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  1. AU="Banerjee, Promila"
  2. AU="Bekier, John"
  3. AU="Lopes, Rogerio B"
  4. AU="Petese, Alessandro"
  5. AU="Villa, Eduardo"
  6. AU="Vinjamuri, Sobhan"
  7. AU="Schulze-Makuch, Dirk"
  8. AU=Lam Jamie C M
  9. AU="See Ting Leong"
  10. AU="Sangeeta Mangubhai"

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  1. Artikel: Hidden in Plain Sight: Esophageal Dysmotility in Patients With Systemic Lupus Erythematosus.

    Turshudzhyan, Alla / Abbasi, Abu Fahad / Banerjee, Promila

    Cureus

    2022  Band 14, Heft 3, Seite(n) e23208

    Abstract: Among the patients who present to the emergency room or a primary care office with symptoms of dysphagia, chest pain, and reflux, approximately 9% have an underlying rheumatological condition. It is not surprising that many emergency and internal ... ...

    Abstract Among the patients who present to the emergency room or a primary care office with symptoms of dysphagia, chest pain, and reflux, approximately 9% have an underlying rheumatological condition. It is not surprising that many emergency and internal medicine clinicians frequently overlook this etiology and investigate other causes first. However, an overwhelming number of patients with rheumatological conditions (61.1%) have some form of esophageal dysmotility that ranges from ineffective esophageal motility (IEM) to achalasia. We present a case of systemic lupus erythematosus (SLE) with absent contractility that was initially overlooked. Missing and/or absent contractility or other forms of esophageal dysmotility leads to delayed treatment and interventions. Prolonged food bolus transit and stasis promote mucosal inflammation and remodeling, subsequently leading to neoplastic changes. We hope to increase awareness among emergency and internal medicine physicians of the prevalence of esophageal dysmotility disorders among patients with rheumatologic disease, and SLE specifically, to improve timing of diagnosis and interventions.
    Sprache Englisch
    Erscheinungsdatum 2022-03-16
    Erscheinungsland United States
    Dokumenttyp Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.23208
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: Differentiating Delayed Esophageal Clearance From Reflux in Scleroderma.

    Pasumarthi, Anusha / Mago, Sheena / Banerjee, Promila / Tadros, Micheal

    Cureus

    2020  Band 12, Heft 11, Seite(n) e11553

    Abstract: Abnormal acid exposure to the esophagus and esophageal dysmotility leading to symptoms of refractory reflux and dysphagia are common findings amongst patients with advanced systemic scleroderma (SSc). Although treatments and diagnostic methods for ... ...

    Abstract Abnormal acid exposure to the esophagus and esophageal dysmotility leading to symptoms of refractory reflux and dysphagia are common findings amongst patients with advanced systemic scleroderma (SSc). Although treatments and diagnostic methods for esophageal disease in the setting of SSc are currently limited to those used for gastroesophageal reflux disease (GERD), certain advancements in diagnostic testing allow potential for improved detection of the exact etiology and clinical management. Through the lens of a case presentation, we found that while GERD is usually diagnosed with high acid exposure from decreased lower esophageal sphincter tone, the high esophageal acidity seen in scleroderma can be attributed to esophageal hypo-motility, leading to fermentation of food residue.
    Sprache Englisch
    Erscheinungsdatum 2020-11-18
    Erscheinungsland United States
    Dokumenttyp Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.11553
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel: Endoscopy-related injury among gastroenterology trainees.

    Pawa, Swati / Martindale, Sarah L / Gaidos, Jill K J / Banerjee, Promila / Kothari, Shivangi / D'Souza, Sharlene L / Oxentenko, Amy S / Burke, Carol A

    Endoscopy international open

    2022  Band 10, Heft 8, Seite(n) E1095–E1104

    Abstract: Background and study ... ...

    Abstract Background and study aims
    Sprache Englisch
    Erscheinungsdatum 2022-08-15
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722
    ISSN (online) 2196-9736
    ISSN 2364-3722
    DOI 10.1055/a-1869-9202
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Musculoskeletal injury and ergonomics in pediatric gastrointestinal endoscopic practice.

