A5012397489- Colorectal Cancer Screening and Detection
- Esophageal Cancer Research and Treatment
- Gastric Cancer Management and Outcomes
- Inflammatory Bowel Disease
- Microscopic Colitis
- Lung Cancer Diagnosis and Treatment
- Diagnosis and treatment of tuberculosis
- Autoimmune and Inflammatory Disorders
- Esophageal and GI Pathology
- Pediatric Hepatobiliary Diseases and Treatments
- Gallbladder and Bile Duct Disorders
- Hernia repair and management
- Colorectal Cancer Surgical Treatments
- Intestinal and Peritoneal Adhesions
- Traditional and Medicinal Uses of Annonaceae
- Intensive Care Unit Cognitive Disorders
- Economic and Financial Impacts of Cancer
- Berberine and alkaloids research
- Biliary and Gastrointestinal Fistulas
- Eosinophilic Esophagitis
- Cardiac, Anesthesia and Surgical Outcomes
- Frailty in Older Adults
- Alkaloids: synthesis and pharmacology
- Appendicitis Diagnosis and Management
University of Florida
2016-2019
Florida College
2016-2019
Kratom is an herbal product derived from the leaves of Southeast Asian Mitragyna speciosa trees. It has traditionally been used by indigenous people to relieve fatigue and manage pain, diarrhea, or opioid withdrawal. The use kratom become more commonplace in United States for similar purposes. Only rare reports liver toxicity exist literature but without histologic characterization. Herein, we report one case use-associated a 38-year-old patient. patient complained dark colored urine light...
Adherence to quality indicators and surveillance guidelines in the management of Barrett's esophagus (BE) promotes high-quality, cost-effective care. The aims this study were (1) evaluate adherence standardized classification (Prague Criteria) systematic (four-quadrant) biopsy protocol, (2) identify predictors practice patterns, (3) assess for non-dysplastic BE (NDBE). This was a single-center retrospective esophagogastroduodenoscopy (EGD) performed (June 2008 December 2015). Patient...
Patients with Crohn's disease (CD) typically undergo multiple cross-sectional imaging exams including computed tomography and magnetic resonance enterography during the course of their disease. The aim was to identify findings that predict future disease-related poor outcomes. This a retrospective, case control study at single tertiary center. Cases were CD patients diagnosed complications (bowel obstruction, perforation, internal fistula, or abscess); controls without complications. Two...
In a preoperative anesthesia setting with integrated neuropsychology for individuals >64 years of age, we completed pilot study examining the association between neurocognitive disorders frequency missed colonoscopies and quality bowel preparation (prep). Gastroenterologists Boston Bowel Preparation Scale (BBPS) each patient. Of 47 older adults seen in our service, 68% met criteria disorders. All failing to attend colonoscopy procedure had major disorder. Poor prep was also identified...
<b>Background and study aims: </b>Carbon dioxide (CO<sub>2</sub>) has been associated with reduced post-procedural pain improved patient satisfaction when compared to air insufflation (AI). The effect of CO<sub>2</sub> (CO<sub>2</sub>I) on the adenoma detection rate (ADR) remains unclear. aims this are compare ADR in patients undergoing screening colonoscopy AI vs. CO<sub>2</sub>I identify predictors ADR. <b>Patients methods:</b> Single-center retrospective cohort 2,107 at University Florida...
Sessile serrated adenomas (SSA) and traditional (TSA) have been increasingly recognized as precursors of colorectal cancer. The aim this study was to compare the effect carbon dioxide insufflation (CO 2 I) vs. room air (AI) on polyp detection rate (SPDR) identify factors associated with SPDR.Single-center retrospective cohort 2083 screening colonoscopies performed AI (November 2011 through January 2013) or CO I (February 2013 June 2015). Data demographics, procedure characteristics histology...
Endoscopic biliary drainage for malignant distal obstruction (MDBO) is a common practice. Controversy persists with regard to its role in resectable MDBO, the optimal technical method and type of stent. The aim this study was evaluate practice patterns treatment MDBO among endoscopists varying levels experience backgrounds. Electronic survey distributed members American Society Gastrointestinal Endoscopy (ASGE). main outcome measures included setting (academic vs. community), volume...
Introduction: Endoscopic management of malignant distal biliary obstruction (MDBO) is a common practice yet there no consensus as to the optimal approach. The aim this study was assess patterns in MDBO amongst interventional endoscopists across United States. Methods: approved by institutional review board at University Florida. An anonymous electronic survey distributed gastroenterologists via email addresses available through American Society for Gastrointestinal Endoscopy membership...
Introduction: Carbon dioxide insufflation (CO2 I) has been associated with faster cecal intubation, reduced post-procedural pain and improved patient satisfaction when compared to air (AI). The effect of CO2 I on serrated adenoma detection rate (SADR) remains unclear.The goals this study are: (1) Compare SADR in patients undergoing screening colonoscopy versus AI (2) identify predictors our cohort.Table 1: Baseline CharacteristicsTable 2: Predictors Serrated Adenoma Detection Rate...
INTRODUCTION: Opioid addiction and abuse have become a serious public health problem in the United States. The most common gastrointestinal adverse effect is dysmotility decreased peristalsis, manifesting as constipation. We present an extreme case of young woman with chronic constipation setting opioid abuse. Imaging obtained during her diagnostic workup revealed unexpected findings further highlight consequences crisis CASE DESCRIPTION/METHODS: A 26-year-old known opioid-induced (OIC)...
CASE REPORT A 26-year-old woman with a medical history of intravenous heroin abuse, and known opioid-induced constipation (OIC) complicated by previous admissions for fecal impaction requiring colonoscopic disimpaction, presented to local emergency department evaluation abdominal pain, nausea, vomiting. Initial included imaging computed tomography, which revealed massively dilated colon large amounts stool throughout (Figure 1). Incidentally, the tomography identified pregnancy gestational...