A5007398371- Liver Disease Diagnosis and Treatment
- Pancreatitis Pathology and Treatment
- Gastric Cancer Management and Outcomes
- Liver Disease and Transplantation
- Gallbladder and Bile Duct Disorders
- Esophageal and GI Pathology
- Biliary and Gastrointestinal Fistulas
- Pediatric Hepatobiliary Diseases and Treatments
- Gastrointestinal disorders and treatments
- Abdominal vascular conditions and treatments
- Pancreatic and Hepatic Oncology Research
- Hepatocellular Carcinoma Treatment and Prognosis
- Colorectal Cancer Screening and Detection
- Eosinophilic Esophagitis
- Esophageal Cancer Research and Treatment
- Gastrointestinal Tumor Research and Treatment
- Metastasis and carcinoma case studies
- Helicobacter pylori-related gastroenterology studies
- Gastrointestinal Bleeding Diagnosis and Treatment
- Streptococcal Infections and Treatments
- Hepatitis C virus research
- Organ Transplantation Techniques and Outcomes
- Antimicrobial Resistance in Staphylococcus
- Microscopic Colitis
- Tracheal and airway disorders
Marshall University
2021-2024
Minia University
2024
Deraya University
2024
University of Kentucky
2014-2021
Banner Health
2020
AdventHealth Orlando
2016-2018
St. John Hospital & Medical Center
2018
Khyber Teaching Hospital
2018
Texas Tech University Health Sciences Center
2009-2013
Texas Tech University
2009-2013
Although lumen-apposing metal stents (LAMS) are increasingly being used for drainage of pancreatic fluid collections (PFC), their advantage over plastic is unclear.In this retrospective case-control study, 20 patients who underwent PFC using LAMS were matched with 40 treated according to type (walled-off necrosis [WON] vs pseudocyst) and procedural technique (conventional multi-gate). Main outcome measures treatment success, reintervention, clinical stent-related adverse events, duration,...
Abstract INTRODUCTION The intricate association between tobacco smoking and Inflammatory Bowel Disease (IBD) presents diverse effects on Ulcerative Colitis (UC) Crohn’s (CD). Our study delves into this nuanced interplay, aiming to investigate the impact of hospital outcomes among IBD patients using extensive national inpatient data. METHODS Leveraging National Inpatient Sample (2016 2018) employing ICD-10 codes for identification, we categorized based use. Outcomes included length stay...
e16199 Background: Artificial intelligence (AI) has been suggested as an alternative biomarker for predicting hepatocellular carcinoma (HCC) recurrence after treatment. The aim of this systematic review and meta-analysis was to evaluate the diagnostic performance AI in surgical resection treatment HCC. Methods: A rigorous evaluation conducted on studies related HCC, retrieved from PubMed/Medline, Cochrane Library, Web Science, Embase, Scopus, CINAHL, Google Scholar databases. true positive,...
Bile duct stones, indeterminate biliary strictures and other pathologies represent a significant surgical endoscopic challenge in patients with altered luminal or anatomy. Traditional retrograde cholangiopancreatography (ERCP) is not feasible alternative approach usually required. A novel of addressing these challenging cases assessed by this case series. All who underwent percutaneous transhepatic cholangioscopy (PTCS) SpyglassTM Direct visualization system (SDVS) between December 2016...
Background: Morbidity associated with stress ulcer–related bleeding, the cost of medications, and possible complications ulcer prophylaxis are important considerations when prescribing prophylaxis. We prospectively studied prescription patterns for in patients admitted to our ICU. Methods: recorded indications use based on American Society Healthcare Pharmacists criteria other 99 new intensive care unit (ICU) admissions a tertiary referral center. Results: In all 51 had no indication...
Acid suppression therapy in critically ill patients significantly reduces the incidence of stress ulceration and gastrointestinal (GI) bleeding; however, recent studies suggest that proton pump inhibitors (PPIs) increase risk pneumonia. We wanted to test hypothesis acid suppressive promotes alteration bacterial flora GI tract leads colonization upper airway with pathogenic species, potentially forming biological basis for observed increased pneumonia these patients. This was a prospective...
