Early readmission in patients with decompensated liver cirrhosis leads to an enormous burden on health care use. A retrospective cohort study using the 2013 and 2014 Nationwide Readmission Database (NRD) was conducted. Patients a diagnoses of at least one feature decompensation were included. The primary outcome develop validated risk model for early readmission. Secondary outcomes 30‐day all‐cause rate most common reasons multivariable logistic regression fit identify predictors...

Abstract Background and study aims Incidence of Post-ERCP pancreatitis (PEP) ranges from 1 % to 10 in unselected patients as high 25 30 high-risk patients. Rectal indomethacin administered before or immediately after an ERCP prophylactic pancreatic duct stent placement (PPS) are associated with a reduction the incidence PEP. We sought investigate utilization rate for rectal PPS average undergoing between 2014 2019. Patients methods performed retrospective analysis IBM Explorys database,...

Comorbidities of tobacco and alcohol abuse obesity are major risk factors for colon carcinogenesis. These considered the most prevalent modifiable linked to malignancies including colorectal cancer (CRC) in both high- low-income countries. The aim this study was investigate relationship between number comorbidities age CRC diagnosis US male veteran population.A retrospective single-center using chart review International Classification Diseases, Ninth Revision (ICD-9) codes identify patients...

Abstract Gastrointestinal ulcers and perforations can occur as a complication of nonsteroidal anti‐inflammatory drugs (NSAID). Emerging endoscopic technologies be utilized to successfully intervene that fail surgical intervention. We report case perforated duodenal ulcer failed intervention and, however, was closed with over‐the‐scope clip (OTSC) closure concomitant placement fully covered stent.

The American Board of Internal Medicine Foundation's Choosing Wisely initiative has identified the routine use stress cardiac imaging among lower-risk patients as an expensive test that should be questioned by both physicians and patients. objectives this study were to determine how often hospitalized for chest pain are assessed with electrocardiography (stress ECG) compared radionuclide myocardial perfusion (rMPI) evaluate whether testing guidelines Heart Association campaign being...

Background: There are established guidelines for the acute management of patients presenting to hospital with upper gastrointestinal bleeding.Adherence these is inconsistent and few studies have addressed this issue.Methods: Data from admitted one single principal diagnosis bleeding during year period was collected quality indicators consistent currently accepted were used assess care provided.Results: From January 2014 December 2014, 36 a bleeding.Results show significant inconsistencies...

Intro: Transjugular intrahepatic portosystemic shunt (TIPS), and Balloon-occluded retrograde transvenous obliteration (BRTO) its variations, are the two primary procedures employed in management of gastric variceal bleed. We present a case successful SPARTO patient with an Isolated Gastric Variceal (IGV-1) bleeding varix. Case: A 58 year old male history alcohol abuse alcoholic cirrhosis presented multiple episodes hematemesis significant hemoglobin (8.5) drop. He had Model for End-Stage...

Introduction: Traditionally, surgery has been the primary intervention for gastrointestinal viscus perforation. We report a case of successful over-the-scope clip (OTSC) (Ovesco, Tübingen,Germany) closure recurrent fistula from perforated duodenal ulcer. Case Report: A 58-year-old Caucasian male status post Graham patch ulcer long term Non-steroidal anti-inflammatory drugs (NSAID) use developed an enterocutaneous bulb. He underwent esophagogastroduodenoscopy (EGD) which showed small opening...

Introduction: Colorectal cancer (CRC) is the third most commonly diagnosed and second leading cause of deaths in United States among cancers that affect both men women. Several risk factors including age, heredity, environmental life style actors, chronic diseases like hypertension diabetes mellitus seem to influence developing CRC. Objective: Primary outcome: To determine prevalence (HTN), (DM), kidney disease (CKD), tobacco alcohol abuse adult veterans with Secondary a) compare these...

Introduction: Hepatitis B Virus infection is associated with varied extrahepatic manifestations including vasculitis, renal, dermatologic, and neuropathic changes. About 1% of patients acute HBV develop PAN. We describe a case complicated by multiorgan dysfunction, suspected to be from PAN, treated plasmapheresis tenofovir. Case Report: A 47 year old Caucasian female history drug abuse presented lower extremity weakness for 3 weeks. She had decreased sensation strength in both extremities....

