- Colorectal Cancer Screening and Detection
- Esophageal and GI Pathology
- Gastrointestinal disorders and treatments
- Gastric Cancer Management and Outcomes
- Gastroesophageal reflux and treatments
- Gallbladder and Bile Duct Disorders
- Helicobacter pylori-related gastroenterology studies
- Liver Disease Diagnosis and Treatment
- Biliary and Gastrointestinal Fistulas
- Pancreatitis Pathology and Treatment
- Eosinophilic Esophagitis
- Gastrointestinal motility and disorders
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Diverticular Disease and Complications
- Pancreatic and Hepatic Oncology Research
- Gut microbiota and health
- Intestinal Malrotation and Obstruction Disorders
- Sleep and related disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Hepatitis C virus research
- Diet and metabolism studies
- Genetic factors in colorectal cancer
- Infectious Aortic and Vascular Conditions
- IgG4-Related and Inflammatory Diseases
- Aortic aneurysm repair treatments
Eastern Virginia Medical School
2013-2024
Digestive & Liver Disease Specialists
2020
Carilion Clinic
2017-2019
Tulane University
2014-2018
Virginia Tech
2018
Heart of England NHS Foundation Trust
2009
Heartlands Hospital
2009
There is a fine balance in the mutual relationship between intestinal microbiota and its mammalian host. It thought that disruptions this contribute/account for pathogenesis of many diseases. Recently, significance gut host obesity metabolic syndrome has been demonstrated. Emerging data linked dysbiosis to several gastrointestinal diseases including inflammatory bowel disease, irritable syndrome, nonalcoholic fatty liver malignancy. This article intended review role maintenance/alterations...
Background and study aims The aim of the current was to review outcomes a large-scale international registry on endoscopic ultrasound-guided gallbladder drainage (EGBD) that encompasses different stent systems in patients who are at high-risk for cholecystectomy. Patients methods This retrospective multicenter EGBD created by 13 institutions around world. Consecutive received several indications were included. Outcomes include technical clinical success, unplanned procedural events (UPE),...
Sleep dysfunction is a highly prevalent condition that has long been implicated in accelerating disease states characterized by having an inflammatory component such as systemic lupus erythematosus, HIV, and multiple sclerosis. Inflammatory bowel (IBD) chronic, debilitating waxing waning symptoms, which are direct result of increased circulating cytokines. Recent studies have demonstrated sleep the disruption circadian rhythm to upregulation Not only does this pose potential trigger for...
Objective: Although widely recommended, Lynch syndrome (LS) testing with tumor microsatellite instability (MSI) and/or immunohistochemistry (IHC) is infrequently performed in early-onset colorectal cancer (CRC), and CRC generally. Reasons are poorly understood. Hence, we conducted a national survey focusing on gastroenterologists, as they frequently first to diagnose CRC, assessing barriers which specialist felt responsible for ordering MSI/IHC. Additionally, assessed factors influencing...
We present a 24-year-old man with history significant for cystic fibrosis and insulin-dependent diabetes mellitus who developed anaemia in the setting of piperacillin-induced immune haemolysis. This case provided diagnostic challenge, rare association haemolysis those suffering from fibrosis.
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...
Methods for unsupervised anomaly detection suffer from the fact that data is unlabeled, making it difficult to assess optimality of algorithms. Ensemble learning has shown exceptional results in classification and clustering problems, but not seen as much research context outlier detection. Existing methods focus on combining output scores individual detectors, this leads outputs are easily interpretable. In paper, we introduce a theoretical foundation detectors with Bayesian classifier...
We present a case of 46-year-old man with history significant only for hypertension and depression that presented new onset seizure resulting from right parietal lobe mass. Further evaluation determined the mass to be central nervous system toxoplasmosis, which was initial presentation his underlying HIV/AIDS. This provided diagnostic challenge demonstrates importance thorough as it pertains newly diagnosed brain lesion.
We report a case of 77-year-old Asian man with history significant for type II diabetes mellitus and chronic kidney disease who presented abdominal pain, nausea, vomiting 20-pound weight loss 3 weeks’ duration. Further evaluation revealed an infected mycotic aneurysm distal aortitis as result Salmonella . This demonstrates interesting successful therapeutic approach.