A5001405580- Pancreatic and Hepatic Oncology Research
- Pancreatitis Pathology and Treatment
- Gastrointestinal disorders and treatments
- Health and Medical Research Impacts
- Sarcoidosis and Beryllium Toxicity Research
- Colorectal Cancer Screening and Detection
- Diversity and Career in Medicine
- Diverticular Disease and Complications
- Multiple and Secondary Primary Cancers
- Primary Care and Health Outcomes
- Intestinal and Peritoneal Adhesions
- Intraperitoneal and Appendiceal Malignancies
- Fecal contamination and water quality
- Appendicitis Diagnosis and Management
- Pediatric Hepatobiliary Diseases and Treatments
- Autoimmune Bullous Skin Diseases
- Intestinal Malrotation and Obstruction Disorders
- Pneumothorax, Barotrauma, Emphysema
- Diagnosis and treatment of tuberculosis
- Abdominal vascular conditions and treatments
- Diabetes Treatment and Management
- Gastrointestinal Bleeding Diagnosis and Treatment
- Parathyroid Disorders and Treatments
- Enterobacteriaceae and Cronobacter Research
- Antibiotic Resistance in Bacteria
University of Oklahoma Health Sciences Center
2021-2024
University of Oklahoma
2023
Veterans Health Administration
2022
NewYork–Presbyterian Brooklyn Methodist Hospital
2018-2020
University of California, Berkeley
2013
Introduction: Zollinger-Ellison syndrome (ZES) is a rare entity consisting of tumors called gastrinomas in the stomach, pancreas, and duodenum. It usually presents with symptoms acid hyper secretion including abdominal pain, diarrhea, nausea, vomiting can be misdiagnosed as peptic ulcer disease, hiatal hernia, gastroesophageal reflux disease. Case Presentation: We report case ZES presenting duodenal perforation later mimicking hernia. This highlights complex presentation underscores...
Abstract The fifth leading cause of cancer-related deaths among women in the United States is ovarian cancer. An estimated 21,980 new cases and 14,270 occurred nationwide 2014. More than two-thirds cancer are diagnosed at stage III or IV when peritoneal cavity other organs affected. Primary appendiceal malignant neoplasms may mimic advanced-stage can be misdiagnosed because its presentation as a palpable adnexal mass. authors describe 42-year-old woman who was admitted to department...
An interactive quantitative temporal model of glucose intake, absorption and utilization in humans has been assembled using the Center for Research Education Aging Language (CREAL). CREAL is a language that can be used to describe biological systems from macro molecular scale. This displays concentration throughout gastrointestinal (GI) tract relation time. The rate through intestinal walls subsequent modulation insulin glucagon secretion rates graphed time as well depletion by various organ...
Introduction: Sessile serrated lesions (SSLs) are a precursor of colorectal cancer. However, identification these is challenging to Gastroenterologists, particularly those in training, due their nuanced presentation. To improve rates recognition, we explored the efficacy poster intervention on detection SSLs. Methods: The study occurred at Oklahoma City Veterans Health Administration (OKC VHA). was comprised posters displayed adjacent monitors procedure rooms, providing visual examples...
Introduction: Colonic angiodysplasia is characterized by dilated, thin-walled blood vessels which may present as GI bleeding and appear flat, red, fern-like lesions on colonoscopy. We describe an extraordinarily rare case of incidental finding polypoid arteriovenous malformation (AVM) only diagnosed after histologic examination. Case Description/Methods: a 51-year-old man with past medical history significant for polysubstance abuse traumatic brain injury who presented colorectal cancer...
Introduction: Hospital admissions due to acute pancreatitis have risen by 20% worldwide and 50% in the United States since 2000. Common complications of chronic include peripancreatic fluid collections (PFCs) such as pancreatic pseudocysts walled-off necrosis. Most PFCs disappear within 6 months, but up 15% can persist. While treatment for symptomatic has historically been surgical, advent endoscopic transmural drainage-cystogastrostomy-has provided a less invasive option. The aim this study...
