- Esophageal and GI Pathology
- Gastric Cancer Management and Outcomes
- Gallbladder and Bile Duct Disorders
- Esophageal Cancer Research and Treatment
- Pancreatic and Hepatic Oncology Research
- Pancreatitis Pathology and Treatment
- Diverticular Disease and Complications
- Colorectal Cancer Screening and Detection
- Gastroesophageal reflux and treatments
- Gastrointestinal disorders and treatments
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Foreign Body Medical Cases
- Inflammatory Bowel Disease
- Biliary and Gastrointestinal Fistulas
- Pediatric Hepatobiliary Diseases and Treatments
- Microscopic Colitis
- Bariatric Surgery and Outcomes
- Metastasis and carcinoma case studies
- Eosinophilic Esophagitis
- Oral and gingival health research
- Liver Disease Diagnosis and Treatment
- Abdominal vascular conditions and treatments
- Liver Disease and Transplantation
- Liver Diseases and Immunity
- IgG4-Related and Inflammatory Diseases
Martha Jefferson Hospital
2021-2022
Doctors Hospital at Renaissance
2022
The University of Texas Rio Grande Valley
2022
Virginia Tech
2016-2020
Carilion Clinic
2016-2020
Cleveland Clinic
2020
The Ohio State University Wexner Medical Center
2015-2018
University of California, Irvine
2017
Hospital Universitario Río Hortega
2017
Creative Research Enterprises (United States)
2017
The effectiveness of surveillance endoscopy in patients with Barrett's oesophagus (BE) for reducing oesophageal adenocarcinoma (EAC)-related mortality BE is unclear.This a cohort study diagnosed the National Veterans Affairs hospitals during 2004-2009 excluding those conditions that affect overall survival. We identified EAC after diagnosis through 2011 and conducted chart reviews to identify programme, indication diagnosis, verify stage, therapy cause death. examined association between or...
Pancreatic cysts are becoming more common. Their differential diagnosis includes benign, premalignant, and malignant lesions. Distinguishing the type of cyst helps in management decision making. We report on a novel tissue acquisition device for pancreatic cysts.Data two patients who underwent endoscopic ultrasound (EUS) - guided fine-needle aspiration with new micro forceps presented.Two had large cystic lesions head. Linear EUS was performed, samples were obtained Moray through 19-gauge...
To investigate technical feasibility, outcomes and adverse events of the lumen-apposing metal stent (LAMS) for benign gastrointestinal (GI) tract strictures.Between July 2015 January 2017, patients undergoing treatment by LAMS GI strictures at three tertiary referral centers were included in this study. Primary success, short-term clinical long-term events. Short-term success was defined as symptom resolution 30 d after placement. Long-term 60 who continued to have indwelling stent, or...
OBJECTIVES: The increasing incidence of esophageal adenocarcinoma (EA) in the United States may have leveled off recent years. risk EA among patients with Barrett’s esophagus (BE) seems to be decreasing several European cohorts, but these estimates are unknown States. We aimed determine developing a national cohort BE US Veterans Health Administration and account for use endoscopic ablation esophagectomy. METHODS: This was retrospective study from total 121 facilities Administration. Veteran...
Practice guidelines recommend esophagogastroduodenoscopy (EGD) screening for Barrett esophagus (BE) or esophageal cancer patients with uncomplicated gastroesophageal reflux disease (GERD), especially in high-risk (symptoms >5 years, white race, male sex, age >50 and family history of BE cancer).1,2 However, the extent using EGD, its predictors, diagnostic yield are unclear. We aimed to determine prevalence, EGD a large national sample GERD.
Follicular dendritic cell sarcoma (FDCS) is a rare and underdiagnosed malignant neoplasm which characteristically presents as solitary, slow-growing mass with no discrete symptoms. Histologically, lymphocytes spindle cells featuring large nucleoli in whorled pattern are usually seen. FDCS classically found cervical axillary lymph nodes, occasional involvement of extranodal sites. Inflammatory pseudotumor-like follicular tumor (IPT-like FDCT) an uncommon subcategory this neoplasm,...
Abstract To test the efficacy of ibuprofen in reducing needle electromyography (EMG) pain we studied 30 healthy volunteers randomized to receive placebo or (400 mg) 2 h before EMG using concentric electrodes four muscles. The electromyographer and volunteer were both blinded. Immediately after EMG, subjects reported their experience on a visual analog scale (VAS). A day later, they filled VAS for memory during residual at sites. week crossed over same procedure was repeated muscles...
Background and study aim Malignant bowel obstruction can cause significantly distressing symptoms in patients with end stage cancers, often requiring invasive surgical intervention. With such procedures, risks outweigh the benefit. We report a novel application of AXIOS stent electrocautery-enhanced delivery system to create an enterocolostomy bypass small setting recurrent malignant obstruction. A 72-year-old patient presented was deemed unfit for surgery. Endoscopic ultrasound used deploy...
Background and study aims Endoscopic ultrasound (EUS)-guided gastroenterostomy is a novel, off-label, procedure that has been facilitated by availability of novel lumen apposing metal stent (LAMS) (Axios, Boston Scientific, Marlbourough Massachusetts, United States). The literature suggests its efficacy to be comparable surgical gastrojejunostomy. In theory, this overcomes the issues associated with woven enteral stents, which are subject continuous, straightening, axial forces. We report...
Objective Underwater endoscopic mucosal resection (UEMR) is reported to be superior conventional (CMER) for the complete of large polyps and may offer increased procedural efficiency. Aims To compare recurrence rates adverse events between UEMR CEMR define risk factors related recurrence. Also, assess in piecemeal (EMR) based on number pieces resected. Methods We identified all patients with treated using technique at Carilion Clinic, Roanoke, VA, USA January 1, 2014 December 31, 2017...
We present a case of an 84-year-old man who had received diagnosis pancreatic head adenocarcinoma 2 years earlier. At that time, he bile and duct stents with resolution jaundice improvement in diarrhea. Over the past month, patient started experiencing epigastric pain, nausea, vomiting. Cross-sectional imaging demonstrated no significant change mass size, intact stable pneumobilia. An upper endoscopy was then performed, demonstrating narrowing second portion duodenum inability endoscope to...
Introduction: Mesenteric panniculitis is a rare inflammatory condition characterized by chronic and nonspecific inflammation of the adipose tissue intestinal mesentery. Here, we describe case mesenteric in patient with recurrent pancreatitis presenting abdominal pain. To our knowledge, there scant available literature regarding association acute pancreatitis. Case Presentation: A 27-year-old female past medical history familial hypertriglyceridemia presented 3-day severe epigastric pain...
Introduction: Mesalamine (5-aminosalicylate acid) is a common therapy option for the treatment of ulcerative colitis. Here, we describe an atypical medication complication. Case Presentation: A 23-year-old male with colitis pancolitis diagnosed five months prior presented chest pain, progressively worsening rectal bleeding, and diarrhea. Since diagnosis, he had been managed mesalamine 2.4 grams daily intermittent steroid tapers. On presentation, reported mid-sternal pain radiating to his...