- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Inflammatory Bowel Disease
- Microscopic Colitis
- Gastrointestinal disorders and treatments
- Esophageal and GI Pathology
- Nutrition and Health in Aging
- Clinical Nutrition and Gastroenterology
- Frailty in Older Adults
- Helicobacter pylori-related gastroenterology studies
- Pancreatitis Pathology and Treatment
- Child Nutrition and Feeding Issues
- Gastroesophageal reflux and treatments
- Colorectal Cancer Screening and Detection
- Abdominal Trauma and Injuries
- Dysphagia Assessment and Management
- Drug-Induced Hepatotoxicity and Protection
- Poisoning and overdose treatments
- Obstructive Sleep Apnea Research
- Stoma care and complications
- Pregnancy and Medication Impact
- Advanced Chemical Sensor Technologies
- Research, Science, and Academia
- Healthcare and Environmental Waste Management
- Eosinophilic Esophagitis
University of Washington Medical Center
2024-2025
University of Washington
2020-2025
Santa Clara Valley Medical Center
2025
University of Southern California
2018-2020
Seattle University
2020
University of California, San Francisco
2020
LAC+USC Medical Center
2017
University of California, Irvine
2016
The inflammatory bowel diseases (IBD) are a complex set of chronic gastrointestinal conditions arising from the interplay genetic and environmental factors. This study focuses on noncoding RNA transcripts as potential mediators IBD pathophysiology. One particular gene, interferon γ-antisense 1 (IFNG-AS1), has been consistently observed to be elevated in intestinal mucosa patients with actively inflamed versus healthy controls. builds these observations, demonstrating that second splice...
This clinical practice guideline from the American Society for Gastrointestinal Endoscopy (ASGE) provides an evidence-based approach strategies to diagnose and manage GERD. document was developed using Grading of Recommendations, Assessment, Development, Evaluation (GRADE) framework serves as update prior ASGE on role endoscopy in management GERD (2014). The updated addresses indications patients with GERD, including who have undergone sleeve gastrectomy (SG) peroral endoscopic myotomy...
<title>Abstract</title> Purpose Biliary leaks are commonly caused by abdominal trauma, which can be managed endoscopic retrograde cholangiopancreatography (ERCP). The data on factors associated with persistent biliary after successful ERCP is scarce. We aimed to describe the leaks. Methods A retrospective study of an academic level 1 trauma center was conducted patients presenting and had a leak ERCP. primary outcome leak, defined as needing additional excluding stent removal. Results total...
Background Sarcopenia is associated with postoperative complications in inflammatory bowel disease. It has most commonly been defined using the skeletal muscle index, computed after analysis of cross-sectional area at L3. Psoas thickness normalized to height (PMTH), which easier derive, a potential surrogate SMI and sarcopenia patients cirrhosis chronic pancreatitis. We investigate whether by PMTH utility predicting post-operative outcomes disease.Methods performed retrospective study adults...
Abstract Introduction: Uremia results in a characteristic breath odor (uremic fetor) which is largely due to its high ammonia content. Earlier studies have shown strong correlation between and blood urea levels 10‐fold reduction after hemodialysis patients with chronic kidney disease. Potential sources of include: (i) local production from hydrolysis the oropharyngeal respiratory tracts by bacterial flora, (ii) release circulating lungs. While effects uremia on are well known their unknown...
Abstract Background: Tumor necrosis factor alpha-induced protein 3 ( TNFAIP3 ) is a multifunctional ubiquitin binding and editing enzyme that regulates inflammation. Genetic studies have implicated polymorphisms within the locus to development of numerous immune-related diseases. This study evaluated frequencies single-nucleotide polymorphism (SNPs) exonic regions gene an associated point mutation from Illumina array among predominantly Hispanic cohort. Methods: Genomic DNA was obtained 721...
This article from the American Society for Gastrointestinal Endoscopy (ASGE) provides a full description of methodology used to inform final guidance outlined in accompanying summary and recommendations strategies manage endoscopically placed gastrostomy tubes. was developed using Grading Recommendations Assessment, Development Evaluation (GRADE) framework specifically addresses utility PEG versus interventional radiology-guided (IR-G), need withholding antiplatelet anticoagulant...
Introduction: Acute liver injury is a common reason for Hepatology consultation in the inpatient setting, however there are frequent challenges determining etiology of abnormal lab values complex medical patients with polypharmacy. Case Description/Methods: A 76-year-old man compensated cirrhosis due to hepatitis B on tenofovir, atrial fibrillation apixaban, who recently initiated amiodarone, presented emergency department diarrhea, vomiting, and abdominal pain two days. On exam he had dry...
BACKGROUND: Sarcopenia, or muscle mass loss, has been associated with post-operative complications in inflammatory bowel disease (IBD). It is commonly diagnosed by skeletal index (SMI), which computed specialized software using several cross-sectional areas at the L3 vertebral body level and labor intensive. In contrast, psoas thickness normalized to height (PMTH) calculated quickly without specific potential for routine community use. PMTH a surrogate of SMI sarcopenia cirrhosis chronic...
Introduction: Helicobacter pylori results in 300,000 hospitalizations annually the United States and primary risk factor for gastric adenocarcinoma, which is second leading cause of cancer mortality worldwide. Guidelines emphasize that optimal treatment H. requires careful attention to local antibiotic resistance eradication patterns. Prior work has suggested underserved population Southern California a rate 15%. We aimed determine actual Pylori failure large East Los Angeles. Methods:...