Journals and Research
Research and education are foundational to the mission of Bayfront Health and our Digestive Health Institute. As frequent contributors to leading publications on gastroenterology and endoscopy, our physicians share their research and clinical insights with a national and international community of colleagues.
|Big Brother Is Watching Artificial Intelligence in Endoscopy - Hype or Reality
|Artificial intelligence (AI) has become a part of many image-based specialties, such as radiology and pathology, as well as medical specialties in which "oscopy" is the key to current practice. In gastroenterology, for example, AI is being explored as an aid to endoscopists to visually distinguish p...
|Recent advances in endoscopic management of gastric neoplasms
|The development and clinical application of new diagnostic endoscopic technologies such as endoscopic ultrasonography with biopsy, magnification endoscopy, and narrow-band imaging, more recently supplemented by artificial intelligence, have enabled wider recognition and detection of various gastric ...
|Pancreatic Cancer Screening for At-Risk Individuals Pancreas Scan Study Yield, Harms, and Outcomes From a Prospective Multicenter Study
|INTRODUCTION: Guidelines endorse pancreatic cancer screening in genetically susceptible individuals. We conducted a prospective, multicenter study to determine yield, harms, and outcomes of pancreatic cancer screening.
|Editorial Recent updates in advanced gastrointestinal endoscopy
|Prospective, Multi-Institutional, Real-Time Next-Generation Sequencing of Pancreatic Cyst Fluid Reveals Diverse Genomic Alterations That Improve the Clinical Management of Pancreatic Cysts
|CONCLUSIONS: PancreaSeq was not only sensitive and specific for various pancreatic cyst types and advanced neoplasia arising from mucinous cysts, but also reveals the diversity of genomic alterations seen in pancreatic cysts and their clinical significance.
|Challenges of developing and executing a multi-site registry for a novel device with evolving indications for use
|CONCLUSIONS: The Prospective Registry for Trans-Orifice Endoscopic Suturing Applications (ES Registry) was an effective Phase 4, postmarketing registry aimed at capturing pragmatic, real-world use of a novel device. These findings serve to solidify the role of endoscopic suturing in clinical practic...
|Resection of subepithelial lesions by a novel technique Band endoscopic full-thickness resection
|Early prediction of post-ERCP pancreatitis by post-procedure amylase and lipase levels A systematic review and meta-analysis
|Background and study aims Post-ERCP pancreatitis (PEP) is the most common complication attributed to the procedure, its incidence being approximately 9.7 %. Numerous studies have evaluated the predictive efficacy of post-procedure serum amylase and lipase levels but with varied procedure-to-test ti...
|A Case of Duodenal Spot Diagnosis
|Pseudomelanosis duodeni is a rare finding usually described as a black/brown speckled or tattooed appearance of the intestinal mucosa. Although an incidental finding, it has been associated with different medications and chronic medical conditions such as diabetes mellitus and chronic renal failure....
|Comparison Between Intravenous and Intramuscular Octreotide in the Management of Heydes Syndrome
|Heyde's syndrome is defined as a triad of aortic stenosis, anemia due to angiodysplasia-related bleeding, and von Willebrand syndrome type 2A. It is a rare disease and a diagnostic challenge. Treatment modalities include symptomatic management, blood transfusions, aortic valve replacement, and medic...
|Gastrointestinal endoscope contamination rates - elevators are not only to blame a systematic review and meta-analysis
|Background and study aims Duodenoscopes that are contaminated due to inadequate reprocessing are well-documented. However, studies have demonstrated poor reprocessing of other kinds of endoscopes as well, including echoendoscopes, gastroscopes, and colonoscopes. We estimated the contamination rate b...
|Application of artificial intelligence in diagnosis of pancreatic malignancies by endoscopic ultrasound a systemic review
|CONCLUSION: AI reported a high sensitivity with high specificity and accuracy to diagnose PC, differentiate PC from CP, and differentiate benign from malignant IPMN when used with EUS.
|The h-ANN Model Comprehensive Colonoscopy Concept Compilation Using Combined Contextual Embeddings
|Colonoscopy is a screening and diagnostic procedure for detection of colorectal carcinomas with specific quality metrics that monitor and improve adenoma detection rates. These quality metrics are stored in disparate documents i.e., colonoscopy, pathology, and radiology reports. The lack of integrat...