Bezoars are collections of partially digested material in the gastrointestinal tract that can sometimes cause obstruction. We present a case gastric outlet obstruction caused by bezoar patient with anorexia nervosa. A 39-year-old woman history nervosa was admitted for two days' abdominal distension, nausea, and vomiting. She stated her symptoms started soon after she had “eaten too much food dinner.” denied being able to pass either flatus or stool since then. Her abdomen become...
Introduction: Women have historically been underrepresented in gastroenterology (GI). There few to no analyses of female representation within the academic ranks GI, much less a comparison productivity between men and women field. Methods: We did Google search each ACGME-accredited program identify faculty members, trainees, directors (PDs) as December 2017. found PDs sizes on ACGME site. used Scopus find person's h-index publications, confirmed their year certification ABIM website. Poisson...
Epidermolysis bullosa (EB) is an autoimmune disorder of epithelial proteins that leads to dehiscence the tissues between epidermis and dermis. The disease mostly in skin, but can affect lining organs such as esophagus. We present a case esophageal stricture due EB. A 66-year-old woman with EB presented food impaction. She reported having 5-6 impactions weekly for several decades she relieved by self-induced regurgitation. This episode was different because could not clear either or her...
Introduction: Gastroenterology (GI) has become increasingly competitive to enter with nearly 800 applicants trying match into 466 positions across 179 programs in 2016. No study date looked at academic productivity of GI programs. We aimed analyze publication metrics as measured by h-indices and total publications listed on Scopus for faculty, directors, trainees U.S. fellowship Methods: did a Google search each ACGME-accredited program identify faculty members, trainees, directors (PDs)...
INTRODUCTION: Sarcoidosis primarily isolated to the liver—hepatic sarcoidosis (HS)—is rare and typically presents with non-specific gastrointestinal (GI) symptoms, abnormal liver enzyme levels, radiological findings. We present a patient whom we determined have HS. CASE DESCRIPTION/METHODS: A 33-year-old woman without significant past medical history presented 3 months of worsening right upper quadrant pain 35-40 lb weight loss. She had no other specific complaints. Her exam was notable for...
INTRODUCTION: Treatment options for pancreatic cancer are well-established, but patients do not necessarily receive the same treatments various reasons including unequal access to care, differences in medical literacy, or cultural barriers. We investigated whether disparities existed management of based on sex and race at our university-affiliated, urban hospital from 1/1/2010 through 12/31/2018. METHODS: did a retrospective review all cases diagnosed 2010–2017 institution. used Fisher's...
INTRODUCTION: Idiopathic non-cirrhotic portal hypertension (INCPH) is characterized by without cirrhosis in setting of patent hepatic and veins, preserved synthetic function, no established etiology. We present a case idiopathic hypertension. CASE DESCRIPTION/METHODS: A 25-year-old Hispanic man presented with elevated liver enzymes. He was asymptomatic not taking any medications. His family history non-contributory. BMI 23 he rarely drank alcohol. examination unremarkable. Lab data showed...
INTRODUCTION: Drug-induced liver injury (DILI) is the most common cause of acute failure. DILI rare and characterized by elevated creatinine kinase (CK) enzymes without associated end-organ damage. We present a case daptomycin hepatotoxicity corresponding elevation in CK. CASE DESCRIPTION/METHODS: A 87-year-old man with history hypertension, hyperlipidemia, benign prostate hyperplasia, closed fracture distal lateral malleolus left ankle, atrial fibrillation on apixaban presented to ED from...
INTRODUCTION: Klebsiella Pneumoniae induced primary liver abscess (KLA) is defined as a hepatic invasive suppurating infection in the absence of any predisposing hepatobiliary disease or anatomical abnormalities. In rare occasions, it can produce disseminated infections and manifest endophthalmitis meningitis. More commonly, seen patient population from Southeast Asia, those with impaired host defenses, established disease. We present case Caucasian male, without significant risk factors,...