- Gastrointestinal Bleeding Diagnosis and Treatment
- Gastrointestinal disorders and treatments
- Gastric Cancer Management and Outcomes
- Esophageal and GI Pathology
- Gallbladder and Bile Duct Disorders
- Gastrointestinal Tumor Research and Treatment
- Microscopic Colitis
- Helicobacter pylori-related gastroenterology studies
- Pancreatic and Hepatic Oncology Research
- Inflammatory Bowel Disease
- Potassium and Related Disorders
- Gastroesophageal reflux and treatments
- Hidradenitis Suppurativa and Treatments
- Autoimmune Bullous Skin Diseases
- Artificial Intelligence in Healthcare and Education
- Pneumonia and Respiratory Infections
- Stoma care and complications
- Gastrointestinal motility and disorders
- Dysphagia Assessment and Management
- Antibiotic Use and Resistance
- Radiomics and Machine Learning in Medical Imaging
- Drug-Induced Adverse Reactions
- Intestinal and Peritoneal Adhesions
- Metastasis and carcinoma case studies
- Trace Elements in Health
UMass Memorial Medical Center
2013-2024
UMass Memorial Health Care
2013-2024
University of Massachusetts Chan Medical School
2010-2021
Utah Valley Regional Medical Center
2018
Royal Darwin Hospital
2017
Royal Marsden NHS Foundation Trust
2015-2016
Johns Hopkins Medicine
1951
Neurological Surgery
1951
Johns Hopkins University
1951
Background and Aims: The application of endoscopic suturing has revolutionized defect closures. Conventional over-the-scope necessitates removal the scope, placement device, reinsertion. A single channel, sequence, through-the-scope device been developed to improve this process. This study aims describe efficacy, feasibility, safety a for gastrointestinal closure. Methods: was retrospective multicenter involving 9 centers consecutive adult patients who underwent using X-Tack Endoscopic HeliX...
<h3>ABSTRACT</h3> There is no national NHS tariff to fund services for patients experiencing long-term bowel and nutritional problems after cancer treatment. In this paper, we report the clinical characteristics outcomes of referred our service estimated cost a completed episode care. Patient characteristics, symptom severity, investigations, diagnoses, number clinic visits referrals elsewhere were recorded in prospective cohort study. During 2013–14, 325 assessment The majority original...
Conclusions1. Traumatic, purulent and ischemic lesions of the brains cats demonstrate increased contents radioactive phosphorus following intravenous administration isotope when compared with control brain tissue. 2. Fetal cat tissues higher in 45 48 hours after than maternal tissue same animal. 3. Brain tumor from clinical cases reveals greater deviations above normal any pathological nervous studied. When architecture is intact content degenerating, softened mass. 4. The distribution among...
<h3>Introduction</h3> The considerable GI toxicity experienced by patients during and after cancer therapy is an increasing problem as more survive cancer, yet struggle to obtain adequate assessment or treatment. <h3>Method</h3> A financial model was derived from a prospective evaluation of referred consequences treatment clinic, where are investigated treated using algorithm proven be effective. costs assessment, investigations prescriptions calculated the National Tariffs 2013/14. clinical...
Introduction: Acute cholangitis is a consequence of obstruction and infection the biliary tract. Endoscopic retrograde cholangiopancreatography (ERCP) key in management choice as acute stone extraction and/or stent insertion establishes drainage relief infection. Anatomical variation following Roux-en-Y gastric bypass surgery or patients with esophageal obstructions like our case are prone to make early intervention by ERCP challenge . We describe report septic patient whom gastrostomy tube...
Video 1Video demonstration of left hepaticogastrostomy with the assistance an angioplasty balloon.
Introduction: Proton pump inhibitors (PPI) and H2-receptor blockers reduce the risk of developing peptic ulcer disease (PUD) in high patients. Patients presenting with non-hematemesis gastrointestinal bleeding (NHGIB) present a diagnostic dilemma for clinicians as may originate from anywhere GI tract. We hypothesize that NHGIB patients concurrently on acid suppressive medications are less likely to have than those not medications, its use upon presentation ED (emergency department) narrow...
Case Report: An 80-year-old male with history of abdominal aortic aneurysm repair 19 years ago presented significant hematochezia, preceded by an episode self-resolving bloody stools two weeks prior. Given his AAA repair, aortoenteric fistula was initially suspected. extensive workup, including angiogram the aorta, 2 successive nuclear RBC scans, EGD to jejunum, and colonoscopies failed visualize a source active bleeding, but did show diffuse colonic diverticulosis. unrelenting bleeding...
Introduction: The association of non-steroidal anti-inflammatory drugs (NSAIDs) with gastrointestinal bleeding (GIB) has been a well-studied correlation. mechanism toxicity clearly defined and is known to result from the inhibition cyclo-oxgenase prostaglandin synthesis, as have risk factors that predispose GIB. We retrospectively studied 336 consecutive patients presenting emergency room GIB separated them based on NSAID use. aim study was improve our understanding how use may changing role...
Video capsule endoscopy (VCE) is a non-invasive diagnostic tool standard in the investigation of obscure gastrointestinal (GI) bleed (OGIB). It postulated that yield may be higher if performed closer to bleeding event. We retrospectively investigated VCEs our medical center analyze patients whose procedure was within 3 days (<3d) admission for overt GI (OOGIB) versus after (>3d) and associated with decreased length stay (LoS) improved therapeutic success. Retrospective review records...
Proximal small bowel Crohn's disease (PSBCD), or jejunoileitis, is less common, but associated with more aggressive including younger age of onset and development complications need for surgical intervention. There a paucity evidence directing medical treatment strategies in this specific patient population. The purpose the study was to collect our institution's cohort patients PSBCD, assess use immunomodulator biologic treatment, rates resection and/or stricturoplasty, identify therapeutic...