- Organ Transplantation Techniques and Outcomes
- Liver Disease and Transplantation
- Liver Disease Diagnosis and Treatment
- Liver Diseases and Immunity
- Renal Transplantation Outcomes and Treatments
- Organ Donation and Transplantation
- Hepatitis B Virus Studies
- Hepatocellular Carcinoma Treatment and Prognosis
- Hepatitis C virus research
- Drug Transport and Resistance Mechanisms
- Gallbladder and Bile Duct Disorders
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Colorectal and Anal Carcinomas
- Inflammatory Bowel Disease
- Esophageal and GI Pathology
- Organ and Tissue Transplantation Research
- Colorectal Cancer Surgical Treatments
- Trace Elements in Health
- Eosinophilic Esophagitis
- Metabolism and Genetic Disorders
- Gastrointestinal disorders and treatments
- Infective Endocarditis Diagnosis and Management
- Orthopedic Surgery and Rehabilitation
- Actinomycetales infections and treatment
- Gastrointestinal Bleeding Diagnosis and Treatment
Abu Dhabi Health Services
2021-2024
Post Graduate Institute of Medical Education and Research
2014-2024
Aurora St. Luke's Medical Center
2014-2023
Cleveland Clinic
2003-2022
Aurora Health Care
2022
Siddhartha Medical College
2019
Sri Ramachandra Institute of Higher Education and Research
2019
Vijayanagara Sri Krishnadevaraya University
2018
Russells Hall Hospital
2017
Malabar Cancer Centre
2016
Objective: Living donor liver transplantation (LDLT) using small grafts, especially left lobe grafts (H1234-MHV) (LLG), continues to be a challenge due small-for-size syndrome (SFSS). We herein demonstrate that with surgical modifications, outcomes can improved. Methods: Between 2012 and 2020, we performed 130 adult LDLT 61 (47%) LLG in single Enterprise. The median graft-to-recipient weight ratio was 0.84%, <0.7% accounting for 22%. Splenectomy 72 (56%) patients inflow modulation before...
Diabetes mellitus is a common cause of pyelonephritis. Both emphysematous pyelonephritis (EPN) and non-EPN (NEPN) are associated with poor outcome. This study was aimed at analyzing the clinical features, microbiological profile, prognostic factors, treatment outcome in diabetic patients. A total 105 patients were admitted from July 2010 to June 2012. Patients treated appropriate antibiotics percutaneous drainage (PCD) as indicated. Nephrectomy carried out EPN who refractory conservative...
Abstract Background: Addition of erlotinib to metronomic chemotherapy (MCT) may lead further improvement in progression-free survival (PFS) and overall head neck cancers. The aim this study was the PFS with MCT + combination our setting. Methods: A single-arm prospective observational conducted at Malabar Cancer Center. Patients warranting palliative for cancers, having adequate organ function, not-affording cetuximab not willing intravenous were included study. Oral methotrexate (15 mg/m 2...
1Center for Liver Disease & Transplantation, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin, USA, and Digestive InstituteCleveland Clinic Abu DhabiAbu DhabiUnited Arab Emirates *Address reprint requests to: Shiva Kumar, M.D., M.S., Institute, Cleveland Dhabi, PO Box 112412, United Emirates. E‐mail: [email protected]; Fax: +971 2 410 8374.
α1-Antitrypsin (AAT) deficiency is associated with an increased risk for lung and liver disease. Identification of AAT as the underlying cause these diseases important in correct patient management.AAT commonly diagnosed by demonstrating low concentrations followed genotype and/or phenotype testing. However, this algorithm may miss novel phenotypes.We report two cases patients: a case PiISF, misclassified PiII phenotyping, rare PiMmaltonZ PiM2Z.These highlight importance understanding...
INTRODUCTION: Hepatocellular carcinoma (HCC) is an established indication for liver transplantation (LT), but recurrent HCC post LT presents a unique therapeutic challenge. Nivolumab immune checkpoint inhibitor (ICPI) approved treatment of HCC, data on its safety following limited. We present case Nivolumab-induced severe, steroid-resistant acute cellular rejection (ACR) in patient with LT, treated successfully thymoglobulin and plasmapheresis. CASE DESCRIPTION/METHODS: A 64-year-old male...
INTRODUCTION The United Arab Emirates (UAE) is an Arabian Gulf country located at the southeast end of Peninsula with a population about 9.3 million (Figure 1). It has made great strides in health care over past several years and among highest life expectancy region (source: https://www.who.int/countries/are/en/). However, one key unmet areas medical need was availability solid organ transplantation. Collaborative efforts began few ago aiming to establish thoracic abdominal transplantation...
Nanotechnology, although still in the early stages of its development, is beginning to equip scientists, engineers and biologists work at cellular molecular levels for significant benefits healthcare animal medicine. It reasonable presume over next couple decades that nanobiotechnology industries unique developments will be revolutionising health
Limited data exist regarding the impact of donation after circulatory death (DCD) allografts on outcomes following liver transplantation in fulminant hepatic failure (FHF). Utilizing Scientific Registry Transplant Recipients (SRTR), we compared DCD FHF to brain (DBD) and non-FHF over a 15-year period. Primary outcome measures were graft patient survival. A total 117, 3437, 4379 recipients underwent DCD-FHF, DBD-FHF DCD-non-FHF, respectively. One-year survival DCD-FHF was inferior (72.9% vs....
Umbilical metastasis in ovarian cancer carries ominous clinical importance generally heralding the demise of patient over relatively short period time despite all attempts at controlling disease. Sister Mary Joseph’s nodule (SMJN) is defined as an irregular lump on umbilicus, ranging from 0.5 to 2 cm, reaching up 10 cm a result visceral malignancies. It can be smooth, non-ulcerated or ulcerated necrotic mass with without blood, mucinous, serous purulent discharge [1,2]. intra-abdominal...
Introduction: Isolated cardiac metastasis of hepatocellular carcinoma (HCC) discontinuous from the primary liver lesion is extremely rare. We describe first reported case post-transplant recurrent HCC presenting with left atrial metastasis. Case Description/Methods: A 74-year-old man who had undergone living donor transplantation for cirrhosis secondary to non-alcoholic fatty disease complicated by was noted have elevated AFP (44.7; baseline 6.0) and lung lesions on surveillance imaging 36...
Background: Tuberculosis caused by Mycobacterium is detected smear microscopy, molecular tests like CBNAAT (Cartridge based nucleic Acid Amplification test) or Truenat, Line Probe assays (LPA) and phenotypic solid Culture liquid Culture. Yet every year there are many cases which go undiagnosed due to lack of information, availability, accessibility these tests. Presumptive examination rate helps us understand the scenario existing individuals having any one symptoms TB diagnosing thus...
<title>Abstract</title> Background Limited data exists regarding impact of graft type on outcomes following liver transplantation (LT) in Primary Sclerosing Cholangitis (PSC). Our goal was to evaluate the LT PSC and determine predictors outcomes. Methods Using SRTR, retrospective cohorts were constructed over time period 2010-2020, divided into 2 eras: 2010–2014, 2015–2020, stratified by type: living donor (LDLT), donation after circulatory death (DCD) brain (DBD). Outcome measures patient...