A5015094737- Esophageal and GI Pathology
- Gastroesophageal reflux and treatments
- Helicobacter pylori-related gastroenterology studies
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Gallbladder and Bile Duct Disorders
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Eosinophilic Esophagitis
- Bariatric Surgery and Outcomes
- Gastrointestinal disorders and treatments
- Biliary and Gastrointestinal Fistulas
- Potassium and Related Disorders
- Dysphagia Assessment and Management
- Pancreatitis Pathology and Treatment
- Genetic factors in colorectal cancer
- Parathyroid Disorders and Treatments
- Ultrasound in Clinical Applications
Prisma Health
2021-2024
Greenville Memorial Hospital
2023
Background: Proton-pump inhibitor (PPI) use for management of gastroesophageal reflux disease (GERD) consists a short-duration trial, according to guidelines. Long-term usage is appropriate under certain indications. Literature has increasingly documented an adverse effect profile PPIs, including kidney and bone fragility. Objective: To investigate the rate occurrence osteopenia, osteoporosis, chronic (CKD) in patients using PPI therapy longer than recommended trial period 8 weeks. Methods:...
Introduction: Menetriere’s Disease (MD) is a rare protein losing enteropathy. A common histological feature of MD massive foveolar hyperplasia (expansion mucus cells). Medical therapies include Cetuximab and Octreotide but total gastrectomy remains the mainstay as curative option. We report case MD, unrelated to infection in patient with germline SMAD4 mutation. Case Description/Methods: 39-year-old male past medical history hypertension, an extensive orthopedic was referred for iron...
Restricted accessAbstractFirst published online September 26, 2023Topic: Esophagus Benign-GERD, Achalasia, Motility Abstract ID: 19 Empiric Esophageal Dilation for the Treatment of DysphagiaKatherine Kendrick, Yianni Protopapadakis, […], Gary Abrams, and Madhu Sunkavalli+1-1View all authors affiliationsVolume 3, Issue 3https://doi.org/10.1177/26345161231189087
Introduction: Appropriate use of Proton Pump Inhibitor (PPI) therapy consists an 8-week limited-time trial according to ACG guidelines. Due patient symptomatic relief, PPI prescription length is often extended beyond the recommended window without additional evaluation symptoms. Despite their acceptance as safe medications, adverse effect (AE) profile has been increasingly documented. We aimed investigate rate inappropriate prescriptions, associated events, and financial implications...
Introduction: Ascites is the most common complication of cirrhosis that leads to hospital admission. The prevalence ascitic fluid infection, often spontaneous bacterial peritonitis (SBP), at time admission in a patient with has been estimated be 12%. clinician’s impression an infection unlikely does not rule out infection. Mortality due SBP hospitalized patients ranges from 10% 46%. Empiric treatment suspected allow for narrowing spectrum coverage and typically results daily administration...
Introduction: Obesity is a global health issue of epidemic proportions. Surgical interventions have traditionally served as the standard care for managing obesity. However, past decade has witnessed surge in development and utilization endoscopic obesity management, broadening range available treatments. Despite these advancements, comparative evidence between surgical procedures insufficient. Methods: We systematically searched electronic databases randomized controlled trials (RCTs)...
Introduction: Endoscopic ultrasound (EUS) is a widely recognized diagnostic tool for detecting biliary stones and sludge. Despite its high sensitivity, the frequency of incidental choledocholithiasis (CD) on EUS remains unclear. We performed retrospective chart review to evaluate finding CD in patients undergoing an reasons other than Methods: A cohort study was conducted evaluating all studies between 2019 2022 at single tertiary academic medical center. Clinical data including...
Background: Non-obstructive dysphagia is a commonly encountered clinical problem. Methods: We retrospectively analyzed single tertiary hospital system electronic database from January 2021 to October for patients undergoing EGD with dilation using ICD-10 codes 43248 and 42450. Results: Of the 411 meeting inclusion criteria, 75% of these had improvement empiric dilation. The presence superficial mucosal tear post was statistically significant. Conclusion: Empiric useful tool non-obstructive dysphagia.
Cholangiocarcinoma (CCA) is a biliary epithelial cancer conferring grim prognosis. Metastatic recurrence of CCA often discovered because symptoms stemming from the site metastasis. It rarely reported that colonic obstruction serves as presenting symptom disease recurrence. We report unusual discovery malignant metastatic CCA. Our highlights benefit minimally invasive stenting for palliation yielding immediate relief pain while avoiding untoward sequelae high-risk surgical intervention.
Introduction: AL Amyloidosis is a rare condition most often implicating the cardiovascular and renal systems. We report case of early amyloidosis with isolated rectal involvement discovered incidentally during routine colonoscopy. Highlighted significance thorough workup management gastrointestinal amyloidosis. Case Description/Methods: A 54-year-old male history hypercholesterolemia presented for screening He denied any symptoms or other concerns. During procedure, two diminutive polyps...