    Ruan, Wenly / Walsh, Catharine M / Pawa, Swati / D'Souza, Sharlene L / Banerjee, Promila / Kothari, Shivangi / McCreath, Graham A / Fishman, Douglas S

    Surgical endoscopy

    2022  Band 37, Heft 1, Seite(n) 248–254

    Abstract: Background and aims: Endoscopy-related musculoskeletal injuries (ERI) are increasingly prevalent in adult endoscopists; however, there are no studies that have evaluated ERI and ergonomic practices among pediatric gastroenterologists and trainees. We ... ...

    Abstract Background and aims: Endoscopy-related musculoskeletal injuries (ERI) are increasingly prevalent in adult endoscopists; however, there are no studies that have evaluated ERI and ergonomic practices among pediatric gastroenterologists and trainees. We aimed to examine the prevalence, nature, and impact of musculoskeletal injuries in pediatric endoscopic practice and assess attitudes towards ergonomic training needs.
    Methods: Pediatric gastroenterologists and trainees were surveyed to collect information on endoscopist and practice characteristics, the prevalence, nature, and impacts of ERI, ergonomics strategies employed in practice, previous ergonomics training, and perceptions of ergonomics training (elicited using a 1 (strongly disagree) to 5 (strongly agree) Likert scale). Responses were analyzed using descriptive statistics, and bivariate analyses were conducted to explore correlates of ERI.
    Results: Among 146 survey respondents, 50 (34.2%) were trainees and 96 (65.8%) were practicing endoscopists with a mean duration of endoscopic practice of 9.7 ± 9.4 years. Overall, 55.6% (n = 80/144) reported experiencing a musculoskeletal injury, with 34.7% (n = 50/144) reporting an injury attributable to endoscopy. Among those with ERI, the most common sites were the neck/upper back (44.0%), thumb (42.0%), hand/finger (38.0%), and lower back (36.0%). Women were more likely to experience ERI compared to men (43.4% vs. 23.4%; p = 0.013). Only 20.9% of participants had formal training in ergonomics. Respondents reported being motivated to implement practice changes to prevent ERI (4.41 ± 0.95) and perceived ergonomics training as important (4.37 ± 0.96).
    Conclusions: Pediatric endoscopists, and particularly women, experience significant ERI; however, formal endoscopy ergonomics training is rare. Improved ergonomics training is needed for both practicing pediatric gastroenterologists and trainees.
    Mesh-Begriff(e) Male ; Adult ; Humans ; Female ; Child ; Occupational Diseases/epidemiology ; Occupational Diseases/etiology ; Occupational Diseases/prevention & control ; Musculoskeletal Diseases/epidemiology ; Musculoskeletal Diseases/etiology ; Musculoskeletal Diseases/prevention & control ; Endoscopy, Gastrointestinal/adverse effects ; Ergonomics ; Occupational Injuries/epidemiology ; Surveys and Questionnaires
    Sprache Englisch
    Erscheinungsdatum 2022-08-03
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-022-09455-9
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Are All Endoscopy-Related Musculoskeletal Injuries Created Equal? Results of a National Gender-Based Survey.

    Pawa, Swati / Banerjee, Promila / Kothari, Shivangi / D'Souza, Sharlene L / Martindale, Sarah L / Gaidos, Jill K J / Oxentenko, Amy S / Burke, Carol A

    The American journal of gastroenterology

    2021  Band 116, Heft 3, Seite(n) 530–538

    Abstract: Introduction: Endoscopy-related injury (ERI) is common in gastroenterologists (GI). The study aim was to assess the prevalence of self-reported ERI, patterns of injury, and endoscopist knowledge of preventative strategies in a nationally representative ... ...

