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  1. Article ; Online: Comment on Grover et al.

    Medda, Rituparna / Raff, Hershel / Shaker, Joseph / Guda, Nalini

    The American journal of gastroenterology

    2022  Volume 117, Issue 5, Page(s) 813–814

    MeSH term(s) Humans ; Bone Density ; Liver Cirrhosis ; Dietary Supplements ; Vitamin D
    Chemical Substances Vitamin D (1406-16-2)
    Language English
    Publishing date 2022-01-25
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.14309/ajg.0000000000001636
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: SARS COV 2 (COVID 19)

    Goenka, Mahesh / Guda, Nalini M.

    Journal of Digestive Endoscopy

    Adapting to the Risk of Unknown Unknowns

    2020  Volume 11, Issue 01, Page(s) 1–2

    Keywords covid19
    Language English
    Publisher Georg Thieme Verlag KG
    Publishing country de
    Document type Article ; Online
    ZDB-ID 2733732-7
    ISSN 0976-5050 ; 0976-5042
    ISSN (online) 0976-5050
    ISSN 0976-5042
    DOI 10.1055/s-0040-1712600
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: SARS COV 2 (COVID 19): Adapting to the Risk of Unknown Unknowns

    Goenka, Mahesh / Guda, Nalini M.

    Journal of Digestive Endoscopy

    2020  Volume 11, Issue 01, Page(s) 1–2

    Language English
    Publishing date 2020-03-01
    Publisher Thieme Medical and Scientific Publishers Private Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2733732-7
    ISSN 0976-5050 ; 0976-5042 ; 0976-5050
    ISSN (online) 0976-5050
    ISSN 0976-5042 ; 0976-5050
    DOI 10.1055/s-0040-1712600
    Database Thieme publisher's database

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  4. Article ; Online: Environmental and health outcomes of single-use versus reusable duodenoscopes.

    Le, Nguyen Nhat Thu / Hernandez, Lyndon V / Vakil, Nimish / Guda, Nalini / Patnode, Casey / Jolliet, Olivier

    Gastrointestinal endoscopy

    2022  Volume 96, Issue 6, Page(s) 1002–1008

    Abstract: Background and aims: The large-scale effects of duodenoscopes on the environment and public health have not been quantified. Our aim was to perform an exploratory life cycle assessment comparing environmental and human health effects of single-use ... ...

    Abstract Background and aims: The large-scale effects of duodenoscopes on the environment and public health have not been quantified. Our aim was to perform an exploratory life cycle assessment comparing environmental and human health effects of single-use duodenoscopes (SDs) and reusable duodenoscopes (RDs).
    Methods: We evaluated 3 duodenoscopes: conventional RDs, RDs with disposable endcaps, and SDs. The primary outcomes were impacts on climate change and human health, complemented by multiple environmental impacts.
    Results: Performing ERCP with SDs releases between 36.3 and 71.5 kg of CO
    Conclusions: Although SDs may provide incremental public health benefit compared with RDs, it comes at a substantially higher cost to the environment. As infection rates continue to decrease from more regimented cleaning protocols and enhanced designs such as disposable endcaps to facilitate cleaning, the negative impact to human health from contaminated RDs could be comparable with SDs.
    MeSH term(s) Humans ; Duodenoscopes ; Carbon Dioxide ; Outcome Assessment, Health Care
    Chemical Substances Carbon Dioxide (142M471B3J)
    Language English
    Publishing date 2022-06-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 391583-9
    ISSN 1097-6779 ; 0016-5107
    ISSN (online) 1097-6779
    ISSN 0016-5107
    DOI 10.1016/j.gie.2022.06.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Idiopathic recurrent acute pancreatitis.

    Guda, Nalini M / Trikudanathan, Guru / Freeman, Martin L

    The lancet. Gastroenterology & hepatology

    2018  Volume 3, Issue 10, Page(s) 720–728

    Abstract: Idiopathic recurrent acute pancreatitis is clinically challenging and has substantial socioeconomic consequences. Investigations are expensive and often reveal little about the cause of the disease. Little is known about the interaction between genetic, ... ...

