A5075080828- Esophageal and GI Pathology
- Tracheal and airway disorders
- Gastrointestinal Bleeding Diagnosis and Treatment
- Foreign Body Medical Cases
- Mycobacterium research and diagnosis
- Ovarian cancer diagnosis and treatment
- Adrenal and Paraganglionic Tumors
- Gastrointestinal disorders and treatments
- Airway Management and Intubation Techniques
- Lung Cancer Research Studies
- Urban Planning and Landscape Design
- Intestinal and Peritoneal Adhesions
- Viral-associated cancers and disorders
- Clinical Nutrition and Gastroenterology
- Nutrition and Health in Aging
- Colorectal Cancer Screening and Detection
- Helicobacter pylori-related gastroenterology studies
- Abdominal Surgery and Complications
- Dysphagia Assessment and Management
- Neuroendocrine Tumor Research Advances
- Gallbladder and Bile Duct Disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Biliary and Gastrointestinal Fistulas
- Hospital Admissions and Outcomes
- Minimally Invasive Surgical Techniques
University of Florida
2017-2021
Florida College
2017-2019
Malcom Randall VA Medical Center
2018
University of Florida Health
2017
California Energy Commission
2009
Background . Endoscopic dilation of postlaryngectomy strictures (PLS) is safe and effective; however, PLS are often refractory require serial dilations. Long-term outcomes in patients with not well reported. Materials Methods Seven dysphagia underwent endoscopic therapy during a 4.5-year period. Dilation characteristics, technical success, clinical diet advancement (as assessed by Diet/GT scale) were measured Results All complex, there no reported complications. The median number dilations...
Background: After inpatient management of upper gastrointestinal bleeding (GIB) due to peptic ulcer disease (PUD), oral proton pump inhibitor (PPI) therapy is recommended at discharge decrease rebleeding risk and improve healing. Our aim determine whether once-daily PPI dosing hospital associated with inferior 30-day outcomes as compared twice-daily dosing. Methods: We retrospectively identified 233 patients admitted signs symptoms GIB found be PUD on endoscopy. management, discharged were...
Primary adrenal leiomyosarcoma (PAL) is an extremely rare mesenchymal tumor with only a few isolated case reports in the medical literature. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) or endoscopic core biopsy (EUS-CB) safe, effective modality for sampling lesions gastrointestinal tract and adjacent organs, including glands. We describe of 50-year-old male presenting abdominal pain unintentional weight loss over course one year. CT imaging revealed 8.1 cm heterogeneous...
Colonic inflammation seen in inflammatory bowel disease (IBD) predisposes to the development of colorectal adenocarcinoma. In contrast, neuroendocrine carcinomas (NECs) have rarely been reported setting IBD, and no definitive relationship between these tumours IBD has established. Dysplasia from chronic leading cell differentiation may be responsible for NEC development, though this finding not consistently. We present a case large-cell carcinoma sigmoid colon 65-year-old woman with...
A 71-year-old woman who had previously undergone cholecystectomy several years prior presented with nausea, vomiting, and right upper quadrant abdominal pain.Computed tomography of her abdomen revealed a dilated common bile duct measuring 11 mm in diameter.She underwent endoscopic retrograde cholangiopancreatography (ERCP) for evaluation.A sphincterotomy balloon extraction white stones as the cause choledocholithiasis (Figure 1).Her symptoms resolved, she fully recovered to previous state health.
A 42-year-old woman with a history of cholangiocarcinoma on adjuvant chemotherapy capecitabine presented painless haematochezia. She was found to have an isolated twenty-five mm ulcer in the ascending colon. Biopsies ulceration demonstrated typical cytomegalovirus (CMV) inclusions and her peripheral blood CMV PCR significantly elevated. This is unusual case solitary proximal colon ulcer. Non-steroidal anti-inflammatory drugs, inflammatory bowel disease malignancy, are most frequent causes...
We present the case of a 56-year-old woman with contained esophageal perforation caused by ingestion chicken bone. Esophageal is life-threatening event that requires prompt diagnosis and treatment. Overall mortality can range from 20% to 30% but may increase as time passes without intervention. Common causes include medical instrumentation, foreign-body ingestion, trauma. Most perforations are due either fish or bones. They puncture wall directly cause pressure necrosis, ultimately leading...
Introduction Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) or core biopsy (EUS-CB) is a safe, effective modality for sampling adrenal lesions [1]. We present the first case of primary leiomyosarcoma diagnosed by EUS-CB. Case Description 50 year old male presented with abdominal pain and weight loss year. Physical exam labs were normal. Computed Tomography (CT) abdomen showed an 8.1 cm heterogeneous left mass several hypodense liver concerning metastatic disease. Positron...
Foreign body ingestion is a commonly encountered problem and can cause significant morbidity mortality. When removal of foreign from the upper gastrointestinal tract indicated, endoscopy modality choice has high reported success rate. However, in less than 1% cases, endoscopic unsuccessful surgical intervention necessary. We report unique case large, sharp metallic spring swallowed by an incarcerated patient which subsequently became lodged his thoracic esophagus. This was unable to be...
Introduction: Fecal immunochemical test (FIT) utilizes antibodies to detect the globin (protein) part of hemoglobin. Indications for FIT include screening colorectal cancer (CRC) and in cases anemia without any overt gastrointestinal (GI) bleeding. An abnormal could suggest presence CRC, polyps, hemorrhoids, or ulcers should be pursued with a colonoscopy evaluation. Despite these indications FIT, we realized there were numerous instances at VAMC which was obtained inappropriately inpatient,...