A5053048727- Esophageal and GI Pathology
- Eosinophilic Esophagitis
- Esophageal Cancer Research and Treatment
- Gastroesophageal reflux and treatments
- Tracheal and airway disorders
- Dysphagia Assessment and Management
- Pleural and Pulmonary Diseases
- Lung Cancer Diagnosis and Treatment
- Trauma Management and Diagnosis
- Airway Management and Intubation Techniques
- Gallbladder and Bile Duct Disorders
- Congenital Diaphragmatic Hernia Studies
- Helicobacter pylori-related gastroenterology studies
- Lung Cancer Treatments and Mutations
- Cardiovascular Disease and Adiposity
- Liver Disease and Transplantation
- Abdominal Trauma and Injuries
- Pancreatic and Hepatic Oncology Research
- Myasthenia Gravis and Thymoma
- Pneumothorax, Barotrauma, Emphysema
- Neuroendocrine Tumor Research Advances
- Voice and Speech Disorders
- Congenital Heart Disease Studies
- Thyroid and Parathyroid Surgery
- Eosinophilic Disorders and Syndromes
Baylor University Medical Center
2017-2024
Baylor Scott & White Health
2020-2024
Baylor Medical Center at Garland
2020-2024
University of Minnesota
2014-2017
Twin Cities Orthopedics
2017
University of Minnesota Medical Center
2016
Mayo Clinic
2012-2013
Mayo Clinic in Florida
2012
WinnMed
2012
Massachusetts General Hospital
2012
Abstract Background Thoracic splenosis is a rare condition where there ectopic autotransplantation of splenic tissue, typically after traumatic injury the spleen or splenectomy with without history diaphragmatic injury. This diagnosis noteworthy, as fewer than 100 cases have been documented since its initial description in 1896. Additionally, patient’s oncological background further complicated diagnostic process. Case presentation We present case an asymptomatic 37-year-old male past...
Abstract Background Eosinophils and mast cells are key effectors of allergy. When they accumulate in the esophagus, their myoactive, pro‐inflammatory, cytotoxic products potentially could cause achalasia‐like motility abnormalities neuronal degeneration. We hypothesized that there is an allergy‐mediated form achalasia. Methods LES muscle samples obtained during Heller myotomy from patients with achalasia or EGJ outflow obstruction (EGJOO) organ donor controls were immunostained for tryptase....
: Intrathoracic thyroid goiter is an uncommon condition. Most goiters are found in the superior and anterior mediastinum, which can be removed either through a cervical approach or combined cervicotomy sternotomy approach. Extension of into posterior mediastinum even less common. Transcervival to difficult, necessitating thoracotomy, with its associated morbidity.: A 69-year-old patient underwent robotic assisted minimally invasive procedure, daVinci surgical system excise that extended...
The pathogenesis of subsquamous intestinal metaplasia (SSIM), in which glands Barrett's esophagus (BE) are buried under esophageal squamous epithelium, is unknown. In a rat model reflux esophagitis, we found that columnar-lined developed via wound-healing process involving epithelial-mesenchymal plasticity (EMP) ulcerated epithelium. To explore role for reflux-induced EMP BE, established and characterized human organoids sought evidence after treatment with acidic bile salts (AB). We...
We have found that Th2 cytokines increase eotaxin-3 secretion and tension in esophageal smooth muscle (ESM) cells via IL-4Rα signaling. Unlike epithelial cells, ESM do not express H + -K -ATPase, omeprazole does inhibit their cytokine-stimulated or tension. An blocking antibody reduces both induced by suggesting an agent such as dupilumab might be preferred for patients with EoE involvement.
Anterior cervical discectomy and fusion (ACDF) is one of the most common spinal surgeries performed in US but associated with various morbidities. Esophageal perforation rarest complications ACDF, it potentially fatal, therefore requiring timely detection treatment. We present three cases esophageal after ACDF.
Summary Esophagogastric junction outflow obstruction (EGJOO) can be an achalasia variant caused by neuromuscular dysfunction of the lower esophageal sphincter (LES), or manometric manifestation mechanical processes that impair EGJ distensibility. Distinction among these conditions has important implications for treatment, but difficult. We hypothesized response to botulinum toxin (BT) injection LES could a diagnostic test identifying achalasia-variant EGJOO likely respond muscle-directed...
To report a case of polysplenia syndrome (PSS) in an adult patient.The PSS is form situs ambiguous with multiple spleen, cardiac anomalies, abdominal heterotaxia, short pancreas, major venous system and bronquial malformations. It rare syndrome, more often found childhood, only the 10% patients that do not have anomalies can reach adulthood.A 56 y/o male obstructive jaundice intestinal obstruction who was submitted to laparotomy suspecting cholangiocarcinoma. He had choledocolithiasis,...
Background. Prolonged air leak is defined as an ongoing for more than 5 days. Intrabronchial valve (IBV) treatment approved the of leaks. Objective. To analyze our experience with IBV and valuate its cost-effectiveness. Methods. Retrospective analysis from June 2013 to October 2014. We analyzed direct costs based on hospital operating room charges. used average in US dollars not individual patient data. Results. treated 13 patients (9 M/4 F), median age 60 years (38 90). Median time...
Vaping, the use of electronic cigarettes, involves different mechanics than conventional combustion cigarettes. Consumers who vape tend to overinhale and then forcefully exhale eliminate vapor, which is usually produced in much greater quantity generated by a regular cigarette. Effectively, they are performing an exaggerated Valsalva maneuver. This can increase their risk for developing potential spontaneous pneumomediastinum. Here we present case pneumomediastinum secondary cigarette use.
Background/Aims: Orthotopic liver transplantation is being used with more frequency as the treatment for Wilson's disease. The experience at Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran orthotopic disease reported. We perform an extensive literature review this modality. Methods: Between january 2000 and june 2003, 23 transplants were performed our institution, 2 of them Both patients presented chronic advanced one neurologic dysfunction. Results: trasplanted without...
Abstract Objective With the advent of minimally invasive surgery, incisionless and third-space endoscopy, treatment for Zenker's diverticulum has also moved toward less techniques Methods New per oral can be applied cricopharyngeal myotomy in diverticulum. Results Five patients underwent endoscopic (Z-POEM) without complications, minimal discomfort, narcotic consumption, with complete resolution their symptoms by history Eckardt scores. Conclusions Z-POEM is performed entirely endoscopically...