    Abstract Idiopathic recurrent acute pancreatitis is clinically challenging and has substantial socioeconomic consequences. Investigations are expensive and often reveal little about the cause of the disease. Little is known about the interaction between genetic, environmental, anatomical, and other factors that contribute to the disease. Data on the efficacy, safety, and long-term outcomes of endoscopic therapies are scarce. The effect of idiopathic recurrent pancreatitis on quality of life is often underestimated. A more thorough examination of the causes of the disease and the roles of other associated risk factors is needed, as are well designed clinical studies with robust and objectively measurable outcomes. Ideally, evaluation of the causes of disease and therapy should be done only in specialised centres, should follow a protocol, and all outcomes should be formally assessed.
    MeSH term(s) Acute Disease ; Calculi/complications ; Calculi/therapy ; Cholecystectomy, Laparoscopic ; Cost of Illness ; Disease Management ; Genetic Testing ; Humans ; Pancreatic Diseases/complications ; Pancreatic Diseases/therapy ; Pancreatitis/diagnosis ; Pancreatitis/etiology ; Pancreatitis/therapy ; Quality of Life ; Recurrence ; Risk Factors
    Language English
    Publishing date 2018-09-11
    Publishing country Netherlands
    Document type Journal Article ; Review
    ISSN 2468-1253
    ISSN (online) 2468-1253
    DOI 10.1016/S2468-1253(18)30211-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Quality Indicators for Capsule Endoscopy and Deep Enteroscopy.

    Leighton, Jonathan A / Brock, Andrew S / Semrad, Carol E / Hass, David J / Guda, Nalini M / Barkin, Jodie A / Eisen, Glenn M

    The American journal of gastroenterology

    2022  Volume 117, Issue 11, Page(s) 1780–1796

    Abstract: Introduction: Capsule endoscopy (CE) and deep enteroscopy (DE) can be useful for diagnosing and treating suspected small-bowel disease. Guidelines and detailed recommendations exist for the use of CE/DE, but comprehensive quality indicators are lacking. ...

    Abstract Introduction: Capsule endoscopy (CE) and deep enteroscopy (DE) can be useful for diagnosing and treating suspected small-bowel disease. Guidelines and detailed recommendations exist for the use of CE/DE, but comprehensive quality indicators are lacking. The goal of this task force was to develop quality indicators for appropriate use of CE/DE by using a modified RAND/UCLA Appropriateness Method.
    Methods: An expert panel of 7 gastroenterologists with diverse practice experience was assembled to identify quality indicators. A literature review was conducted to develop a list of proposed quality indicators applicable to preprocedure, intraprocedure, and postprocedure periods. The panelists reviewed the literature; identified and modified proposed quality indicators; rated them on the basis of scientific evidence, validity, and necessity; and determined proposed performance targets. Agreement and consensus with the proposed indicators were verified using the RAND/UCLA Appropriateness Method.
    Results: The voting procedure to prioritize metrics emphasized selecting measures to improve quality and overall patient care. Panelists rated indicators on the perceived appropriateness and necessity for clinical practice. After voting and discussion, 2 quality indicators ranked as inappropriate or uncertain were excluded. Each quality indicator was categorized by measure type, performance target, and summary of evidence. The task force identified 13 quality indicators for CE and DE.
    Discussion: Comprehensive quality indicators have not existed for CE or DE. The task force identified quality indicators that can be incorporated into clinical practice. The panel also addressed existing knowledge gaps and posed research questions to better inform future research and quality guidelines for these procedures.
    MeSH term(s) Humans ; Quality Indicators, Health Care ; Capsule Endoscopy ; Consensus ; Gastroenterologists ; Advisory Committees
    Language English
    Publishing date 2022-09-26
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.14309/ajg.0000000000001903
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Quality indicators for capsule endoscopy and deep enteroscopy.

    Leighton, Jonathan A / Brock, Andrew S / Semrad, Carol E / Hass, David J / Guda, Nalini M / Barkin, Jodie A / Eisen, Glenn M

    Gastrointestinal endoscopy

    2022  Volume 96, Issue 5, Page(s) 693–711

    Abstract: Background and aims: Capsule endoscopy (CE) and deep enteroscopy (DE) can be useful for diagnosing and treating suspected small-bowel disease. Guidelines and detailed recommendations exist for the use of CE/DE, but comprehensive quality indicators are ... ...

