A5034408036- Bariatric Surgery and Outcomes
- Esophageal and GI Pathology
- Gastric Cancer Management and Outcomes
- Body Contouring and Surgery
- Gastroesophageal reflux and treatments
- Dysphagia Assessment and Management
- Esophageal Cancer Research and Treatment
- Tracheal and airway disorders
- Gastrointestinal disorders and treatments
- Diet and metabolism studies
- Biliary and Gastrointestinal Fistulas
- Gallbladder and Bile Duct Disorders
- Metastasis and carcinoma case studies
- Pancreatic and Hepatic Oncology Research
- Gastrointestinal Tumor Research and Treatment
- Diabetes Treatment and Management
- Colorectal Cancer Screening and Detection
- Eosinophilic Esophagitis
- Voice and Speech Disorders
- Pharmacology and Obesity Treatment
- Intraperitoneal and Appendiceal Malignancies
- Gastrointestinal motility and disorders
- Dupuytren's Contracture and Treatments
- Gastrointestinal Bleeding Diagnosis and Treatment
- Minimally Invasive Surgical Techniques
Johns Hopkins University
2019-2024
Johns Hopkins Medicine
2019-2024
Johns Hopkins Bayview Medical Center
2022
Johns Hopkins Hospital
2019-2021
RELX Group (Netherlands)
2020
American University of Beirut
2017
Creative Commons
2017
Lebanese University
2017
<h3>Importance</h3> Pulse oximetry guides triage and therapy decisions for COVID-19. Whether reported racial inaccuracies in oxygen saturation measured by pulse are present patients with COVID-19 associated treatment is unknown. <h3>Objective</h3> To determine whether there differential inaccuracy of race or ethnicity among estimate the association such time to recognition eligibility threshold–specific therapies. <h3>Design, Setting, Participants</h3> This retrospective cohort study...
<b>Background</b> Treatment of Zenker's diverticulum has evolved from open surgery to endoscopic techniques, including flexible and rigid septotomy, more recently, peroral myotomy (Z-POEM). This study compared the effectiveness septotomy with that Z-POEM. <b>Methods</b> Consecutive patients who underwent (flexible/rigid) or Z-POEM for between 1/2016 9/2019 were included. Primary outcomes clinical success (decrease in Dakkak Bennett dysphagia score ≤ 1), failure, recurrence. Secondary...
Abstract Background Zenker’s peroral endoscopic myotomy (Z-POEM) is a novel procedure for the management of symptomatic diverticulum. This study aims to report technical feasibility and outcomes Z-POEM in diverticulum after prior failed interventions. Methods Patients with persistent or recurrent symptoms and/or surgical intervention were retrospectively included. The primary outcome was clinical success, defined as complete near resolution dysphagia (dysphagia score 0 1) without need repeat...
Abstract Background Endoscopic resection of lesions involving the appendiceal orifice remains a challenge. We aimed to report outcomes with full-thickness device (FTRD) for and identify factors associated occurrence appendicitis. Methods This was retrospective study at 18 tertiary-care centers (USA 12, Canada 1, Europe 5) between November 2016 August 2020. Consecutive patients who underwent an lesion using FTRD were included. The primary outcome rate R0 in neoplastic lesions, defined as...
Background Complete closure of large mucosal defects following colorectal endoscopic submucosal dissection (ESD) with through-the-scope (TTS) clips is oftentimes not possible. We aimed to report our early experience using a novel TTS suturing system for the after ESD. Methods performed retrospective multicenter cohort study consecutive patients who underwent attempted prophylactic defect The primary outcome was technical success in achieving complete closure, defined as < 5 mm residual...
Since July 2015, Lebanon has been experiencing a waste management crisis. Dumpsites in inhabited areas and burning have emerged due to the accumulation, further adding gravity of situation. However, association between crisis health population not scientifically reported.A comparative cross-sectional study was conducted assess whether exposure open dumpsites is associated with acute symptoms. The sample included 221 male workers ages 18-60 years selected from two chosen based on their...
