A5101552003- Pancreatic and Hepatic Oncology Research
- Pancreatitis Pathology and Treatment
- Gallbladder and Bile Duct Disorders
- Gastrointestinal disorders and treatments
- Biliary and Gastrointestinal Fistulas
- Diverticular Disease and Complications
- Organ Transplantation Techniques and Outcomes
- Cystic Fibrosis Research Advances
- Diagnosis and treatment of tuberculosis
- Liver Disease and Transplantation
- Renal Transplantation Outcomes and Treatments
- Gastroesophageal reflux and treatments
- Esophageal and GI Pathology
- Clostridium difficile and Clostridium perfringens research
- Gastrointestinal Tumor Research and Treatment
- Gastric Cancer Management and Outcomes
- Eosinophilic Esophagitis
- Lymphoma Diagnosis and Treatment
- Pediatric Hepatobiliary Diseases and Treatments
- Immunodeficiency and Autoimmune Disorders
- Diabetes Treatment and Management
- Glycogen Storage Diseases and Myoclonus
- Chronic Lymphocytic Leukemia Research
- Fungal Infections and Studies
- Hepatocellular Carcinoma Treatment and Prognosis
The University of Texas Health Science Center at Houston
2020-2024
UCLouvain Saint-Louis Brussels
2023
Current society guidelines recommend antibiotic prophylaxis for 3 to 5 days after endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of pancreatic cystic lesions (PCLs). The overall quality the evidence supporting this recommendation is low. In study, we aimed assess cyst infection and adverse event rates EUS-FNA PCLs among patients treated with or without postprocedural prophylactic antibiotics.We retrospectively reviewed all who underwent between 2015 2019 at two large-volume...
Introduction: Immune checkpoint inhibitor (ICI) therapies are effective treatments of many cancer types, including non-small cell lung carcinoma the (NSCLC). While efficacious, ICI therapy can be associated with immune-related adverse effects (irAEs). We present a 67-year-old man NSCLC who developed severe dysphasia an eosinophilic esophagitis (EoE) pattern injury on histopathology and concomitant autoimmune gastritis while pembrolizumab maintenance therapy. Case Description/Methods: A 3...
Introduction: CLEAR evolved from Anti-Reflux MucoSectomy (ARMS) and uses band ligation rather than dissection. We present a case of patient status post fundoplication with persistent reflux symptoms. Case Description/Methods: 74 year-old female past medical history smoldering myeloma, interstitial lung disease, pulmonary fibrosis, rheumatoid arthritis, osteoporosis, hiatal hernia (Grade IV) Toupet fundoplication, long standing GERD who presents symptoms heart burn, nocturnal cough,...
Introduction: A cholecystocolonic fistula (CCF) is a spontaneous tract formed between an inflamed gallbladder and the surrounding colon, often due to longstanding inflammation. It second most common type of cholecystoenteric (CEF), behind cholecystoduodenal fistulas. CCFs are more commonly found in women present with diarrhea. We case CCF colonic obstruction secondary large gallstone discovered setting acute constipation elderly man. Case Description/Methods: 75-year-old man cholelithiasis,...
Introduction: Transcutaneous intrahepatic portosystemic shunt (TIPS) is a procedure performed for treatment of refractory portal hypertension (pHTN). The two indications with the greatest efficacy are recurrent esophageal variceal bleeding and ascites, however TIPS has also been noted in literature to be one treatments parastomal varices (PSV). PSV’s present patients stomas who may or not have pre-existing pHTN. We case non-cirrhotic patient presented from PSV was successfully treated TIPS....
Introduction: Histoplasmosis is primarily a respiratory disease but can progress to systemic in certain populations. Severe disseminated histoplasmosis (DH) present immunosuppressed patients as shock and multi-organ system failure. GI common with DH, about 50-70% of however only detected 3-12%. Co-infection opportunistic bugs occurs up 51% DH. We case an immunocompromised patient history HIV/AIDS who developed septic hemorrhagic secondary DH CMV involvement. Case Description/Methods: Patient...
Introduction: Conventional endoscopic procedures to resect gastrointestinal neoplasms are limited the superficial layers of GI wall. Endoscopic Full-Thickness Resection (EFTR) has received attention as a minimally invasive procedure because enables endoscopist lesions involving muscularis layer. Here, we present case EFTR for gastric leiomyoma found incidentally at challenging location, GE Junction, and resected successfully under retroflexed view. Case Description/Methods: A 64-year-old...
Introduction: Colonic lipomas are uncommon benign subepithelial tumors with a reported incidence of 0.2-4.4%. Though often asymptomatic, patients can present vague abdominal symptoms mimicking colonic malignancies. Here, we describe case large sigmoid lipoma causing constipation and severe diverticulosis recurrent diverticulitis. Case description/methods: A 61-year-old woman hypertension, hiatal hernia, diverticulosis, diverticulitis was referred for evaluation after positive fecal occult...
Introduction: Tuberculosis (TB) is known to cause significant pulmonary disease but can rarely affect the abdomen. Here we describe a case of TB involving terminal ileum, resulting in small bowel obstruction (SBO). Case Description/Methods: A 64-year-old male with gastroesophageal reflux and peptic ulcer presented 2-month history diffuse abdominal pain. Along this, he had an associated 40-pound weight loss, night sweats, fatigue over previous six months. On exam, right lower quadrant was...