A5082351597- Gallbladder and Bile Duct Disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Esophageal and GI Pathology
- Pancreatic and Hepatic Oncology Research
- Liver Disease and Transplantation
- Pancreatitis Pathology and Treatment
- Gastrointestinal Bleeding Diagnosis and Treatment
- Gastroesophageal reflux and treatments
- Gastrointestinal disorders and treatments
- Inflammatory Bowel Disease
- Organ Transplantation Techniques and Outcomes
- Intestinal Malrotation and Obstruction Disorders
- Drug-Induced Hepatotoxicity and Protection
- Helicobacter pylori-related gastroenterology studies
- Foreign Body Medical Cases
- Liver Disease Diagnosis and Treatment
- Food Security and Health in Diverse Populations
- Metabolism and Genetic Disorders
- Tracheal and airway disorders
- Microscopic Colitis
- Gastrointestinal Tumor Research and Treatment
- Tumors and Oncological Cases
- Breastfeeding Practices and Influences
- Eosinophilic Esophagitis
- Child Nutrition and Feeding Issues
Lucile Packard Children's Hospital
2020-2025
Stanford Medicine
2020-2025
Stanford University
2020-2024
Ulsan College
2022
University of Ulsan
2022
Columbia University
2022
Cedars-Sinai Medical Center
2021
Stanford Health Care
2020
Children's Hospital Central California
2015-2019
University of California, San Francisco
2004-2018
Historically, fruit juice was recommended by pediatricians as a source of vitamin C and an extra water for healthy infants young children their diets expanded to include solid foods with higher renal solute load. It also sometimes constipation. Fruit is marketed healthy, natural vitamins and, in some instances, calcium. Because tastes good, readily accept it. Although consumption has benefits, it potential detrimental effects. High sugar content contributes increased calorie the risk dental...
Abstract Objectives To assess the impact of magnetic endoscopic imaging (MEI) on pediatric colonoscopy. Methods We analyzed demographics, procedure completion, times, complications, and whether or not MEI was used for all colonoscopies between April 27, 2023, January 18, 2024. available every case but at endoscopist's discretion. Attendings were surveyed frequency duration interventions during fellow‐performed colonoscopies. Results 310 colonoscopies, 113 (36%) which MEI. The average patient...
Background: Cold snare polypectomy (CSP) is a well-established and recommended technique in adult gastroenterology for the safe, efficient complete removal of nonpedunculated lesions up to 10 mm, with piecemeal excision possible larger lesions. However, application CSP pediatric patients remains underexplored. This study summarizes multicenter experience polyposis patients, focusing on safety, efficacy clinical outcomes. Methods: retrospective was conducted at two tertiary centers,...
Background: Positive parental attitudes towards infant feeding are an important component in child nutritional health. Previous studies have found that participants the Special Supplemental Women, Infants, and Children (WIC) Program lower breastfeeding rates do not contribute healthy spite of nutrition education programs targeting WIC participants. The objective this study was to assess frequency exclusive early postpartum period maternal a population mothers at two San Francisco hospitals...
Pediatric chronic pancreatitis is increasingly diagnosed. Endoscopic methods [endoscopic ultrasound (EUS), endoscopic retrograde cholangiopancreatography (ERCP)] are useful tools to diagnose and manage pancreatitis. knowledge use of these modalities limited warrants dissemination.Literature review publications relating ERCP EUS for diagnosis and/or management with special attention studies involving 0--18 years old subjects was conducted summaries generated. Recommendations were developed...
Systemic steroid exposure, while useful for the treatment of acute flares in inflammatory bowel disease (IBD), is associated with an array side effects that are particularly significant children. Technical advancements have enabled locoregional intraarterial delivery directly into specific segments gastrointestinal tract, thereby maximizing tissue concentration limiting systemic exposure. We investigated feasibility administration a cohort nine pediatric patients who had IBD. This approach...