Prevalence of gastroesophageal varices is around 50% patients with cirrhosis. In compensated cirrhosis they are present in 30-40%. Progression from small to large occurs at rate 10-12% annually. That percentage increases significantly decompensated liver found 85% patients. Variceal hemorrhage a 10-15% per year. The outcome variceal depends on the severity disease, size varices, and presence stigmata recent bleeding (red whale sign). Six-week mortality ranges between 15% 25%. Without...
Common bile duct (CBD) injury, ranging from a partial tear to complete transection, is major surgical complication of cholecystectomy with significant morbidity and mortality. Proper management these complex injuries depends on the type extent injury time recognition. Identifying repairing during can prevent development complications, but this only occurs in about one-third cases. We report novel technique reconnect transected CBD assistance single-operator cholangioscopy.
Gastric cancer is the fifth most common malignancy worldwide and fourth leading cause of cancer-related deaths. The diagnosis usually made by direct visualization with supporting histopathology. However, patients gastric bypass surgery pose a challenge in due to difficulty evaluation excluded stomach. We present two cases stomach after Roux-en-Y (RYGB) was diagnosed using different endoscopic approaches.
Duodenal variceal bleeding is a rare cause of gastrointestinal bleeding. The most common site the duodenal bulb. It usually detected endoscopically but it can be very challenging to diagnose if located distal second part od duodenum. pre- transjugular intrahepatic portosystemic shunt (TIPS) presence spontaneous (SPSS) was found associated with an increased risk early morbidity and mortality after TIPS placement.A 43-year-old cirrhotic male presented melena for three days. Upper endoscopy...
Gastroduodenal intussusception is a critical condition in which stomach protrudes into the duodenum. It very rare adults. Most common causes include intra luminal lesions including benign or malignant tumors of stomach. included are gastrointestinal stromal (GISTs), gastric carcinoma, lipoma, leiomyoma, and schwannoma. extremely to be caused by migration percutaneous feeding tube. A 50-year-old woman with past medical history (PMH) dysphagia status post endoscopic gastrostomy (PEG) tube,...
A 79-year-old woman and a 92-year-old were referred to the gastroenterology department for management of persistent colovaginal fistula despite surgical non-surgical management. Both patients had several hospitalisations recurrent urinary tract infections. After failed endoscopy using over-the-scope clipping, both underwent endoscopic closure Amplatzer cardiac septal occluder device. successful no recurrence symptoms at 6-month follow-up. Although there are therapies available fistulas, most...
Arterioenteric fistulas are a rare cause of massive gastrointestinal hemorrhage. We present patient who developed fistula between middle colic artery pseudoaneurysm, proximal branch the superior mesenteric (SMA), and third part duodenum 2 weeks after self-inflicted gunshot wound to abdomen. The patient's presentation, evaluation, treatment, prognosis discussed. All prior published cases SMA-duodenal reviewed.
BACKGROUNDThe migration rate of fully covered self-expandable metal stents (FCSEMSs) has been reported to be between 14% 37%.Anchoring FCSEMSs using a doublepigtail plastic stent (DPS) may decrease migration. AIMTo compare rates patients who received FCSEMS alone and those both an anchoring DPS. METHODSWe conducted retrospective analysis endoscopy reporting system medical records 1366 underwent endoscopic retrograde cholangiopancreatography (ERCP) with placement at the University Kentucky...
Benign strictures of the colon and rectum affect a sizable portion patients who have an underlying inflammatory disease or undergone recent surgery. Etiologies include bowel (IBD), post-surgical ischemia, anastomotic strictures, non-steroidal anti-inflammatory drugs (NSAIDs), complicated diverticulitis. Refractory colorectal are very difficult to manage often require repeated different treatment options. We report novel technique using argon plasma coagulation (APC) with endoscopic balloon...
Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) can cause skin and soft tissue infection necrotizing pneumonia. We report a patient who developed ankle cellulitis following minor trauma MRSA bacteremia, pneumonia, respiratory failure, shock, multiple thrombi. This case highlights the fulminant course, possible need for empiric antibiotic coverage on admission MRSA, high likelihood of thrombotic complications in these patients.