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  1. Article: The Rolling Stone: Bouveret Syndrome Requiring Open Gastrotomy After Failing Electrohydraulic Lithotripsy.

    Prenatt, Zarian / Chirayath, Subin / Bahirwani, Janak / Duarte-Chavez, Rodrigo

    Cureus

    2023  Volume 15, Issue 5, Page(s) e39470

    Abstract: Bouveret syndrome (BS) is an extremely rare form of gallstone ileus where a stone travels through a biliary-enteric fistula and causes gastric outlet obstruction. A 92-year-old male presented with gastric outlet obstruction secondary to an impacted ... ...

    Abstract Bouveret syndrome (BS) is an extremely rare form of gallstone ileus where a stone travels through a biliary-enteric fistula and causes gastric outlet obstruction. A 92-year-old male presented with gastric outlet obstruction secondary to an impacted gallstone in the duodenal bulb seen on imaging. Endoscopic therapy failed twice due to the immense gallstone size, and an open gastrotomy was required to remove the stone. The procedure was successful; however, the patient, unfortunately, passed away days after the operation due to other hospital illnesses. BS should be considered in patients with advanced age and significant comorbidities presenting with gastric outlet obstruction.
    Language English
    Publishing date 2023-05-25
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.39470
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Endoscopic Mucosal Resection of Pancreatic Rest Presenting as a Sub-epithelial Nodule in the Gastric Antrum.

    Bahirwani, Janak / Duarte-Chavez, Rodrigo / Stoll, Lisa / Matin, Ayaz

    Cureus

    2023  Volume 15, Issue 12, Page(s) e50713

    Abstract: Pancreatic rest/ectopic pancreas is a rare condition. An 82-year-old male presented with abdominal pain and was found to have an antral nodule on esophagogastroduodenoscopy (EGD). An endoscopic ultrasound (EUS) was done and the nodule was resected. ... ...

    Abstract Pancreatic rest/ectopic pancreas is a rare condition. An 82-year-old male presented with abdominal pain and was found to have an antral nodule on esophagogastroduodenoscopy (EGD). An endoscopic ultrasound (EUS) was done and the nodule was resected. Histology showed ectopic pancreatic tissue with pancreatic intraepithelial neoplasia, PanIN-1 (low-grade dysplasia). This case highlights the importance of considering pancreatic rest as a differential in patients who present with a gastric sub-epithelial lesion and the associated finding of PanIN-1 highlights the importance of resecting such heterogeneous appearing lesions given the potential risk of progressing to pancreatic ductal adenocarcinoma (PDA).
    Language English
    Publishing date 2023-12-18
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.50713
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Effect of Using Personal Protective Equipment during the COVID-19 Pandemic on the Quality Indicators of Screening Colonoscopies.

    Chirayath, Subin / Bahirwani, Janak / Kaur, Parampreet / Martins, Noel / Modi, Ronak

    Gastroenterology research and practice

    2021  Volume 2021, Page(s) 8910004

    Abstract: Background: Coronavirus Disease 2019 (COVID-19) has affected many facets of the practice of medicine including screening colonoscopies.: Aims: Our study looks to observe if there has been an effect on the quality of colonoscopies, as indicated by ... ...

    Abstract Background: Coronavirus Disease 2019 (COVID-19) has affected many facets of the practice of medicine including screening colonoscopies.
    Aims: Our study looks to observe if there has been an effect on the quality of colonoscopies, as indicated by quality measures such as the cecal intubation rate (CIR), cecal intubation time (CIT), scope withdrawal time (SWT), and adenoma detection rate (ADR) with the adoption of standard COVID-19 precautions.
    Methods: We conducted a retrospective chart review to analyze the effects of the COVID-19 pandemic on screening colonoscopies. The study utilized data on CIR, CIT, SWT, and ADR from outpatient, nonemergent procedures conducted at 3 endoscopy suites of St. Luke's University Health Network. All inpatient and emergent procedures were excluded.
    Results: Our study demonstrated that the total number of screening colonoscopies was decreased between 2019 and 2020 (318 in 2019 vs. 157 in 2020,
    Conclusion: Our study showed that quality indices for screening colonoscopies like CIR, CIT, and SWT were negatively impacted during the COVID-19 time period. ADR, however, was similar. Thus, the efficiency of the procedures was affected by the use of PPE but it did not affect the colonoscopy's clinical benefit.
    Language English
    Publishing date 2021-07-27
    Publishing country Egypt
    Document type Journal Article
    ZDB-ID 2435460-0
    ISSN 1687-630X ; 1687-6121
    ISSN (online) 1687-630X
    ISSN 1687-6121
    DOI 10.1155/2021/8910004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Mycobacterium avium

    Chirayath, Subin / Bin Liaquat, Hammad / Bahirwani, Janak / Labeeb, Atef / Chaput, Kimberly / Kaza, Chatargy

    ACG case reports journal

    2021  Volume 8, Issue 5, Page(s) e00588

    Language English
    Publishing date 2021-05-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2814825-3
    ISSN 2326-3253
    ISSN 2326-3253
    DOI 10.14309/crj.0000000000000588
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A case of H3N2 complicated by acute kidney injury secondary to rhabdomyolysis.

