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  1. Article: Management of Ostomy-Related Varices.

    Henry, Zachary

    Clinical liver disease

    2021  Volume 17, Issue 6, Page(s) 388–391

    Language English
    Publishing date 2021-08-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2657644-2
    ISSN 2046-2484
    ISSN 2046-2484
    DOI 10.1002/cld.1070
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Balloon-occluded retrograde transvenous obliteration for treatment of portal hypertensive related varices.

    Stoleru, Gianna / Henry, Zachary

    Current opinion in gastroenterology

    2023  Volume 39, Issue 3, Page(s) 140–145

    Abstract: Purpose of review: Balloon-occluded retrograde transvenous obliteration (BRTO) is becoming a more commonly used procedure to manage various complications of liver disease. It is important to understand the technique of the procedure, the indications for ...

    Abstract Purpose of review: Balloon-occluded retrograde transvenous obliteration (BRTO) is becoming a more commonly used procedure to manage various complications of liver disease. It is important to understand the technique of the procedure, the indications for its use, and also potential associated complications.
    Recent findings: BRTO is superior to endoscopic cyanoacrylate injection and transjugular intrahepatic portosystemic shunt for bleeding gastric varices associated with a portosystemic shunt and should be considered a first line therapy in these patients. In addition, it has been shown to be useful in controlling ectopic variceal bleeding, improving portosystemic encephalopathy, and also in modulating blood flow in the post liver transplant setting. Modified versions of BRTO, plug assisted retrograde transvenous obliteration and coil assisted retrograde transvenous obliteration, have been developed to reduce procedure time and improve complication rates.
    Summary: As the use of BRTO expands in clinical practice it will be important for gastroenterologists and hepatologists to better understand the procedure. There are still many research questions left to answer regarding the use of BRTO in specific situations and for specific patient populations.
    MeSH term(s) Humans ; Esophageal and Gastric Varices/therapy ; Esophageal and Gastric Varices/complications ; Balloon Occlusion/adverse effects ; Balloon Occlusion/methods ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/therapy ; Treatment Outcome ; Varicose Veins/complications ; Varicose Veins/therapy
    Language English
    Publishing date 2023-03-01
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 632571-3
    ISSN 1531-7056 ; 0267-1379
    ISSN (online) 1531-7056
    ISSN 0267-1379
    DOI 10.1097/MOG.0000000000000915
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2072: Show issues Location:
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  3. Article ; Online: Endoscopic Treatment of Acute Esophageal and Gastric Variceal Bleeding.

    Jobe, Kendra / Henry, Zachary

    Gastrointestinal endoscopy clinics of North America

    2023  Volume 34, Issue 2, Page(s) 249–261

    Abstract: Acute variceal bleeding is a serious complication of portal hypertension. This most often manifests as bleeding from esophageal varices. Although less likely to occur, bleeding from gastric varices is usually more severe. The best endoscopic management ... ...

    Abstract Acute variceal bleeding is a serious complication of portal hypertension. This most often manifests as bleeding from esophageal varices. Although less likely to occur, bleeding from gastric varices is usually more severe. The best endoscopic management for acute esophageal variceal bleeding is band ligation and this often proves to be definitive therapy for these patients. For gastric variceal bleeding, the best endoscopic therapy is endoscopic cyanoacrylate injection but this can be cumbersome to perform and is not a readily available resource at most centers in the United States.
    MeSH term(s) Humans ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/surgery ; Esophageal and Gastric Varices/complications ; Esophageal and Gastric Varices/surgery ; Endoscopy/adverse effects ; Hypertension, Portal/complications ; Ligation ; Sclerotherapy/adverse effects
    Language English
    Publishing date 2023-09-26
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1313994-0
    ISSN 1558-1950 ; 1052-5157
    ISSN (online) 1558-1950
    ISSN 1052-5157
    DOI 10.1016/j.giec.2023.09.004
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  4. Article ; Online: Readmissions for Cirrhosis Within the Healthcare Readmissions Reduction Program: A Hidden Challenge.

    Henry, Zachary

    The American journal of gastroenterology

    2019  Volume 114, Issue 9, Page(s) 1419–1420

    Abstract: With the passage of the Affordable Care Act, the Healthcare Readmissions Reduction Program (HRRP) was implemented, leading to significant reductions in readmissions for congestive heart failure, pneumonia, and myocardial infarction. Patients with ... ...

