- Gallbladder and Bile Duct Disorders
- Esophageal and GI Pathology
- Pancreatic and Hepatic Oncology Research
- Pancreatitis Pathology and Treatment
- Gastric Cancer Management and Outcomes
- Hepatitis B Virus Studies
- Biliary and Gastrointestinal Fistulas
- Pediatric Hepatobiliary Diseases and Treatments
- Bariatric Surgery and Outcomes
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Gastrointestinal Tumor Research and Treatment
- Metastasis and carcinoma case studies
- Inflammatory Bowel Disease
- Neuroendocrine Tumor Research Advances
- Gastrointestinal disorders and treatments
- Clinical Nutrition and Gastroenterology
- Healthcare cost, quality, practices
- Colorectal Cancer Screening and Detection
- Eosinophilic Esophagitis
- Drug-Induced Adverse Reactions
- Diet and metabolism studies
- Colorectal Cancer Surgical Treatments
- Body Contouring and Surgery
- Lung Cancer Research Studies
- Primary Care and Health Outcomes
University of Florida
2024
Florida College
2024
Thomas Jefferson University
2019-2022
Doylestown Hospital
2021
Thomas Jefferson University Hospital
2019-2020
Jefferson Hospital
2020
Cornell University
2013-2019
Weill Cornell Medicine
2017-2019
Presbyterian Hospital
2014-2018
New York Hospital Queens
2013-2017
Abstract Backgrounds Endoscopic ultrasound (EUS)-guided placement of lumen-apposing metal stents (LAMSs) has gained popularity for the treatment pancreatic walled-off necrosis (WON). We compared 20-mm and 15-mm LAMSs symptomatic WON in terms clinical success adverse events. Methods conducted a retrospective, case-matched study 306 adults at 22 tertiary centers from 04/2014 to 10/2018. A total 102 patients with who underwent drainage LAMS (cases) 204 (controls) were matched by age, sex,...
Background and study aims Fully covered self-expanding metal stents (FCSEMS) have been used to treat refractory pancreatic duct strictures. We aimed evaluate the feasibility, safety, efficacy of FCSEMS in chronic pancreatitis with Patients methods This was a retrospective multicenter cases series patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) placement main (MPD) at five tertiary care centers between February 2010 June 2016. Primary endpoints were technical...
EUS-guided pancreatic drainage (EUS-PD) is an efficacious, acceptable risk option for patients with duct obstruction who fail conventional ERCP. The aim of this study was to define the learning curve (LC) EUS-PD.Consecutive undergoing EUS-PD by a single operator were included from dedicated registry. Demographics, procedural info, adverse events, and follow-up data collected. Nonlinear regression cumulative sum (CUSUM) analyses conducted LC.Fifty-six (54% male, mean age 58 years). Technical...
Hospital admissions from the emergency department (ED) now account for approximately 50% of all admissions. Some patients admitted ED may not require inpatient care if outpatient could be optimized. However, access to primary especially immediately after discharge is challenging. Studies have addressed extent which hospital averted with rapid (next business day) follow-up. We evaluated impact an ED-to-rapid-primary-care protocol on avoidance hospitalizations in a large, urban medical...
INTRODUCTION In the rapidly expanding field of therapeutic EUS, procedures that were previously considered "novel," are now becoming part repertoire an interventional endoscopist. With development new devices, has expanded allowing for creation stable and durable transluminal fistulas internalized drainage. One established example is EUS-guided drainage gallbladder. Among others, it become one many techniques which have been developed, initially as a strictly palliative measure. However our...
See commentary "Importance of Pancreatic Duct Stenting and Enteral Feeding in Treatment Algorithm Fluid Collections" Volume 53 on page 253
A 32-year-old woman with a history of obesity who underwent Roux-en-Y gastric bypass in 2005 presented acute cholecystitis. She laparoscopic cholecystectomy, which was converted to open cholecystectomy owing significant inflammation and adhesions. On postoperative Day 2, 300 mL bilious output noted the Jackson–Pratt drain, raised concerns about bile leak. The gastrointestinal department consulted for endoscopic retrograde cholangiopancreatography (ERCP) management
Abstract Background and study aims Acute pancreatitis (AP) is an increasingly common indication for hospitalization in the United States. The necessity endoscopic retrograde cholangiopancreatography (ERCP) timing of ERCP acute gallstone-related without cholangitis (AGPNC) controversial. aim this was to evaluate association its performance during admission with mortality length stay (LOS) patients AGPNC. Patients methods We queried Nationwide Inpatient Sample (NIS) from 2004 2014 identify all...
A 77-year-old woman with multiple co-morbidities was referred for symptomatic chronic calculous cholecystitis. She not a surgical candidate cholecystectomy and refused percutaneous gallbladder drainage. Endoscopic ultrasound (EUS)-guided transmural drainage lumen-apposing metal stent (LAMS) using an electrocautery enhanced delivery system performed ([Video 1]).
Neuromuscular respiratory failure is a rare complication of systemic immunoglobulin light chain amyloidosis. We describe case 70-year-old Caucasian man with multiple myeloma who presented worsening dyspnea. The patient was diagnosed and treated for congestive heart but continued to suffer from hypercapnic insufficiency. He had restrictive physiology on pulmonary function tests abnormal phrenic nerve conduction studies, consistent neuromuscular failure. diagnosis amyloidosis made based the...
Endoscopic ultrasound (EUS)-guided biliary drainage has been used for more than a decade as an alternative to percutaneous drainage. It offers minimally invasive option patients in whom conventional endoscopic retrograde cholangiopancreatography (ERCP) is unfeasible.
<title>Abstract</title> Background Total pancreatectomy is a complex procedure used in the management of pancreatic cancer. While minimally invasive techniques have been increasingly adopted, limited data exists comparing robotic total (RTP) and laparoscopic (LTP). This study evaluates utilization, short- long-term outcomes RTP LTP using National Cancer Database. Methods Patients with stages I-III adenocarcinoma who underwent or between 2010 2019 were identified. Patient demographics,...