|TAX-Corpus Taxonomy based Annotations for Colonoscopy Evaluation
|Colonoscopy plays a critical role in screening of colorectal carcinomas (CC). Unfortunately, the data related to this procedure are stored in disparate documents, colonoscopy, pathology, and radiology reports respectively. The lack of integrated standardized documentation is impeding accurate report...
|Artificial Intelligence-Assisted Optical Biopsies of Colon Polyps Hype or Reality
|Sarcopenia in hepatocellular carcinoma Current knowledge and future directions
|Liver cancer is the second most occurring cancer worldwide and is one of the leading causes of cancer-related deaths. Hepatocellular carcinoma (HCC) is the most common (80%-90%) type among malignant liver cancers. Sarcopenia occurs very early in HCC and can predict and provide an opportunity to impr...
|The Evolution of Device-Assisted Enteroscopy From Sonde Enteroscopy to Motorized Spiral Enteroscopy
|The introduction of capsule endoscopy in 2001 opened the last "black box" of the gastrointestinal tract enabling complete visualization of the small bowel. Since then, numerous new developments in the field of deep enteroscopy have emerged expanding the diagnostic and therapeutic armamentarium again...
|Endoscopic ultrasound-guided vascular interventions Current insights and emerging techniques
|Endoscopic ultrasound (EUS) is one of the significant breakthroughs in the field of advanced endoscopy. In the last two decades, EUS has evolved from a diagnostic tool to a real-time therapeutic modality. The luminal gastrointestinal (GI) tract provides a unique opportunity to access multiple vascul...
|The pancreas and COVID-19 a clinical conundrum
|With the progression of the COVID-19 pandemic, the classic manifestations of COVID-19 (e.g., persistent fever, dry cough, pneumonia, and acute respiratory distress syndrome in the severe disease) have expanded to include less common complications of the extrapulmonary organs. Recent evidence has sho...
|Scope of Artificial Intelligence in Gastrointestinal Oncology
|Gastrointestinal cancers are among the leading causes of death worldwide, with over 2.8 million deaths annually. Over the last few decades, advancements in artificial intelligence technologies have led to their application in medicine. The use of artificial intelligence in endoscopic procedures is a...
|Safety and efficacy of a novel resection system for direct endoscopic necrosectomy of walled-off pancreas necrosis a prospective, international, multicenter trial
|CONCLUSIONS: The new PED system seems to be a safe and effective treatment tool for WOPN, resulting in fewer interventions and lower hospital duration when compared with published data on using conventional instruments. Randomized controlled trials comparing the PED system with conventional DEN are ...
|Working with fellows improves adenoma detection rate during screening colonoscopies
|Education and gastroenterology fellow knowledge about endoscopic mucosal resection of colon adenomas a survey-based study
|Background and study aims Endoscopic mucosal resection (EMR) is an effective way to remove large (> 2 cm) colon adenomas. Training about it has not been standardized in fellowship programs. This study was aimed at evaluating the education and knowledge of gastroenterology fellows about EMR of color...
|Management of gastrointestinal bleeding during COVID-19 less is more
|Impact of Race and Socioeconomics Disparities on Survival in Young-Onset Colorectal Adenocarcinoma-A SEER Registry Analysis
|CONCLUSIONS: Survival disparities were found among all races with young-onset colorectal adenocarcinoma. The pattern of SEDH influencing survival was unique to each race. Overall higher income levels, high school education, private insurance, and marital status appeared to be independent factors con...
|Consolidated EHR Workflow for Endoscopy Quality Reporting
|Although colonoscopy is the most frequently performed endoscopic procedure, the lack of standardized reporting is impeding clinical and translational research. Inadequacies in data extraction from the raw, unstructured text in electronic health records (EHR) pose an additional challenge to procedure...
|The burn of ranitidine recall current insights and mitigation strategies
|Ranitidine was one of the most commonly used medications for the treatment of gastroesophageal reflux disease. On 1 April 2020, the US Food and Drug Administration requested all manufacturers to immediately withdraw ranitidine from the market because of concern of higher than acceptable levels of N-...
|Comparison of Biliary Drainage Techniques for Malignant Biliary Obstruction A Systematic Review and Network Meta-analysis
|CONCLUSIONS: The available evidence did not favor any intervention for drainage of malignant biliary obstruction across all the outcomes assessed. ERCP with or without EUS should be considered first to allow simultaneous tissue acquisition and biliary drainage.
|Application of artificial intelligence in pancreaticobiliary diseases
|The role of artificial intelligence and its applications has been increasing at a rapid pace in the field of gastroenterology. The application of artificial intelligence in gastroenterology ranges from colon cancer screening and characterization of dysplastic and neoplastic polyps to the endoscopic ...
