- Esophageal and GI Pathology
- Gastroesophageal reflux and treatments
- Esophageal Cancer Research and Treatment
- Dysphagia Assessment and Management
- Gastric Cancer Management and Outcomes
- Helicobacter pylori-related gastroenterology studies
- Eosinophilic Esophagitis
- Tracheal and airway disorders
- Transplantation: Methods and Outcomes
- Congenital Diaphragmatic Hernia Studies
- Gastrointestinal Tumor Research and Treatment
- Gastrointestinal disorders and treatments
- Metastasis and carcinoma case studies
- Lung Cancer Diagnosis and Treatment
- Bariatric Surgery and Outcomes
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- RNA modifications and cancer
- Cancer-related gene regulation
- Medical Imaging and Pathology Studies
- Hernia repair and management
- Foreign Body Medical Cases
- Cancer Immunotherapy and Biomarkers
- Diverticular Disease and Complications
- Abdominal vascular conditions and treatments
- Gallbladder and Bile Duct Disorders
St. Joseph's Hospital
2017-2025
Creighton University
2016-2025
St. Joseph's Hospital and Medical Center
2017-2025
Phoenix (United States)
2016-2024
University School
2021-2024
Chitkara University
2023-2024
Norton Healthcare
2023
Dignity Health
2016-2022
Saint Joseph's Hospital
2022
St. Joseph Medical Center in Tacoma
2017-2021
To assess whether reoperative surgery for failed Nissen fundoplication is beneficial and to classify all mechanisms of failure recognized.Antireflux often necessary, but a 10% rate commonplace. We report results patients undergoing present nomenclature failure.A total 104 patients, who had previous gastroesophageal reflux disease (GERD), underwent surgery. Manometry (n = 86), endoscopy 101), pH monitoring 27), upright esophagram 90), gastric emptying 26), symptom assessment 104) were...
Rectal foreign bodies (RFB) present the modern surgeon with a difficult management dilemma, as type of object, host anatomy, time from insertion, associated injuries and amount local contamination may vary widely. Reluctance to seek medical help provide details about incident often makes diagnosis difficult. Management these patients be challenging, presentation is usually delayed after multiple attempts at removal by themselves have proven unsuccessful.In this article we report case male...
Abstract Esophagogastric junction (EGJ) barrier function is of fundamental importance in the pathophysiology gastroesophageal reflux disease. Impaired EGJ leads to excessive distal esophageal acid exposure or, severe cases, esophagitis. Hence, proposed high‐resolution manometry (HRM) metrics assessing integrity are clinically important and were a focus Chicago Classification (CC) working group for inclusion CC v4.0. However, complex sphincter comprised both crural diaphragm (CD) lower (LES)...
Background: In the last two decades development of high-resolution manometry (HRM) has changed and revolutionized diagnostic assessment patients complain foregut symptoms. The role HRM before after antireflux procedure remains unclear, especially in surgical practice, where a clear understanding esophageal physiology hiatus anatomy is essential for optimal outcome surgery (ARS). Surgeons gastroenterologists (GIs) agree that assessing following procedures can be challenging. Although...
Laparoscopic Heller myotomy for achalasia has a 10-20% failure rate and may require re-operation to control persistent or recurrent symptoms. We report follow-up of 15 patients who underwent laparoscopic failed myotomy. Between 1993 2004, at our center. The mean duration between procedures was 23 months. Follow-up completed 30 months in 14 (93%) via telephone questionnaire. Our overall primary surgery (n = 106) 5.6%. mechanisms were incomplete (33%), fibrosis (27%), fundoplication disruption...