Pediatric inflammatory bowel disease (IBD), consisting of Crohn's (CD) and ulcerative colitis (UC), can result in significant morbidity requiring frequent health care utilization. Although it is known that the overall financial impact pediatric IBD significant, direct out-of-pocket (OOP) cost burden on parents children with has not been explored. We hypothesized affected a more relapsing course families lower income strata, ineligible for need-based assistance programs, disparately absorb...
Objectives: Endoscopic retrograde cholangiopancreatography (ERCP) in adults has been extensively studied through multicenter prospective studies. Similar pediatric studies are lacking. The Pediatric ERCP Database Initiative (PEDI) is a collaborative aiming to evaluate the indications and technical outcomes ERCPs. Methods: In this cohort study, data were recorded for ERCPs performed across 15 centers. A pre-procedure, procedure, 2-week post-procedure follow-up, adverse event form completed...
After reading this article, readers should be able to:Pancreatitis is an inflammatory process of the pancreas presenting as a spectrum clinical disease. Acute pancreatitis (AP) reversible process, but it may progress to acute recurrent (ARP). This increases risk developing chronic (CP), which carries higher morbidity due irreversible pancreatic duct strictures, exocrine insufficiency, insulin-dependent diabetes mellitus, and pain. Pancreatitis occurring at increasing rate in children,...
Endoscopic ultrasound (EUS) is a commonly used radiation-sparing procedure in adult patients for diagnostic sampling of gastrointestinal lesions and fluid collections, gastric variceal hemostasis, biliary/pancreatic duct drainage, endo-surgical interventions. Integration EUS pediatrics still its infancy with limited data regarding use. The present study analyzes utilization, therapeutic roles pediatric evolution these parameters over time.Records 18 years or younger from 2009 to 2020 at our...
Previous studies have demonstrated the safety of performing endoscopic retrograde cholangiopancreatography (ERCP) in pediatric population; however, few addressed outcomes children undergoing ERCP during acute pancreatitis (AP). We hypothesize that performed setting AP can be executed with similar technical success and adverse event profiles to those patients without pancreatitis. Using Pediatric Database Initiative, a multi-national multi-institutional prospectively collected dataset, we...
Fulminant hepatic failure (FHF) in children is a rare but often fatal event. Our knowledge of this disorder limited by the rarity at any single center. Initiatives are underway to accumulate experience several large centers multicenter study pediatric FHF funded NIH (the Pediatric Acute Liver Failure Study Group). Most cases remain without cause. The mechanisms whereby hepatocytes undergo cell death unknown, as an understanding events leading and its progression. Therapy has focused on...
The objective of this study was to evaluate the relationship between maternal nutrition knowledge and socio-demographics including participation in Special Supplemental Women, Infants Children's (WIC) Program. A cross-sectional new mothers at two San Francisco hospitals conducted using some American Academy Pediatrics' guidelines a structured questionnaire assess nutritional knowledge. Maternal attitudes towards product nutrient labels were also assessed format. Logistic regression models...
ABSTRACT Background and Aims: Ionizing radiation exposure during endoscopic retrograde cholangiopancreatography (ERCP) is an important quality issue especially in children. We aim to identify factors associated with extended fluoroscopy time (FT) children undergoing ERCP. Methods: ERCP on <18 years from 15 centers were entered prospectively into a REDCap database May 2014 until 2018. Data retrospectively evaluated for outcome measures. A univariate step‐wise linear regression analysis was...
Endoscopic retrograde cholangiopancreatography (ERCP) is a fluoroscopy and endoscopy-based procedure important for diagnosis management of pediatric pancreaticobiliary disorders. Patient, procedure, endoscopist, facility characteristics have been shown to influence ERCP complexity outcomes as well utilization in adults; however, the extent which this true patients remains under-studied there are minimal data regarding ERCP.We retrospectively analyzed ERCPs performed on <18 years age at our...