|Endobariatric procedures for obesity clinical indications and available options
|Obesity remains a growing public health epidemic that has increased healthcare costs and related comorbidities. Current treatment guidelines encourage a multidisciplinary approach starting from patient selection, interventions, and long-term follow-up to maintain weight loss. However, these conserva...
|Liver Biopsy in Pregnancy Two Case Reports and Review of the Literature
|The etiology of most cases of liver diseases in pregnancy can be diagnosed with a thorough history, physical examination, laboratory values, serology, and noninvasive imaging. However, atypical clinical and laboratory presentations of liver diseases/chemistries require a liver biopsy to render an ac...
|Luminal-apposing stents for benign intraluminal strictures a large United States multicenter study of clinical outcomes
|CONCLUSIONS: Using LAMS for treatment of short benign GI strictures is safe and effective. Larger LAMS, such as the new 20 mm in diameter, may have a lower stent migration rate compared to smaller diameter LAMS.
|Aspirin for prevention of colorectal cancer in the elderly friend or foe
|Cancer is the leading cause of death among men and women aged 60-79 years. Colorectal cancer is the third most common cancer in males and the second most common in females, with about 0.8 million deaths worldwide per year. Individuals older than 50 years account for 20-50% of colonic adenomas. Sever...
|Endoscopic full-thickness resection of polyps involving the appendiceal orifice a multicenter international experience
|CONCLUSIONS: The FTRD is a promising non-surgical alternative for resecting appendiceal lesions, but appendicitis occurs in 1/6 cases.
|Does timing of endoscopy affect outcomes in patients with upper gastrointestinal bleeding a systematic review and meta-analysis
|CONCLUSION: Given the outcomes and limitations, our meta-analysis did not demonstrate clear benefit of performing EGD within 24 h of presentation for UGIB (particularly NVB).
|Inflammatory bowel disease amid the COVID-19 pandemic impact, management strategies, and lessons learned
|The current outbreak of COVID-19 pandemic caused by SARS-CoV-2 has affected nearly 188 countries. Patients with severe COVID-19 are more commonly elderly and suffer from comorbidities such as hypertension, diabetes mellitus, coronary artery disease, chronic pulmonary disease, obesity, and cancer. In...
|Cannabis hyperemesis syndrome an update on the pathophysiology and management
|Cannabis hyperemesis syndrome (CHS) is a form of functional gut-brain axis disorder characterized by bouts of episodic nausea and vomiting worsened by cannabis intake. It is considered as a variant of cyclical vomiting syndrome seen in cannabis users especially characterized by compulsive hot bathin...
|Hyperlipasemia and Potential Pancreatic Injury Patterns in COVID-19 A Marker of Severity or Innocent Bystander
|Scope of Artificial Intelligence in Screening and Diagnosis of Colorectal Cancer
|Globally, colorectal cancer is the third most diagnosed malignancy. It causes significant mortality and morbidity, which can be reduced by early diagnosis with an effective screening test. Integrating artificial intelligence (AI) and computer-aided detection (CAD) with screening methods has shown pr...
|Percutaneous Endoscopic Gastrostomy tube placement in COVID-19 patients Multidisciplinary approach
|Prospective evaluation of an assessment tool for technical performance of duodenoscopes
|CONCLUSIONS: The newly developed assessment tool appears reliable and valid for evaluating the technical performance of duodenoscopes. Registration: ClinicalTrials.gov Identifier: NCT04004533.
|Primary Colonic Lymphoma With Paraneoplastic Hypercalcemia
|Primary colonic lymphoma is a rare tumor accounting for 0.1%-0.5% of all colorectal malignancies. We describe a 63-year-old man whose initial presentation was altered mental status due to hypercalcemia. Physical examination revealed a hard, right-sided abdominal mass. Abdominal computed tomography s...
|Current and future implications of COVID-19 on gastroenterology training and clinical practice
|The novel coronavirus disease 2019 (COVID-19) pandemic has affected almost every country on the globe, affecting 185 countries with more than 2.6 million cases and 182,000 deaths as of April 22, 2020. The United States (US) has seen an exponential surge in the COVID-19 patients and has become the ep...