    Abstract Introduction: Endoscopy-related injury (ERI) is common in gastroenterologists (GI). The study aim was to assess the prevalence of self-reported ERI, patterns of injury, and endoscopist knowledge of preventative strategies in a nationally representative sample.
    Methods: A 38-item electronic survey was sent to 15,868 American College of Gastroenterology physician members. The survey was completed by 1,698 members and was included in analyses. Descriptive, univariate, and multivariate analyses were conducted to evaluate the likelihood of ERI based on workload parameters and gender.
    Results: ERI was reported by 75% of respondents. ERI was most common in the thumb (63.3%), neck (59%), hand/finger (56.5%), lower back (52.6%), shoulder (47%), and wrist (45%). There was no significant difference in the prevalence of ERI between men and women GI. However, women GI were significantly more likely to report upper extremity ERI while men were more likely to report lower-back pain-related ERI. Significant gender differences were noted in the reported mechanisms attributed to ERI. Most respondents did not discuss ergonomic strategies in their current practice (63%). ERI was less likely to be reported in GI who took breaks during endoscopy (P = 0.002).
    Discussion: ERI is highly prevalent in GI physicians. Significant gender differences regarding specific sites affected by ERI and the contributing mechanisms were observed. Results strongly support institution of training in ergonomics for all GI as a strategy to prevent its impact on providers of endoscopy.
    Mesh-Begriff(e) Adult ; Aged ; Aged, 80 and over ; Endoscopy ; Ergonomics ; Female ; Gastroenterologists ; Gastroenterology ; Humans ; Male ; Middle Aged ; Musculoskeletal Diseases/epidemiology ; Occupational Injuries/epidemiology ; Prevalence ; Sex Factors ; Surveys and Questionnaires ; Young Adult
    Sprache Englisch
    Erscheinungsdatum 2021-02-04
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.14309/ajg.0000000000001136
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel: Endoscopy-related injury among gastroenterology trainees

    Pawa, Swati / Martindale, Sarah L. / Gaidos, Jill K.J. / Banerjee, Promila / Kothari, Shivangi / D’Souza, Sharlene L. / Oxentenko, Amy S. / Burke, Carol A.

    Endoscopy International Open

    2022  , Seite(n) E1095–E1104

    Abstract: Background and study aims: Endoscopy-related injury (ERI) is widespread among practicing gastroenterologists. However, less is known about the incidence among trainees. This study assesses the rate of self-reported ERI occurrence, patterns of injury, ... ...

    Abstract Background and study aims: Endoscopy-related injury (ERI) is widespread among practicing gastroenterologists. However, less is known about the incidence among trainees. This study assesses the rate of self-reported ERI occurrence, patterns of injury, and knowledge of preventive strategies in a nationally representative sample of gastroenterology fellows.
    Methods: A 38-item electronic survey was sent to members of the American College of Gastroenterology. One hundred and sixty-eight gastroenterology fellows were included in analyses. Descriptive and univariate analyses evaluated the likelihood of ERI by workload parameters and gender.
    Results : ERI was reported by 54.8 % of respondents. ERI was most common in the thumb (58.7 %), hand/finger (56.5 %), and wrist (47.8 %). There was no significant difference in the reported occurrence of ERI between male and female gastroenterology fellows. However, female fellows were significantly more likely to report a greater number of body areas affected by ERI, and male fellows were more likely to report elbow pain. Most respondents (85.1 %) reported discussion about, or training in, ergonomic strategies during gastroenterology fellowship.
    Conclusions: ERI is reported to occur as early as gastroenterology fellowship. Results of this study support this finding and highlight the need for ongoing implementation and monitoring of a formal ergonomics training program as well as development of ergonomically appropriate instruments. Implications of these findings likely extend to trainees in other procedural related specialties like orthopedics and general surgery, though further research is required. Ergonomics training in gastroenterology fellowship and monitoring of its impact on trainees reported ERI is important due to negative effects on productivity and career longevity.
    Sprache Englisch
    Erscheinungsdatum 2022-06-07
    Verlag Georg Thieme Verlag KG
    Erscheinungsort Stuttgart ; New York
    Dokumenttyp Artikel
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722 ; 2196-9736
    ISSN (online) 2196-9736
    ISSN 2364-3722 ; 2196-9736
    DOI 10.1055/a-1869-9202
    Datenquelle Thieme Verlag

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