    Gonakoti, Sriram / Bahirwani, Janak / Maddala, Raja Naga Mahesh / Vidyasagar, Sudha

    BMJ case reports

    2018  Volume 2018

    Abstract: H3N2 was first detected in July 2011 in the USA. It is responsible for sporadic cases of influenza and localised outbreaks and has not yet taken over on an epidemic or pandemic scale. An 84-year-old man presented with a dry cough, fever and myalgia for 3 ...

    Abstract H3N2 was first detected in July 2011 in the USA. It is responsible for sporadic cases of influenza and localised outbreaks and has not yet taken over on an epidemic or pandemic scale. An 84-year-old man presented with a dry cough, fever and myalgia for 3 days. On examination, he had a pulse of 98 bpm and blood pressure of 124/88 mm Hg. The patient was tachypnoeic, SpO
    MeSH term(s) Acute Kidney Injury/drug therapy ; Acute Kidney Injury/etiology ; Acute Kidney Injury/physiopathology ; Aged, 80 and over ; Antiviral Agents/therapeutic use ; Bronchodilator Agents/therapeutic use ; Cough ; Fever ; Humans ; Influenza A Virus, H3N2 Subtype/isolation & purification ; Influenza, Human/complications ; Influenza, Human/virology ; Male ; Methylprednisolone/therapeutic use ; Myalgia ; Oseltamivir/therapeutic use ; Respiratory Distress Syndrome, Adult/physiopathology ; Respiratory Distress Syndrome, Adult/therapy ; Respiratory Distress Syndrome, Adult/virology ; Rhabdomyolysis/complications ; Rhabdomyolysis/drug therapy ; Rhabdomyolysis/physiopathology ; Treatment Outcome
    Chemical Substances Antiviral Agents ; Bronchodilator Agents ; Oseltamivir (20O93L6F9H) ; Methylprednisolone (X4W7ZR7023)
    Language English
    Publishing date 2018-04-18
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2018-224334
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Effect of using personal protective equipment during the COVID-19 pandemic on the quality indicators of screening colonoscopies.

    Chirayath, Subin G / Bahirwani, Janak / Kaur, Parampreet / Martins, Noel / Modi, Ronak

    medRxiv

    Abstract: Background and Aims: Coronavirus Disease 2019 (COVID-19) has affected many facets of the practice of medicine including screening colonoscopies. Our study looks to observe if there has been an effect on the quality of colonoscopies, as indicated by ... ...

    Abstract Background and Aims: Coronavirus Disease 2019 (COVID-19) has affected many facets of the practice of medicine including screening colonoscopies. Our study looks to observe if there has been an effect on the quality of colonoscopies, as indicated by quality measures such as cecal intubation rate (CIR), cecal intubation time (CIT), scope withdrawal time (SWT) and adenoma detection rate (ADR) with the adoption of standard COVID-19 precautions. Methods: We conducted a retrospective chart review to analyze the effects of the COVID-19 pandemic on screening colonoscopies. The study utilized data on CIR, CIT, SWT and ADR from outpatient, non-emergent procedures conducted at 3 endoscopy suites of St Lukes University Health Network. All inpatient and emergent procedures were excluded. Data was obtained by performing chart review on EPIC electronic health record. Results: Our study demonstrated that the total number of screening colonoscopies was decreased between 2019 to 2020 (318 in 2019 vs 157 in 2020, p= 0.005). CIT (320+/-105 seconds in 2019 vs 392+/-107 seconds in 2020, p=0.001) and SWT (706+/-232 seconds in 2019 vs 830+/-241 seconds in 2020, p=0.001) were increased while CIR (98.2% in 2019 vs 96.6% in 2020, p=0.04) was decreased between 2019 and 2020 likely due to PPE introduction. ADR was similar between the two groups (38.23 (12.50-66.66) in 2019 vs 38.18(16.66-66.00) in 2020, p=0.8). Conclusion: Our study showed that quality indices for screening colonoscopies like cecal intubation rate, cecal intubation time and scope withdrawal time were negatively impacted during the initial COVID time period compared to pre-COVID time. The study also displayed that though there was a significant decline in both screening and diagnostic colonoscopies during pandemic, adenoma detection rates were comparable. Thus, the efficiency of the procedures was affected by the use of PPE but it did not affect the colonoscopies clinical benefits.
    Keywords covid19
    Language English
    Publishing date 2021-05-10
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2021.05.07.21256743
    Database COVID19

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