|Endoscopic resection of multiple large gastric polyps
|Role of TC-325 in GI tumor hemostasis
|Endoscopic resection of a giant duodenal mass
|Gastrointestinal Bleeding in Patients with Severe SARS-CoV-2
|Gastrointestinal symptoms are common and frequently reported in Coronavirus Disease-2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It is unclear if SARS-CoV-2 is associated with increased risk of gastrointestinal bleeding (GIB). Nevertheless, GIB in...
|Endoscopic ultrasound guided liver biopsy Recent evidence
|Liver biopsy (LB) is an essential tool in diagnosing, evaluating and managing various diseases of the liver. As such, histopathological results are critical as they establish or aid in diagnosis, provide information on prognosis, and guide the appropriate selection of medical therapy for patients. I...
|Role of different types of stents in EUS-guided gallbladder drainage
|Hepatitis E virus infection in liver transplant recipients a descriptive literature review
|Hepatitis E virus infection has been recognized as a rising hepatotropic viral infection in the developing countries but overlooked in the developed countries, due to its lower prevalence. However, hepatitis E virus prevalence is on rise in the liver transplant recipients due to immunosuppression, w...
|Is combining therapy with indomethacin and epinephrine useful for preventing post-ERCP pancreatitis The answer from a meta-analysis
|Liver Mass in a Patient With Chronic Hepatitis B Infection
|Safety and efficacy of endoscopic submucosal dissection for rectal neoplasia a multicenter North American experience
|Background and aims Rectal lesions traditionally represent the first lesions approached during endoscopic submucosal dissection (ESD) training in the West. We evaluated the safety and efficacy of rectal ESD in North America. Methods This is a multicenter retrospective analysis of rectal ESD between ...
|Endoscopic Retrograde Cholangiopancreatography-Related Complications and Their Management Strategies A Scoping Literature Review
|Endoscopic retrograde cholangiopancreatography (ERCP) is a well-known procedure with both diagnostic and therapeutic utilities in managing pancreaticobiliary conditions. With the advancements of endoscopic techniques, ERCP has become a relatively safe and effective procedure. However, as ERCP is inc...
|Role of face mask in preventing bacterial exposure to the endoscopists face
|An Extraordinary Case of Extranodal Non-Hodgkins Lymphoma Presenting as Common Bile Duct Mass
|Optimal sequences of same-visit bidirectional endoscopy Systematic review and meta-analysis
|CONCLUSION: The present study found that the discomfort score was better in the E-C group. However, there was no difference in polyp and adenoma detection. Therefore, the E-C group is the optimal sequence.
|Sedation in endoscopic gallbladder drainage in high-risk surgical patients
|Fine-needle biopsy is superior to fine-needle aspiration of suspected gastrointestinal stromal tumors a large multicenter study
|Background and study aims There are numerous studies published on the diagnostic yield of the new fine-needle biopsy (FNB) needles in pancreas masses. However, there are limited studies in suspected gastrointestinal stromal tumors (GIST lesions). The aim of this study was to evaluate the diagnostic...
|Endosonographer-driven dynamic telecytopathology of pancreatic lesions-a pilot study
|CONCLUSION: An endosonographer with limited training can examine for specimen adequacy, transmit images, and demonstrate representative cell groups. Larger studies are required though preliminary results are encouraging.
|Prophylactic pre-esophagogastroduodenoscopy tracheal intubation in patients with upper gastrointestinal bleeding
|The indications for endotracheal intubation (ETI) during an esophagogastroduodenoscopy (EGD) procedure remain unclear. This study performed a descriptive analysis of patients who underwent prophylactic tracheal intubation during or before an EGD to prevent pulmonary aspiration. We selected patients ...
|Refractory cystic duct stump leak treated with fibrin glue
|Unusual Cause of Upper Gastrointestinal Bleeding in Cirrhosis
|Ventricular Standstill Following Intravenous Erythromycin and Borderline Hypokalemia
|Ventricular standstill (VS) is a potentially fatal arrhythmia that is usually associated with syncope, if prolonged and is rarely asymptomatic^(). Its mechanism involves either a lack of supraventricular impulse or an interruption in the transmission of these signals from the atria to the ventric...
|Oesophageal Stents for Potentially Curable Oesophageal Cancer - A Bridge to Surgery
|For oesophageal cancer patients with potentially curative disease, treatment usually comprises neoadjuvant chemoradiotherapy followed by surgery. Several methods are currently used for nutritional support while patients are undergoing neoadjuvant treatment but these do not relieve dysphagia. Stentin...
