- Gastric Cancer Management and Outcomes
- Esophageal and GI Pathology
- Colorectal Cancer Screening and Detection
- Gastrointestinal disorders and treatments
- Pancreatic and Hepatic Oncology Research
- Bariatric Surgery and Outcomes
- Esophageal Cancer Research and Treatment
- Gallbladder and Bile Duct Disorders
- Gastrointestinal Tumor Research and Treatment
- Pancreatitis Pathology and Treatment
- Gastrointestinal Bleeding Diagnosis and Treatment
- Renal Transplantation Outcomes and Treatments
- Renal and Vascular Pathologies
- Organ Transplantation Techniques and Outcomes
- Colorectal Cancer Surgical Treatments
- Diverticular Disease and Complications
- Gastroesophageal reflux and treatments
- Metastasis and carcinoma case studies
- Cancer Genomics and Diagnostics
- Neuroendocrine Tumor Research Advances
- Organ Donation and Transplantation
- Dysphagia Assessment and Management
- Pediatric Hepatobiliary Diseases and Treatments
- Renal cell carcinoma treatment
- Body Contouring and Surgery
Jacksonville College
2016-2025
Mayo Clinic in Florida
2016-2025
Hospital Universitario Ramón y Cajal
1997-2025
WinnMed
2015-2024
Johns Hopkins University
2023
Mayo Clinic
2013-2022
Hochschule Düsseldorf University of Applied Sciences
2022
Sheikh Shakhbout Medical City
2022
Yamamoto Hospital
2022
Nemours Children’s Clinic
2022
A biliary stricture is an abnormal narrowing in the ductal drainage system of liver that can result clinically and physiologically relevant obstruction to flow bile. The most common ominous etiology malignancy, underscoring importance a high index suspicion evaluation this condition. goals care patients with are confirming or excluding malignancy (diagnosis) reestablishing bile duodenum (drainage); approach diagnosis varies according anatomic location (extrahepatic vs perihilar). For...
Objective The effects of intragastric balloon (IGB) therapy on gastric emptying (GE) and weight loss remain to be fully understood. IGB GE were investigated in this study. Methods This was a single‐center, randomized, controlled study which subjects with obesity either underwent placement or matched controls. removed at 6 months. measured baseline weeks 0, 8, 16, 27, 39. Percent total body (%TBWL) 12 Results Twenty‐nine enrolled; 15 randomized 14 control. Two had the early. At baseline, 1‐...
Abstract Background National guidelines recommend genomic profiling of tumor tissue to guide precision therapy. We compared the specimen adequacy for and yield DNA between endoscopic ultrasound (EUS)-guided fine-needle biopsy (FNB) EUS-guided aspiration (FNA). Methods In our tandem, randomized controlled trial, consecutive patients undergoing EUS evaluation pancreatic masses underwent both conventional EUS-FNA with a 25-gauge needle paired EUS-FNB (19 or 22-gauge needle), order (EUS-FNA...
Background: With an increasing obese population, plastic surgeons are consulted by women requesting larger breast reductions, with body mass indices in the to morbidly range (30 ≥40 kg/m2) and breasts considered gigantomastic (>2000 g resected from each breast). There have been few descriptions of outcomes population. Previous literature reports high complication rates large-volume reductions. Methods: Retrospective investigation 179 reduction mammaplasty patients was performed out determine...
Posterolateral spinal fusion with autologous bone graft is considered the "gold standard" for lumbar degenerative disc disease (DDD) when surgical treatment indicated. The potential role of mesenchymal stromal cells (MSCs) to replace in this setting has not been fully addressed. To analyze safety, feasibility and clinical efficacy implantation MSCs embedded tricalcium phosphate as a therapeutic alternative patients DDD during posterolateral spine fusion. Phase I/II single-arm prospective...
Obesity is one of the risk factors for non-alcoholic fatty liver disease (NAFLD) and a common that comprises simple steatosis steatohepatitis (NASH), can eventually lead to cirrhosis. Adiponectin an adipocyte-derived protein has anti-obesity, antidiabetic anti-inflammatory properties, considered possess hepatoprotective function. Its role in development progression NAFLD morbidly obese patients unknown. In this study, we examined expression levels adiponectin its receptors biopsies then...
Background: The emergence of capsule endoscopy and double-balloon enteroscopy (DBE) has greatly enhanced the management small bowel tumors (SBTs). DBE is particularly useful as a diagnostic modality because it allows for direct investigation gastrointestinal lumen, yet little data exist regarding its clinical efficacy. Aim: To determine yield in detection SBTs. Methods: We restrospectively reviewed our large prospectively collected database from September 2005 to May 2012. Patients who were...
The optimal method of diminutive polypectomy (< 6 mm) is unknown.To assess the rates incomplete resection polyps colon using three standard polyp techniques (hot snare, cold and biopsy forceps).Randomized, pilot study.Single-center endoscopy center.PATIENTS undergoing routine outpatient colonoscopies.Polypectomy was performed to which patient randomized. Following retrieval polyp, base lifted by submucosal injection normal saline then excised snare device. If no tissue could be removed, at...
Background: Routine esophagogastroduodenoscopy (EGD) prior to bariatric surgery has not been consistently shown change the management of patient. A study was performed estimate proportion patients undergoing evaluation who had abnormal findings on preoperative EGD that resulted in alteration and, second, evaluate potential risk factors for occurrence EGD. Methods: An observational, retrospective which all 232 were cleared undergo and underwent between 2006 2013 included at a single tertiary...
Purpose: To evaluate the overall survival of patients with oligometastatic pancreatic ductal adenocarcinoma (PDAC; metastatic tumor <4 cm, ≤2 tumors total) receiving neoadjuvant therapy, metastasectomy and/or ablation, and primary resection. Methods: We performed a case-control study from January 2005 to December 2015. Patients who underwent curative-intent surgery combined modality therapy (M1 group; 6 [14%], [T]3, node [N]1, oligo-metastases [M]1) were matched 1 3 based on TN stage two...
Objective It is unclear whether endoscopic assessment of scars after colorectal mucosal resection (EMR) has to include biopsies, even if endoscopy negative. Vice versa, diagnosis recurrent adenoma may not require biopsy before reinterventions. We prospectively analysed various modalities in the recurrence following EMR. Design conducted a prospective study patients undergoing colonoscopy EMR large (≥20 mm) neoplasia. Endoscopists predicted and confidence level with four imaging modes:...
See also: Commentaire de travail V. Gómez et al., pp. 286Endoscopy 2010; 42(04): 349-349DOI: 10.1055/s-0031-1291844