BACKGROUND : There is heterogeneity regarding the technical aspects of endoscopic sleeve gastroplasty (ESG), such as applying fundal sutures. Our aim was to determine whether ESG with suturing (ESG-FS) affects weight loss and serious adverse event (SAE) rate when compared no (ESG-NFS). METHODS: We conducted a two-center retrospective analysis 247 patients who underwent or without suturing. The primary outcome percentage excess (%EWL) at 3, 6, 12 months post-ESG. secondary outcomes included...
Routine laboratory tests can be useful predictors in the early assessment of severity and mortality acute pancreatitis (AP). The aim this study was to evaluate accuracy clinical parameters for prediction among patients admitted intensive care unit (ICU) AP.We conducted a retrospective analysis prospectively collected data from Beth Israel Deaconess Hospital made publicly available examine relationship between routine with respect AP. Cox proportional hazard ratio used impact several markers...
Objective The endoscopic sleeve gastroplasty (ESG) is a minimally invasive procedure in which the anterior and posterior aspects of greater curvature are stitched endoscopically, producing sleeve‐like anatomy mimicking that gastrectomy. However, suture dehiscence enlargement stomach within months have been observed. Argon plasma coagulation (APC) widely used gastrointestinal endoscopy able to induce scarring fibrosis. We coupled ESG with APC evaluate its potential improve durability. Methods...
Background We conducted this study to compare the weight loss outcome of intragastric balloons (IGBs) in conjunction with pharmacotherapy vs IGB and intensive lifestyle changes alone. Methods This was a multicenter, non-randomized, retrospective involving 4 academic hospitals. Patients underwent placement or without concomitant anti-obesity pharmacotherapy. The primary percent total (TBWL) after at 6 12 months. Results included 102 patients, 23 patients (mean age 46.6 years, 82.6% female)...
Background and study aims There is minimal research on real-world, large-volume data comparing endoscopic bariatric therapy (EBT) to laparoscopic (LBT). This aimed compare 30-day postoperative morbidity mortality outcomes of primary EBT vs LBT using the Metabolic Bariatric Surgery Accreditation Quality Improvement Program. Patients methods aged 18 80 with body mass index (BMI) 35 40 kg/m 2 undergoing procedures were included. Propensity score matching 1:50 was performed for versus based age,...
Background and aims: Post-endoscopic retrograde cholangiopancreatography acute pancreatitis (PAP) post-sphincterotomy hemorrhage are known adverse events of post-endoscopic cholangiopancreatography. Various electrosurgical currents can be used for endoscopic sphincterotomy. The extent to which this influences remains unclear. We assessed the comparative safety different currents, through a Bayesian network meta-analysis published studies merging direct indirect comparison trials. Methods:...
Cricopharyngeal bars (CPBs) are fibrous thickenings of the cricopharyngeus (CP) muscle that can rarely lead to dysphagia. Established treatment modalities include esophageal dilation, endoscopic botulinum toxin injection, and surgical cricopharyngeal myotomy. There has been no reported experience with peroral myotomy (POEM) for symptomatic CPBs. A 78-year-old man a history congestive heart failure, hypertension, coronary artery disease, asthma, hypothyroidism presented an Otolaryngologist...
BACKGROUND : There are limited data on the feasibility of endoscopic submucosal dissection (ESD) for superficial esophageal neoplasia (SEN) located at or adjacent to varices. We aimed evaluate outcomes ESD in these patients.
A 77-year-old woman with history of lung adenocarcinoma and bone metastasis presented intractable nausea, nonbloody emesis, abdominal pain. The patient was taking high doses nonsteroidal anti-inflammatory drugs for pain from metastasis. Computed tomography demonstrated a duodenal stricture dilated common bile duct. Liver function tests showed raised bilirubin alkaline phosphatase.