A5057414847- Liver Disease and Transplantation
- Liver Disease Diagnosis and Treatment
- Abdominal vascular conditions and treatments
- Hepatitis C virus research
- Liver Diseases and Immunity
- Hepatitis B Virus Studies
- Chronic Lymphocytic Leukemia Research
- Gastrointestinal Bleeding Diagnosis and Treatment
- Travel-related health issues
- COVID-19 Clinical Research Studies
- Organ Transplantation Techniques and Outcomes
- Cancer Diagnosis and Treatment
- Gallbladder and Bile Duct Disorders
- Viral-associated cancers and disorders
- Ultrasound in Clinical Applications
- Alcohol Consumption and Health Effects
- Bariatric Surgery and Outcomes
- Pediatric Hepatobiliary Diseases and Treatments
- Pregnancy and Medication Impact
- Cardiovascular Function and Risk Factors
- Artificial Intelligence in Healthcare
- Genital Health and Disease
- Clinical Nutrition and Gastroenterology
- Cardiac pacing and defibrillation studies
- COVID-19 and healthcare impacts
University of South Alabama
2021-2024
Beth Israel Deaconess Medical Center
2018-2021
Harvard University
2018-2021
Hadassah Medical Center
2020
Cornell University
2020
Baylor University Medical Center
2018
Carmel Medical Center
2014
Bariatric surgery (BS) is effective in treating morbid obesity, but the impact of prior BS on candidacy for liver transplantation (LT) unclear. We examined 78 patients with cirrhosis compared a concurrent cohort 156 matched by age, Model End-Stage Liver Disease score, and underlying disease. rates transplant denial after evaluation, delisting waiting list, survival LT. The median time from to LT evaluation was 7 years. Roux-en-Y gastric bypass most common procedure performed (63% cohort)....
Noninvasive liver assessment in type 2 diabetes (T2DM) a primary care population identifies higher risk non-alcoholic fatty disease (NAFLD). We aimed to evaluate the association of T2DM with fibrosis and steatosis by transient elastography (TE).This is retrospective study TE referral program where physicians were able order TE. Patients alcohol abuse excluded. Controlled Attenuation Parameter (CAP) scores obtained. Multivariable linear logistic regression models used adjust for...
Budd-Chiari syndrome (BCS) is a rare vascular disorder characterized by an obstruction of the hepatic venous outflow. Nodular regenerative hyperplasia (NRH) may develop as result underlying autoimmune disease such sarcoidosis. Only few case reports have described cases with either NRH or sarcoidosis associated BCS. We present 42-year-old man presenting BCS and signs portal hypertension who was found to pathological diagnosis both successfully treated transjugular intrahepatic portosystemic shunt.
Introduction: Sinusoidal obstruction syndrome (SOS) is caused by sinusoidal endothelial injury due to hematopoietic cell transplantation, liver irradiation or exposure chemotherapy such as oxaliplatin and may occur days weeks following exposure. SOS can be a life-threatening complication its presentation include jaundice, volume overload hepatic failure. We present the case of 32-year-old male with gastroesophageal adenocarcinoma who underwent oxaliplatin-based developed SOS. Case...
Introduction: 6-Mercaptopurine (6-MP) is a drug that has been used for treatment of inflammatory bowel disease (IBD) as well several leukemias. It associated with multiple types hepatoxicity, including asymptomatic elevation liver enzymes, severe enzyme frank jaundice, and nodular regenerative hyperplasia (NRH). We present case 68-year-old male Crohn’s who simultaneously developed both induced injury NRH secondary to 6-MP. Case description/methods: A history Crohn's presents dark urine,...
Introduction: Anticonvulsant agents have been associated with drug induced liver injury (DILI). Topiramate, an anticonvulsant agent used to treat seizures disorders and migraine headaches, has reported as a cause of DILI only when combined other anticonvulsants. Here we present unique case caused solely by Topiramate. Case Description/Methods: A 42-year-old White female past medical history anxiety, depression, hypertension presented the clinic for evaluation elevated enzymes. She had...
