A5053374886- Bariatric Surgery and Outcomes
- Pancreatic and Hepatic Oncology Research
- Obesity and Health Practices
- Diet and metabolism studies
- Anesthesia and Pain Management
- Renal cell carcinoma treatment
- Gastric Cancer Management and Outcomes
- Esophageal and GI Pathology
- Body Contouring and Surgery
- Enhanced Recovery After Surgery
- Cardiac, Anesthesia and Surgical Outcomes
- Tracheal and airway disorders
- Patient-Provider Communication in Healthcare
- Hernia repair and management
- Colorectal Cancer Screening and Detection
- Appendicitis Diagnosis and Management
- Nausea and vomiting management
- Pediatric Hepatobiliary Diseases and Treatments
- Gastrointestinal disorders and treatments
- Vagus Nerve Stimulation Research
- Colorectal Cancer Surgical Treatments
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Esophageal Cancer Research and Treatment
- Patient Satisfaction in Healthcare
- Renal and Vascular Pathologies
University of Pittsburgh Medical Center
2018-2025
University of Pittsburgh
2016-2024
Digestive Health Research Institute
2023
UPMC Presbyterian
2023
Presbyterian Hospital
2023
Stony Brook University
2023
Illinois College
2023
Stony Brook University Hospital
2023
Indiana University
2023
University School
2023
Bariatric surgery is the mainstay of treatment for medically refractory obesity; however, it underutilized. Telemedicine affords patient cost and time savings may increase availability accessibility bariatric surgery.To determine clinical outcomes postoperative hospital utilization patients undergoing who receive fully remote vs in-person preoperative care.This cohort study comparing after telemedicine or surgical evaluation included treated at a US academic hospital. Participants underwent...
Novel antiobesity medications, particularly glucagon-like peptide-1 receptor agonists (GLP-1RAs), have expanded weight loss (WL) options for kidney transplantation (KT) candidates with obesity beyond lifestyle modifications and bariatric surgery. However, varying effectiveness, risk profiles, costs make strategy choices challenging. To aid decision-making, we used a Markov model to examine the cost-effectiveness of different WL strategies over 10-year horizon. A target 15% total body was...
Postoperative pain after laparoscopic cholecystectomy (LC) is generally less than open cholecystectomy; however, the postoperative shoulder and abdominal experienced by patients still causes preventable distress. Intraperitoneal irrigation of diaphragmatic surface gallbladder fossa using normal saline, bupivacaine, or lignocaine may effectively control visceral an LC. Two hundred with similar demographics undergoing elective LC were randomized to one four groups 50 each, including Group A...
Abstract Objective Prior research suggests shared decision‐making (SDM) could improve patient and health care provider communication about bariatric surgery. The aim of this work was to identify prioritize barriers SDM around surgery help guide implementation SDM. Methods Two large US systems formed multidisciplinary teams facilitate the used a nominal group process approach involving (1) generation multilevel barriers, (2) round‐robin recording (3) facilitated discussion, (4) selection...
Background: While typhoid fever is common in our environment, presentation with jaundice unusual. The aim of this study has been to determine the clinical and laboratory features that allow early diagnosis patients present differentiate it from other causes tropics. Materials Methods: This prospective was conducted between May 1997 October 1998 at Center Hopitalier Regional de Hombo Anjuoan, Comoros Islands. Patients evidence were included. Viral or toxic hepatitis, chronic liver disease,...
Objective: To evaluate smoking history and change in behavior, from 1 year before through 7 years after Roux-en-Y gastric bypass (RYGB) surgery, to identify risk factors for post-surgery smoking. Background: Smoking behavior the context of bariatric surgery is poorly described. Methods: Adults undergoing RYGB entered a prospective cohort study between 2006 2009 were followed up until ≤2015. Participants (N = 1770; 80% female, median age 45 years, body mass index 47 kg/m 2 ) self-reported...
Abstract Objective To assess patient perspectives on the level of shared decision making (SDM) experienced related to bariatric surgery. Background Severe obesity is common and has serious health implications. Yet, few eligible patients pursue Shared could be a useful approach for considering treatment options. Methods Patients were surveyed at Kaiser Permanente UPMC clinics providing surgical services. Cross‐sectional samples represent three time points: (a) Cohort 1 (C1): following...
Adult intussusception is an uncommon entity. Surgical resection required because of the high incidence pathological lead point. We report a case sigmoidorectal caused by large tubulovillous adenoma. The patient underwent laparoscopic sigmoidectomy.
Neoadjuvant radiotherapy has the potential to improve local disease control for patients with localized pancreatic cancers. Concern about an increased risk of surgical complications due small bowel and gastric exposure, however, limited enthusiasm this approach. Dosimetric studies have demonstrated proton therapy reduce intestinal exposure compared X-ray-based therapy. We sought determine if neoadjuvant allowed field expansions cover high-risk nodal stations in addition primary tumor.Twelve...
Cholangiocarcinomas are biliary tree neoplasms of cholangiocyte origin. Several clinical risk factors associated with cholangiocarcinogenesis. During the last decade, there has been an increasing interest in causative molecular mechanisms cholangiocarcinoma because its poor prognosis and lack effective therapies. A better understanding tumor initiation, promotion, progression, as well neurotransmitter, neuroendocrine, endocrine growth effects, may elucidate targets for diagnostic therapeutic...
Objective This study sought to examine weight change, postoperative adverse events, and related outcomes of interest among age‐qualified (AQ) disability‐qualified (DQ) Medicare recipients compared with non‐Medicare (NM) patients undergoing an initial bariatric procedure. Methods The Longitudinal Assessment Bariatric Surgery (LABS‐2) is observational cohort 2,458 adults who underwent Roux‐en‐Y gastric bypass (RYGB) or laparoscopic adjustable banding (LAGB) surgery. Weight, percentage body...
Right aortic arch (RAA) is a rare congenital vascular abnormality in which the aorta descends right thorax and encircles esophagus.Historically, esophagectomy for patients RAA done through left thoracotomy as exposure mobilization of esophagus difficult thoracotomy.A 73-year-old male was found to have an esophageal adenocarcinoma.Endoscopic ultrasound showed T3N0 lesion lower third esophagus.PET CT demonstrated circumferential without evidence distant disease or involved lymph nodes not...