Introduction: Gastrointestinal involvement with leukemia ranges from 5.7% to 13% and can be as high 20% in cases of ALL. Leukemic infiltration into multiple organs is generally observed late the course disease. However, leukemic sigmoid colon relatively rare. The stomach, ileum, proximal are most commonly involved sites, whereas duodenum distal were less affected. We report a case ALL patient evaluated for profuse diarrhea. Case Report: 61 year old male recurrent Philadelphia...

Abstract Introduction The relationship between obstructive sleep apnea (OSA) and gastroesophageal reflux disease (GERD) remains an area of controversy with varying hypotheses. Both disorders negatively impact health-related quality life lead to detrimental clinical outcomes. aim our study was determine the association OSA GERD. Methods We performed a review literature across major databases including PubMed/MEDLINE, Embase, Google Scholar in November 2021. Studies patients GERD were eligible...

Introduction: Liposarcoma is the most common type of soft tissue sarcoma and typically occurs in extremities or retroperitoneum. Primary liposarcoma pancreas exceedingly rare, with only 10 cases reported since 1979. Here, we present a case patient an incidentally discovered pancreatic mass that was diagnosed as dedifferentiated liposarcoma. Case Description/Methods: A 52-year-old previously healthy male found to have on CT scan chest. abdomen pelvis then obtained revealed cm lobulated...

Introduction: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is commonly used to sample lesions in the gastrointestinal tract. It has infrequently been described as a modality and diagnose pulmonary lesions. Here, we describe case of patient with recurrent Ewing sarcoma that was diagnosed EUS-FNA after presenting lung mass. Case Description/Methods: A 28-year-old woman history cystic fibrosis, breast cancer status post bilateral mastectomy chemotherapy, left tibia 13 years ago...

Liposarcoma is the most common type of soft-tissue sarcoma and typically occurs in extremities or retroperitoneum. Primary liposarcoma pancreas exceedingly rare, with only 10 cases reported since 1979. We present a patient who was incidentally discovered to have pancreatic mass on imaging, which ultimately diagnosed as dedifferentiated liposarcoma. review clinical histologic features this case previously increase awareness knowledge rare disease.

Introduction: Decompensated liver cirrhosis is reported to be the 12th leading cause of death in U.S. with estimated deaths 38,0000 annually. The readmission rate among patients decompensated as high 20-37% at 30 days various single center studies. Information a national level on 30-day rate, its causes, predictors and mortality lacking. Objectives: aims this study were investigate day causes cirrhosis. Methods: We utilized Nationwide Readmission Database, Healthcare Cost Utilization Project...

Introduction: Liver Transplantation (LT) is the only curative procedure for end-stage liver disease, yet it complicated by a high 30 day readmission rate (30-50%). There have been many single center studies investigating patient predictors and one-year mortality of patients requiring post-LT readmissions. While these readmissions has similar, are varied. We aim to study rate, its in patients. Methods: performed retrospective study, collecting data from Nationwide Readmissions Database months...

INTRODUCTION: Intestinal spirochetosis (IS) has been reported as a rare cause of diarrhea and abdominal pain with the prevalence IS varying worldwide. We report case patient previously known IBS-D diagnosed on colonic biopsies. CASE DESCRIPTION/METHODS: A 33-year-old male presented to gastroenterology clinic chronic for ten years. He four daily episodes watery accompanied by peri-umbilical pain. Review systems were negative otherwise. Initial laboratory work-up including gliadin IgA IgG...

INTRODUCTION: Colorectal perineuriomas are rare benign fibroblastic polyps of the colon that comprise only 0.1% to 0.46% found on colonoscopy and usually present as a sessile polyp distal splenic flexure. We report case sigmoid perineurioma in young healthy male. CASE DESCRIPTION/METHODS: A 30-year-old male with chronic constipation presented for diagnostic colonoscopy. He suffered severe despite use over counter laxatives. Family history was significant paternal uncle who diagnosed cancer...