    Abstract Background and aims: Capsule endoscopy (CE) and deep enteroscopy (DE) can be useful for diagnosing and treating suspected small-bowel disease. Guidelines and detailed recommendations exist for the use of CE/DE, but comprehensive quality indicators are lacking. The goal of this task force was to develop quality indicators for appropriate use of CE/DE by using a modified RAND/UCLA Appropriateness Method.
    Methods: An expert panel of 7 gastroenterologists with diverse practice experience was assembled to identify quality indicators. A literature review was conducted to develop a list of proposed quality indicators applicable to preprocedure, intraprocedure, and postprocedure periods. The panelists reviewed the literature; identified and modified proposed quality indicators; rated them on the basis of scientific evidence, validity, and necessity; and determined proposed performance targets. Agreement and consensus with the proposed indicators were verified using the RAND/UCLA Appropriateness Method.
    Results: The voting procedure to prioritize metrics emphasized selecting measures to improve quality and overall patient care. Panelists rated indicators on the perceived appropriateness and necessity for clinical practice. After voting and discussion, 2 quality indicators ranked as inappropriate or uncertain were excluded. Each quality indicator was categorized by measure type, performance target, and summary of evidence. The task force identified 13 quality indicators for CE and DE.
    Conclusions: Comprehensive quality indicators have not existed for CE or DE. The task force identified quality indicators that can be incorporated into clinical practice. The panel also addressed existing knowledge gaps and posed research questions to better inform future research and quality guidelines for these procedures.
    MeSH term(s) Humans ; Quality Indicators, Health Care ; Capsule Endoscopy ; Consensus ; Gastroenterologists
    Language English
    Publishing date 2022-09-26
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 391583-9
    ISSN 1097-6779 ; 0016-5107
    ISSN (online) 1097-6779
    ISSN 0016-5107
    DOI 10.1016/j.gie.2022.08.039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Prevention of post endoscopic retrograde cholangiopancreatography pancreatitis

    Guda, Nalini M.

    Journal of Digestive Endoscopy

    2012  Volume 03, Issue S 05, Page(s) 68–70

    Abstract: Post ERCP pancreatitis (PEP) is a common problem. Knowledge of patient and procedure related risk factors along with appropriate measures aimed at reduction of risk have been successful in reducing both the incidence and the severity. Prophylactic ... ...

    Abstract Post ERCP pancreatitis (PEP) is a common problem. Knowledge of patient and procedure related risk factors along with appropriate measures aimed at reduction of risk have been successful in reducing both the incidence and the severity. Prophylactic pancreatic duct stenting has definitely reduced the incidence and the severity of PEP in high risk patients. There are some emerging data on the use of non steroidal anti inflammatory agents though this is not widely adapted in practice. Key is to avoid procedures with marginal indications and use of non invasive/less invasive procedures.
    Keywords ERCP ; post ERCP Pancreatitis ; pancreatic stents ; post ERCP complications
    Language English
    Publishing date 2012-01-01
    Publisher Thieme Medical and Scientific Publishers Private Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2733732-7
    ISSN 0976-5050 ; 0976-5042
    ISSN (online) 0976-5050
    ISSN 0976-5042
    DOI 10.4103/0976-5042.95037
    Database Thieme publisher's database

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  9. Article: Impact of COVID-19 on gastrointestinal endoscopy practice in India: a cross-sectional study.

    Goenka, Mahesh K / Afzalpurkar, Shivaraj / Ghoshal, Uday C / Guda, Nalini / Reddy, Nageshwar

    Endoscopy international open

    2020  Volume 8, Issue 7, Page(s) E974–E979

    Abstract: Background and study ... ...

    Abstract Background and study aims
    Keywords covid19
    Language English
    Publishing date 2020-06-18
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722
    ISSN (online) 2196-9736
    ISSN 2364-3722
    DOI 10.1055/a-1181-8391
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: An Incidental Finding of AL‑associated Amyloidosis Presenting as Gastric Ulcers

    Huq, Nadia / Thohan, Vinay / Guda, Nalini M.

    Journal of Digestive Endoscopy

    2018  Volume 09, Issue 01, Page(s) 19–21

    Abstract: Gastrointestinal tract amyloidosis has been reported in rare instances and related symptoms are usually nonspecific to the disease process. We present a patient who initially had melena on anticoagulation and endoscopy revealed a bleeding gastric ulcer. ... ...

    Abstract Gastrointestinal tract amyloidosis has been reported in rare instances and related symptoms are usually nonspecific to the disease process. We present a patient who initially had melena on anticoagulation and endoscopy revealed a bleeding gastric ulcer. Hemostasis was achieved. The patient had a recurrence of symptoms despite being off anticoagulation months later and at that time repeat endoscopy showed multiple gastric ulcers with surrounding friable mucosa. Biopsy results were significant for light chain associated‑amyloidosis. This case represents a rare cause of gastric ulcer.
    Language English
    Publishing date 2018-01-01
    Publisher Thieme Medical and Scientific Publishers Private Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2733732-7
    ISSN 0976-5050 ; 0976-5042
    ISSN (online) 0976-5050
    ISSN 0976-5042
    DOI 10.4103/jde.JDE_18_17
    Database Thieme publisher's database

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