    Abstract With the passage of the Affordable Care Act, the Healthcare Readmissions Reduction Program (HRRP) was implemented, leading to significant reductions in readmissions for congestive heart failure, pneumonia, and myocardial infarction. Patients with cirrhosis have a complex and difficult to manage underlying disease process and are often left out of large policy decisions such as the HRRP although they represent a population at high risk for readmission and other negative outcomes. In this editorial, hospital readmissions in patients with cirrhosis are discussed in the context of the HRRP and evolving models of care.
    MeSH term(s) Cohort Studies ; Heart Failure ; Humans ; Liver Cirrhosis ; Medicare ; Patient Protection and Affordable Care Act ; Patient Readmission ; United States
    Language English
    Publishing date 2019-08-26
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.14309/ajg.0000000000000368
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Management of Gastric and Ectopic Varices: The Endoscopist's Perspective

    Henry, Zachary

    Digestive Disease Interventions

    (Hepatology)

    2020  Volume 04, Issue 02, Page(s) 110–121

    Abstract: Gastric and Ectopic varices are a rare complication of portal hypertension and represent a complex, heterogeneous system of vascular shunts. Bleeding from these shunts can be severe and life-threatening, with poorly standardized treatment algorithms to ... ...

    Series title Hepatology
    Abstract Gastric and Ectopic varices are a rare complication of portal hypertension and represent a complex, heterogeneous system of vascular shunts. Bleeding from these shunts can be severe and life-threatening, with poorly standardized treatment algorithms to follow in their management. When bleeding occurs, it is important to follow standard diagnostic procedures for portal hypertensive bleeding and always obtain imaging of the underlying vascular anatomy to help guide therapy. Potential treatment methods will depend on these imaging findings as well as the location of the varix within the gastrointestinal tract. While gastric varices have more data to support specific treatment options, duodenal and rectal varices have only case reports and case series to guide their care. In addition, stomal varices are a very rare complication of portal hypertension and have limited data to support any one treatment modality. Gastric and ectopic varices are best approached in a multidisciplinary fashion after discussion with hepatologists and interventional radiologists to overcome the uncertainty in choosing a definitive therapy.
    Keywords gastric varices ; ectopic varices ; rectal varices ; duodenal varices ; stomal varices ; endoscopic cyanoacrylate injection ; endoscopic band ligation ; transjugular intrahepatic portosystemic shunt ; balloon-occluded retrograde transvenous obliteration
    Language English
    Publishing date 2020-06-01
    Publisher Thieme Medical Publishers
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 2472-873X ; 2472-8721
    ISSN (online) 2472-873X
    ISSN 2472-8721
    DOI 10.1055/s-0040-1713365
    Database Thieme publisher's database

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  6. Article ; Online: Reply.

    Henry, Zachary / Patton, Heather

    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

    2021  Volume 20, Issue 4, Page(s) 966

    Language English
    Publishing date 2021-08-03
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2119789-1
    ISSN 1542-7714 ; 1542-3565
    ISSN (online) 1542-7714
    ISSN 1542-3565
    DOI 10.1016/j.cgh.2021.07.029
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5836: Show issues Location:
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  7. Article ; Online: Author's reply: Plasma corticosteroid-binding globulin levels in cirrhosis.

    Wentworth, Brian J / Schliep, Matthew / Siragy, Helmy M / Henry, Zachary H

    Liver international : official journal of the International Association for the Study of the Liver

    2023  Volume 43, Issue 3, Page(s) 742–743

    MeSH term(s) Humans ; Transcortin/metabolism ; Liver Cirrhosis ; Plasma/metabolism
    Chemical Substances Transcortin (9010-38-2)
    Language English
    Publishing date 2023-01-24
    Publishing country United States
    Document type Letter ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 2102783-3
    ISSN 1478-3231 ; 1478-3223
    ISSN (online) 1478-3231
    ISSN 1478-3223
    DOI 10.1111/liv.15525
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    In stock of ZB MED Cologne/Königswinter

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  8. Book: Instrumentation and measurement for environmental sciences

    Henry, Zachary A.