Introduction: Germline mutations in the phosphatase and tensin homolog (PTEN) gene have been reported a variety of rare syndromes known as PTEN hamartoma tumor (PHTS). Cowden syndrome, one most well-known PHTS phenotypes, is an autosomal dominant disease characterized by numerous hamartomas different tissues. These patients significant lifetime risk malignancy. We present case 27-year-old man whose workup for epigastric abdominal pain led to diagnosis syndrome. Case Description/Methods: A...
Introduction: Chronic cholestatic liver diseases such as primary sclerosing cholangitis (PSC), biliary (PBC), and intrahepatic cholestasis of pregnancy increase the risk harm to fetus due immature blood-brain-barrier in fetuses. disorders gallstones, especially pregnancy; management choledocholithiasis is ERCP. We present a complex case with recurrent structures requiring non-elective ERCP during second trimester pregnancy. Case Description/Methods: A 16-week-pregnant, 31-year-old African...
Kaplan, Alyson; Rosenblatt, Russell1; Russo, Nicholas W.; Brown, Robert S. Jr.1; Pisa, Joseph F.; Hirsova, Petra2; Schwartz, E.1; Kostallari, Enis2; Jalan‐Sakrikar, Nidhi2; Idriss, Rajab; Trivedi, Hirsh; Lau, Daryl T.Y.3; Navarro‐Corcuera, Amaia2 Author Information
Introduction: Visceral artery aneurysms and pseudoaneurysm are uncommon vascular phenomena, with hepatic splenic origins representing the most common sites, that have a high mortality if ruptured. Typically, these asymptomatic incidental findings discovered on imaging. Gastroduodenal (GDA) pseudoaneurysms may present prior to rupture as obstructive jaundice. Case Description/Methods: A 40-year-old male history of chronic alcohol pancreatitis, hypertension, remote abdominal procedure who...
Introduction: Liver transplant patients are a unique population at high risk for opportunistic or viral infections due to chronic immunosuppressive therapy. Our aim was determine the impact of COVID-19 pandemic and compliance treatment in this cohort. Methods: Clinicopathological parameters liver before most recent follow-up during were noted. Telephone survey conducted supplement chart review. Results: Of 193 patients, (61% males, 39% females), 15 tested SARS-CoV-2 positive (53% 47%...
Introduction: There are different causes and a broad spectrum of clinical presentations upper gastrointestinal bleeding (UGIB). some rare UGIB that can prove fatal if not identified treated early. We present the case patient with known history alcohol abuse disorder recurrent acute pancreatitis complicated by splenic artery pseudoaneurysm causing GI bleed. Case Description/Methods: 60 years old female past medical hepatitis C, alcoholic liver cirrhosis was hospitalized for administration...
Introduction: Percutaneous endoscopic gastrostomy (PEG) tubes are used to provide nutritional support for malnourished or critically ill patients. One complication of PEG removal is poor healing the tract, resulting in a persistent gastrocutaneous fistula (GCF). We present case GCF following and subsequent closure with argon plasma coagulation (APC) over-the-scope clip 70-year-old liver transplant patient on immunosuppression. Case Description/Methods: A female history orthotopic failure...
Introduction: Dysphagia is a common clinical disorder often caused by narrowing of esophagus secondary to malignancy or strictures, extrinsic compression the stomach tumors, and certain neurological diseases. However, there are many rare causes dysphagia which less frequently encountered in regular practice. We present case an elderly female with past medical history liver cirrhosis who presented mild chronic underlying splenomegaly. Case Description/Methods: A 62-year-old nonalcoholic...
Introduction: Endoscopic ultrasound (EUS) has emerged as a very attractive tool to obtain liver biopsies in recent years. Better quality imaging, the ability assess hepatic and extra-hepatic disease, performing targeted non-targeted biopsy are among several advantages of EUS guided biopsy. In our study we sought determine safety, diagnostic yield, factors associated with inadequate obtained by EUS. Methods: Data was retrospectively collected for all patients who underwent institution from...