A5038329021- Inflammatory Bowel Disease
- Microscopic Colitis
- Gastroesophageal reflux and treatments
- Diverticular Disease and Complications
- Mycobacterium research and diagnosis
- Colorectal Cancer Screening and Detection
- Vaccine Coverage and Hesitancy
- Lymphoma Diagnosis and Treatment
- Healthcare Policy and Management
- Congenital Heart Disease Studies
- Primary Care and Health Outcomes
- Esophageal and GI Pathology
- Cardiac pacing and defibrillation studies
- Gastrointestinal Bleeding Diagnosis and Treatment
- Gastrointestinal motility and disorders
- Cervical Cancer and HPV Research
- Heart Failure Treatment and Management
- Immunodeficiency and Autoimmune Disorders
- Foreign Body Medical Cases
- Intravenous Infusion Technology and Safety
- Viral-associated cancers and disorders
- Cannabis and Cannabinoid Research
- Retinal and Macular Surgery
- Health Education and Validation
- Health Systems, Economic Evaluations, Quality of Life
Stollery Children's Hospital
2023-2024
University of Alberta
2023
Saint Louis University
2016-2023
Saint Louis University Hospital
2019-2021
UCLouvain Saint-Louis Brussels
2019
Case Western Reserve University
2013
Abstract Background: Patients with Fontan failure are high-risk candidates for heart transplantation and other advanced therapies. Understanding the outcomes following initial consultation can help define appropriate timing of referral care. Methods: This is a survey study providers seeing any patient Part 1 captured data on clinical characteristics at time consultation, 2, completed 30 days later, (death, transplant evaluation outcome, interventions). were classified as “too late” (death or...
Background: Although it is well established that patients with inflammatory bowel disease (IBD) are at increased risk of complicating diseases and vaccination-preventable infections, whether gastroenterologists (GIs) or primary care providers (PCPs) assume responsibility for these patients' health maintenance not clear. Methods: We anonymously surveyed a convenience sample 94 PCPs 61 GIs Saint Louis University School Medicine in St. Louis, MO, about their practice perception the vaccination...
Background: Immunosuppressed women with inflammatory bowel disease (IBD) are at elevated risk of cervical cancer yet have lower screening rates. The objective this study was to assess the familiarity recommendations, and perceived responsibility for implementing among three physician groups involved in clinical care IBD: primary physicians (PCP), gastroenterologists (GI) gynecologists (GYN). Methods: We anonymously surveyed a sample 117 PCP, 52 GYN 35 GI affiliated Saint Louis University,...
Aim: To synthesize qualitative studies relating to caregivers' information needs and experiences caring for a child with chronic heart failure. Background: Children failure (HF) place considerable burden on healthcare systems each year is associated significant stress caregivers. Despite substantial knowledge generation implementation amongst providers in this field, translation strategies that target caregiver audiences have lagged. date, little known about what literature exists...
Well-differentiated neuroendocrine tumors (NET) of the ileum are generally slow-growing with metastatic potential that may cause systemic symptoms from secretion serotonin, cortisol, and other biologically active substances. Likewise, steroid cell ovary functional production androgens, estrogens, hormones. To best our knowledge, synchronous ileal NET ovarian have not been previously reported in English literature. We present a case 59-yr-old woman 2 primary were found incidentally: Stage III...
Abstract The Advanced Cardiac Therapies Improving Outcomes Network (ACTION) and Pediatric Heart Transplant Society (PHTS) convened a working group at the beginning of 2020 during COVID-19 pandemic, with aim using telehealth as an alternative medium to provide quality care high-acuity paediatric population receiving advanced cardiac therapies. An algorithm was developed determine appropriateness, educational handouts were for both patients providers, post-visit surveys collected. Telehealth...
Anaplastic large cell lymphoma (ALCL) is a rare subtype of non-Hodgkin (NHL). Primary gastric anaplastic kinase (ALK) negative ALCL extremely rare. Diagnosis primary ALK-negative difficult to establish and prognosis worse than ALK-positive ALCL. Here, we report case an 82-year-old man with history cerebrovascular disease presented weakness iron deficiency anemia. He denied any abdominal discomforts. The esophagogastroduodenoscopy revealed ulcerated, friable mass in the body which encompassed...
INTRODUCTION: Eluxadoline was approved by the US-FDA in May 2015 for treatment of Diarrhea predominant Irritable Bowel Syndrome (IBS-D). It is a mu-opioid receptor agonist and delta antagonist that acts locally gut. In recent published IBS-3001 IBS-3002 trials, 1 patient had pancreatitis 8 patients experienced abdominal pain due to sphincter oddi dysfunction (SOD) related Eluxadoline. Here we describe with induced pancreatitis, first case reported out clinical trials. CASE SUMMARY: A 38 year...
