A5048760054- Inflammatory Bowel Disease
- Pregnancy and Medication Impact
- Gastrointestinal Bleeding Diagnosis and Treatment
- Gastric Cancer Management and Outcomes
- SARS-CoV-2 and COVID-19 Research
- Central Venous Catheters and Hemodialysis
- Microscopic Colitis
- Venous Thromboembolism Diagnosis and Management
- Reproductive System and Pregnancy
- Diagnosis and Treatment of Venous Diseases
- Metastasis and carcinoma case studies
- Eosinophilic Esophagitis
- COVID-19 Clinical Research Studies
- COVID-19 and healthcare impacts
- Diagnosis and treatment of tuberculosis
- Abdominal vascular conditions and treatments
- Esophageal and GI Pathology
- Gastroesophageal reflux and treatments
- Primary Care and Health Outcomes
- Infant Health and Development
- Diet and metabolism studies
- Vascular anomalies and interventions
- Pelvic floor disorders treatments
- Chronic Disease Management Strategies
- Healthcare Systems and Public Health
Presbyterian Hospital
2020-2024
Cornell University
2020-2024
Weill Cornell Medicine
2023-2024
New York Hospital Queens
2020-2023
NewYork–Presbyterian Hospital
2020-2023
Icahn School of Medicine at Mount Sinai
2018-2020
Recent reports suggest that prevalence of gastrointestinal (GI) and hepatic manifestations in COVID-19 are higher than initially reported, particularly Western populations. New York City has arguably been the epicenter pandemic United States, creating a unique opportunity to further understanding this disease. Our objectives were investigate GI patients with COVID-19, explore their effect on clinical outcomes these patients. This is retrospective review consecutive adult (age ≥18) positive...
This article discusses the rationale for and current data on efficacy safety of combined advanced targeted therapy (CATT) treatment moderate-to-severe inflammatory bowel disease.
Abstract Background Inflammatory bowel disease (IBD) commonly affects women during childbearing years and often requires antepartum therapy. Data regarding effects of biologic exposure on delivery outcomes are limited. We explored whether peripartum impacts wound healing following cesarean section (C-section) vaginal (VD) in IBD patients. Methods Pregnancy data from the Preconception Planning (I-PrePP) Clinic database were collected analyzed. Primary outcome was frequency postpartum...
Inflammatory bowel disease (IBD) is not associated with worse coronavirus 2019 (COVID-19) outcomes. However, data are lacking regarding the long-term impact of severe acute respiratory syndrome 2 infection on course IBD.We aimed to investigate effect COVID-19 outcomes performed a multicenter case-control study patients IBD and between February 2020 December 2020.Cases controls were individuals presence or absence, respectively, COVID-19-related symptoms confirmatory testing. The primary...
Background: Lower gastrointestinal bleeding (LGIB) is a common reason for hospitalization. However, recent data suggest low-risk patients may be safely evaluated as an outpatient. Here, we compare stable LGIB discharged from the emergency department (ED) with those admitted, determine factors associated discharge and 30-day outcomes, evaluate follow-up rates amongst cohort. Methods: A retrospective study of (heart rate < 100 beats/min, systolic blood pressure > mm Hg on rectal exam) who...
INTRODUCTION: Systemic sclerosis (SSc), also known as scleroderma, is an immune-mediated connective tissue disease characterized by diffuse, progressive fibrosis of the skin, vasculature, and internal organs. The gastrointestinal tract most commonly involved organ in SSc, with many manifestations including esophageal dysmotility, gastroparesis, chronic intestinal pseudo-obstruction, malabsorption. We report a case patient severe scleroderma-like who presented classic symptoms SSc well rare...
Introduction: Histoplasmosis is a fungal infection endemic to parts of North, Central and South America. Its clinical presentation variable – most individuals are asymptomatic, but immunocompromised hosts can develop disseminated histoplasmosis (DH) with GI or skin involvement. The latter has been described immunosuppressants including tumor necrosis factor (TNF)-α inhibitor therapy, commonly used for treatment inflammatory bowel disease (IBD. Diagnosing DH in IBD challenging due similarity...
Introduction: Gastroesophageal reflux disease (GERD) is common, affecting 25% of the US population. While pharmacotherapy cornerstone treatment, lifestyle modifications including dietary changes and weight loss are important. In this study, we analyze effect a GI-based multi-disciplinary management clinic on acid suppressing therapy (AST) in pts with BMI >25 GERD. Methods: As part an ongoing prospective cohort GERD seen 4/1/2019 to 11/1/2020 were included. Pts who underwent bariatric...
Introduction: Toxic megacolon (TM) is a rare and potentially fatal complication that characterized by nonobstructive colonic dilatation (greater than 6 cm diameter on radiographic film) with signs of systemic toxicity. There broad differential for dilatation, though typically toxicity can help differentiate TM from other conditions. Case Description/Methods: An 80-year-old woman history aortic stenosis status post valve replacement, polymyalgia rheumatica, breast cancer mastectomy,...
Introduction: Lower endoscopy for acute lower gastrointestinal bleeding (LGIB) generally has low therapeutic yield. Retrospective studies suggest that in patients with severe LGIB, CT angiography (CTA) can aid localization and increase the yield of interventional radiology (IR) or endoscopy. It is unknown if uptake CTAs be increased whether this improve clinical outcomes. Thus, primary aim study to determine implementation a multidisciplinary LGIB pathway CTA utilization LGIB. Secondary...
Introduction: Acute lower gastrointestinal bleeding (LGIB) from appendiceal hemorrhage is rare but must be considered in the differential diagnosis for hematochezia, given lack of endoscopic therapeutics and need timely surgical intervention. We present a case LGIB an lesion that was diagnosed after several inconclusive evaluations ultimately treated successfully with resection. Case Description/Methods: A 48-year-old man hypertension, end stage renal disease on hemodialysis, mucinous mass...
Introduction: Colonic perforation is typically apparent, but can be indolent and difficult to detect early in those well-contained by adjacent organs. In rare cases, lower gastrointestinal bleeding (LGIB) may the only clinical sign. While long-term ileus acute mesenteric ischemia are uncommon complications of cardiac surgery, they serious contribute presence colonic perforation. Case Description/Methods: A 66-year-old woman was referred our department for refractory vomiting recurrent bright...
Introduction: Congestive hepatopathy (CH) is hepatocyte injury secondary to increased central venous pressure from right heart failure. It typically causes mild hyperbilirubinemia (total bilirubin < 3). In cases of marked with no intrinsic liver pathology, concurrent defect in metabolism may be suspected. This case featured 71% coproporphyrin (CP) I initially attributed CH underlying Dubin-Johnson syndrome (DJS) but was later found alone. Case Description/Methods: A 58-year-old man history...