoscopy....
Radiofrequency ablation (RFA) is effective and safe in the treatment of Barrett's esophagus [1]. The incidence esophageal stricture after RFA reported to be up 8 % [2]. Stricture rates may increased with long-segment esophagus. Strictures are treated endoscopically balloons or Savary dilators; however, there a risk perforation these treatments. We report on successful patient following using self-expanding metal stent (SEMS).
Introduction: Since the 2007 guidelines published by American College of Gastroenterology (ACG), there has been no recent survey screening, testing, and treatment practices for Helicobacter pylori among gastroenterology providers. Methods: A total 8,385 online surveys were distributed using a database U.S.-based Demographic information self-reported related to diagnosis H.pylori infection was collected. Univariate bivariate analyses performed data manager, STATA 12.0. Results: Out 3,041...
Introduction: Strongyloidiasis is a parasitic infection caused by roundworms endemic to tropical and subtropical regions. Infection often asymptomatic or may present with nonspecific symptoms. Presented here are 2 cases of diagnosed through findings smooth yellow nodules on colonoscopy. Case Description/Methods: We Strongyloides discovered routine screening colonoscopy after biopsy round yellowish-white bumps revealed eosinophilia. Both patients were Filipino males who born raised in the...
Introduction: Cystic Artery Pseudoaneurysm (CAP) is a rare cause of hemobilia. The incidence hemobilia 2-5% in upper gastrointestinal bleeding with cholecystectomy-related iatrogenic injury being the most common cause. A high index suspicion for should be considered patients cholecystitis and otherwise unexplained GI hemorrhage. Case Description/Methods: 64-year-old man atrial fibrillation heart failure presented to emergency department melena. He was hospitalized one-week prior due similar...
Introduction: A patient with alcohol use disorder presenting acute intoxication may present an upper GI bleed due to gastritis or a Mallory-Weiss tear. Often, the bleeding resolves as impetus is treated. Mesh-related complications following hiatal hernia repair remain relatively infrequent. Literature primarily reports mesh migration into stomach. This report discusses unusual complication: perforation GE junction of esophagus. Case Description/Methods: 55-year-old man history complicated by...
Introduction: Laparoscopic surgery is associated with shorter length of hospital stay, reduced pain, and recovery times when compared to open abdominal surgery. A rare complication laparoscopy bowel injury due laceration or electrocautery, leading perforation. We present a case lower GI bleeding perforated rectum after laparoscopic Case Description/Methods: 43-year-old woman was admitted for rectal bleeding. She had history hysterectomy bilateral salpingo-oophorectomy lysis adhesions...
Introduction: Hyperplastic polyps are one the most common types of found in gastric epithelium. Its pathogenesis is usually associated with inflammation secondary to chronic gastritis. Solid organ transplant recipients have been described an increased incidence hyperplastic polyps, although reason for this association remains unclear. Presented here a case post-renal patient who has had recurrent polyps. Case Description/Methods: We present 66-year-old Korean man history renal following...