INTRODUCTION: Medicaid expansion is a key provision of the 2010 Affordable Care Act (ACA) that bolsters healthcare access for Inflammatory Bowel Disease (IBD) patients. Prior to ACA, was guaranteed only specific patient populations whose income falls within certain limits federal poverty level (FPL). ensures eligibility all adults aged 18-65 years with incomes up 138% FPL regardless age, family, or health status. 17 states, including Missouri, have not expanded which has created coverage gap...
INTRODUCTION: Previous studies have shown that marijuana use may be associated with a lower postoperative infection rate and shorter hospitalization in UC patients. In our study, we looked at the most recent Nationwide Inpatient Sample datasets from 2016 to 2017 searched for in-hospital complications, procedures, outcomes assess impact of on UC. METHODS: By using ICD-10 codes, identified adults hospitalizations without use. We then collected information baseline characteristics including age...
Peripheral facial nerve palsy is a prevalent type of mononeuropathy that can have variety etiologies. Facial damage because esophagogastroduodenoscopy, however, exceedingly rare and has only been reported in 1 patient. We report the first case United States patient who developed left-sided after routine with little meaningful recovery function. hope to bring awareness gastroenterologists this complication potential long-term detrimental effects be avoided adjustment equipment position before...
Abstract Introduction: The benefit of adding an immunomodulator to vedolizumab and ustekinumab remains unclear may compromise the safety these biologics. We evaluated prevalence predictors use with or in patients inflammatory bowel disease a large longitudinal cohort. Methods: Clinical information was ascertained from electronic medical records enrolled TARGET-IBD, prospective observational cohort IBD at 34 sites. Prevalence vedolizumab, ustekinumab, anti-TNFs as well were estimated. Rates...
Cardiomyopathy (CM) is a rare childhood disease associated with morbidity and mortality. Limited data exist on paediatric CM in Canada. Given the nature, single-centre studies are not sufficiently powered to address important questions. Therefore, administrative health may serve as resource for study of CM. The goal this was validate accuracy International Classification Diseases (ICD)-based algorithms identify databases using clinical registry gold standard.
Introduction: Inflammatory bowel diseases (IBD)-related health maintenance (HM) includes non-gastroenterology (GI) related isuuses, such as assessment for depression, anxiety & smoking and screening melanoma non-melanoma skin cancer (NMSC) osteoporosis. GI specialists' perception of responsibility issues is not clear. Methods: We surveyed a convenient sample 50 specialists who are affiliates (24% university faculty, 14% VA 22% fellows in-training) or recent graduates (40%) St. Louis...
Introduction: Patients with inflammatory bowel disease (IBD) are at increased risk of vaccination-preventable infections, especially the recent utilization immune modulators and biologics in addition to glucocorticoids. However, reports suggest that IBD patients less likely receive age-appropriate vaccination when compared general population. Theoretically, this could result from insufficient awareness, unclear responsibility assignment, or inadequate communication among healthcare...
Introduction: IBD is a spectrum of diseases that include Ulcerative Colitis and Crohn's disease. patients are at increased risk complicating illnesses, which exaggerated by the use immunemodulators biologic agents. Despite established guidelines, it suspected cervical cancer (CCA) screening in this population less than ideal, unclear whether assumed responsibility CCA falls under gastroenterologists (GI) or internists (IM). Methods: We anonymously surveyed 33 GI 96 IM physician affiliates...
Health maintenance (HM) of patients with IBD is multifactorial and well-established importance. However, the extent that it practiced whether gastroenterologist (GI) or primary care provider (PP) would should assume its responsibility are not clear. We anonymously surveyed a convenient sample 94 internists who affiliates trainees St. Louis University (SLU), Louis, MO (11.6% university faculty, 5.9% VA 82.5% medical residents), using electronic paper self-administered instruments. Out 87...
IBD patients (pts) are at increased risk of vaccination-preventable infections. It is not clear whether the gastroenterologists (GI) or primary care providers (PP) assume responsibility for vaccination. We anonymously surveyed 94 internists (IM) & 50 GI who affiliates trainees St. Louis University, using electronic paper self-administered instruments. 87 IM responded. were similar in indicating that PP (64 vs 74%) GIs (34 23%) should order vaccines being comfortable providing activated (58...
INTRODUCTION: Crohn’s disease is an inflammatory bowel (IBD) that can affect any part of the digestive tract and may present with diarrhea, abdominal pain, and/or weight loss. A subset patients Crohn's are asymptomatic diagnosed endoscopically before onset symptoms. Here, we report unusual presentation which was following postoperative complications from a sleeve gastrectomy. CASE DESCRIPTION/METHODS: 46-year-old obese but otherwise healthy female underwent elective laparoscopic gastrectomy...
INTRODUCTION: Inflammatory bowel disease (IBD) patients have increased venous thromboembolism (VTE) risk and commonly iron deficiency anemia (IDA) of chronic inflammation (ACI). Anemia can signal severity in IBD patients. Pro-inflammatory diseases, like IBD, IDA been independently associated with VTE. VTE chemoprophylaxis is sometimes withheld hospitalized minor rectal bleeding or severe due to safety concerns. This study aimed assess the impact on VTE, in-hospital mortality, length hospital...