|An Endoscopic Transluminal Approach, Compared With Minimally Invasive Surgery, Reduces Complications and Costs for Patients With Necrotizing Pancreatitis
|CONCLUSIONS: In a randomized trial of 66 patients, an endoscopic transluminal approach for infected necrotizing pancreatitis, compared with minimally invasive surgery, significantly reduced major complications, lowered costs, and increased quality of life. Clinicaltrials.gov no: NCT02084537.
|Colorectal cancer screening use among insured adults Is out-of-pocket cost a barrier to routine screening
|CONCLUSION: We found that the limited financial resources within the past 12 mo were significantly associated with colorectal cancer (CRC) non-screening. Patients with risk factors identified in this study should adhere to CRC guidelines and should receive financial help if needed.
|Hemoglobin A1c Has Suboptimal Performance to Diagnose and Monitor Diabetes Mellitus in Patients with Cirrhosis
|CONCLUSION: HbA1c inaccurately represents chronic glycemia in patients with cirrhosis, likely in relation to increased glucose variability.
|Cholangiocarcinoma Presenting as Linitis Plastica with Unusual Metastases to the Psoas Muscle and Urinary Bladder
|Cholangiocarcinoma offers poor prognosis. Infrequent sites of metastasis are poorly described and often diagnostically delayed or missed. Bile duct brush cytologies provide poor diagnostic sensitivity/specificity. We present an unusual case of cholangiocarcinoma in a 34-year-old woman with rare dist...
|Successful Removal of Proximally Migrated Biliary Stent in a Liver Transplant Patient by Single-Operator Digital Cholangioscopy
|Downhill esophageal varices unusual cause of hematemesis
|Linitis plastica a harbinger of an unusual cause of gastric wall thickening
|Gastric Cardia Cancer Masquerading as a Fundic Subepithelial Tumor
|Verrucous carcinoma of the esophagus-remains a diagnostic enigma
|Digital pancreatoscopy in the evaluation of main duct intraductal papillary mucinous neoplasm a multicenter study
|CONCLUSION: Digital pancreatoscopy should be considered in the diagnostic algorithm of MD-IPMN in patients with a diffusely dilated pancreatic duct and without any focal lesions seen on cross-sectional imaging or EUS.
|Abdominal Pain Caused by a Second Gall Bladder and Separate Cystic Duct
|Pure Squamous Cell Carcinoma of the Gallbladder Masquerading as a Hepatic Mass
|Gallbladder (GB) carcinomas are adenocarcinomas (AC) in the majority of cases. Adenosquamous carcinoma (ASC) and pure squamous cell carcinoma (SCC) of the gallbladder are rarely encountered and comprise 1-3% of gallbladder cancer cases. Pure squamous cell carcinoma of the gallbladder is rarer with l...
|Utility of endoscopic ultrasound and endoscopy in diagnosis and management of hepatocellular carcinoma and its complications What does endoscopic ultrasonography offer above and beyond conventional cross-sectional imaging
|Hepatocellular carcinoma constitutes over 90% of the primary liver tumors, the rest being cholangiocarcinoma. It has an insidious presentation, which is responsible for the delayed presentation. Hence, the management strategy relies on screening to diagnose it an early stage for curative resection a...
|Interplay of gender, age and drug properties on reporting frequency of drug-induced liver injury
|We examined the effect of gender, age, and drug properties on liver events reporting frequency (RF) to assess patient- and drug-related risks for drug-induced liver injury (DILI). We performed a data-mining analysis of the WHO VigiBase™ to 1) identify drugs with gender- and age-biased RF and 2) char...
|Recreational Drug and Psychosocial Profile in Chronic Hepatitis C Patients Seeking Antiviral Therapy
|CONCLUSION: Substance abuse is highly prevalent among HCV patients, and it is difficult to tell prior from current users. Integral care of HCV patients should include a diligent screen for substance abuse and rehabilitation referral, aiming to increase the pool of patients eligible for antiviral the...
|Metastatic duodenal germ cell tumor diagnosed with endoscopic ultrasound
|Endoscopic Dissolution of Gastric Lipoma with Argon Plasma Coagulation
|A 47-year-old patient presented from outside the hospital for evaluation of iron deficiency anemia (IDA). The endoscopic workup suggested a gastric antral subepithelial lesion with an overlying arteriovenous malformation (AVM). Endoscopic ultrasound (EUS) revealed the lesion to be a lipoma. Given th...
|Pearly Esophageal Papules An Innocent Bystander in the Evaluation of Dysphagia
|Endoscopic Resection of Esophageal Mucosal Bridge
|Cholelithiasis in a Patient With History of Cholecystectomy
|Widefield Endoscopic Mucosal Resection for Treatment of Proximal Esophageal Leukoplakia
|Ectopic Hepatocellular Carcinoma within a Choledochal Cyst Diagnosed Using Single-Operator Digital Cholangioscopy
|Noninvasive serum models to predict significant liver related events in chronic hepatitis C
|CONCLUSIONS: Some simple pretreatment blood parameters and NIFS showed high accuracy for predicting development of SLRE post treatment. Application of these simple scores can improve assessment of long-term liver prognosis for CHC.
|Extraluminal migration of an esophageal metal stent causing splenic injury
|Successful management of ischemic cholangiopathy after failed endoscopicpercutaneous interventions, facilitated by digital cholangioscopy
|Successful removal of deeply migrated pancreatic stent using biliary dilation balloon and the new single-operator digital cholangioscope
|Watch Your Speed-A Traumatic Case of Budd-Chiari Syndrome
|Endoscopy in the Diagnosis and Management of Complications of Inflammatory Bowel Disease
|The role of endoscopy in inflammatory bowel disease (IBD) has grown over the last decade in both diagnostic and therapeutic realms. It aids in the initial diagnosis of the disease and also in the assessment of the extent and severity of disease. IBD is associated with development of multiple complic...
|Efficacy of nonsurgical tigecycline pleurodesis for the management of hepatic hydrothorax in patients with liver cirrhosis
|Chemical pleurodesis is one of the therapeutic tools to control hepatic hydrothorax. Tetracycline and derivatives have been widely accepted as an effective and safe treatment for the purpose, but availability is the big concern. Tigecycline is an antibiotic derivative of tetracycline, which has demo...
|Drainage of obstructed gallbladder with use of lumen-apposing metal stent
|What is the current role of endoscopy in primary sclerosing cholangitis
|Endoscopy has important roles in the management of primary sclerosing cholangitis (PSC), ranging from narrowing down the differential diagnoses, screening for complications, determining prognosis and therapy. While the need for a diagnostic endoscopic retrograde cholangiopancreatography (ERCP) may b...
|Biliary drainage role of EUS guidance
|CONCLUSIONS: In a tertiary-care center, use of advanced ERCP techniques results in a high technical success rate. EUS-guided biliary drainage was required in only 0.6% of native papilla ERCPs, and although a number of excellent indications exist, it should not replace good ERCP technique.
|Successful removal of a foreign body from a gallbladder remnant by using a new single-operator digital cholangioscope
|Digital cholangioscopy-directed removal of a surgical staple from a strictured bile duct
|Development and evaluation of a 3D printed endoscopic ampullectomy training model with video
|CONCLUSION: Although further studies are necessary for validation, this novel prototype appears useful for endoscopic ampullectomy training.
|Biomarkers in bile-complementing advanced endoscopic imaging in the diagnosis of indeterminate biliary strictures
|Biliary strictures present a diagnostic challenge and a conundrum, particularly when an initial work up including abdominal imaging and endoscopic retrograde cholangiopancreatography based sampling are non-diagnostic. Advances in endoscopic imaging have helped us diagnose these strictures better. Ho...
|Ring around the ROSE pancreatic acinar cell carcinoma diagnosed on site by EUS-FNA
|An autosomal dominant form of non-cirrhotic portal hypertension
|An immunosuppressed man with an aortic rupture secondary to Salmonella aortitis successfully treated with endovascular aortic repair
|A 75-year-old immunosuppressed man presented with fever and central abdominal pain 3 weeks after having positive blood cultures for Salmonella enteritidis. A computed tomography scan demonstrated a contained perforation of a nonaneurysmal abdominal aorta. Salmonella aortitis was suspected, and given...
|Hoarseness and hematemesis a deadly combination
|Enteroscopy in small bowel Crohns disease A review
|Crohn's disease (CD) is a chronic inflammatory condition of the gastrointestinal tract resulting in inflammation, stricturing and fistulae secondary to transmural inflammation. Diagnosis relies on clinical history, abnormal laboratory parameters, characteristic radiologic and endoscopic changes with...
|Endoscopic ultrasound fine needle aspiration Technique and applications in clinical practice
|Since its initial report in 1992, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has now been incorporated into the diagnostic and staging algorithm for the evaluation of benign and malignant diseases of the gastrointestinal tract and of adjacent organs. Its introduction constitutes a...