    ([ASAE publication] : Special publication ; 91,5)

    1991  

    Author's details ed.: Zachary A. Henry
    Series title [ASAE publication] : Special publication ; 91,5
    ASAE publication
    [ASAE publication] ; Special publication
    Collection ASAE publication
    [ASAE publication] ; Special publication
    Keywords Umweltwissenschaften ; Physik ; Grundlage ; Gerät
    Subject Gebrauchsgerät ; Geräte ; Grundlagen ; Naturlehre
    Size Getr. Zählung : Ill., graph. Darst.
    Publishing place St. Joseph, Mich
    Publishing country United States
    Document type Book
    HBZ-ID HT004483456
    ISBN 0-929355-16-4 ; 978-0-929355-16-0
    Database Catalogue ZB MED Nutrition, Environment, Agriculture

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    In stock of ZB MED Bonn / Germany

    Shelf markLoan statusLocation
    934/98 available for loan (reading room) Freihandmagazin (U1)

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  9. Article ; Online: How I Approach It: Adrenal Insufficiency in Cirrhosis.

    Wentworth, Brian J / Henry, Zachary H / Siragy, Helmy M

    The American journal of gastroenterology

    2022  Volume 117, Issue 12, Page(s) 1889–1893

    MeSH term(s) Humans ; Adrenal Insufficiency/complications ; Adrenal Insufficiency/diagnosis ; Liver Cirrhosis/complications ; Hydrocortisone
    Chemical Substances Hydrocortisone (WI4X0X7BPJ)
    Language English
    Publishing date 2022-08-12
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.14309/ajg.0000000000001939
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  10. Article ; Online: Basal cortisol levels do not predict adrenal responsiveness in acute decompensated cirrhosis.

    Wentworth, Brian J / Schliep, Matthew / Novicoff, Wendy M / Henry, Zachary H / Siragy, Helmy M

    European journal of gastroenterology & hepatology

    2023  Volume 36, Issue 2, Page(s) 238–244

    Abstract: Objective: Morning total cortisol (TC) levels have been shown to predict adrenal dysfunction (AD) in the general population, but their utility in cirrhosis is unknown.: Methods: A retrospective cohort study was performed including all noncritically ... ...

    Abstract Objective: Morning total cortisol (TC) levels have been shown to predict adrenal dysfunction (AD) in the general population, but their utility in cirrhosis is unknown.
    Methods: A retrospective cohort study was performed including all noncritically ill patients at our institution between 2011 and 2022 admitted with acute decompensated cirrhosis who underwent standard-dose adrenocorticotropic hormone (ACTH) stimulation testing. Adrenal dysfunction was defined as an increase in TC (delta TC) level <9 µg/dl 60 minutes after ACTH dosing. Spearman correlation was utilized to assess the relationship between binding globulins and cortisol levels. Multivariate regression analysis was performed to determine if basal TC level or common clinical parameters were predictive of AD.
    Results: One hundred and nineteen patients were included, with a median model for end-stage liver disease score of 18. Albumin levels did not correlate with basal TC levels (ρ = 0.127; P = 0.169); basal TC did not correlate with delta TC (ρ = 0.050; P = 0.591). The degree of hypoalbuminemia did not alter these relationships. On multivariate regression, only albumin level [odds ratio (OR) = 0.418; 95% confidence interval (CI), 0.196-0.890; P = 0.024] and MELD score (OR, 1.094; 95% CI, 1.019-1.174; P = 0.014) were predictive of AD. Basal TC levels were not predictive of AD (OR = 0.991; 95% CI, 0.903-1.088; P = 0.855) or delta TC (β = 0.000; 95% CI -0.147 to 0.147; P = 0.999).
    Conclusion: Baseline TC levels do not predict ACTH stimulation testing response in patients with acute decompensated cirrhosis. Clinicians should avoid utilizing an isolated morning cortisol result as a screening method for AD in this population.
    MeSH term(s) Humans ; Hydrocortisone ; Adrenal Insufficiency/diagnosis ; Adrenal Insufficiency/etiology ; Retrospective Studies ; End Stage Liver Disease ; Severity of Illness Index ; Adrenocorticotropic Hormone ; Liver Cirrhosis/complications ; Liver Cirrhosis/diagnosis ; Albumins
    Chemical Substances Hydrocortisone (WI4X0X7BPJ) ; Adrenocorticotropic Hormone (9002-60-2) ; Albumins
    Language English
    Publishing date 2023-12-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 1034239-4
    ISSN 1473-5687 ; 0954-691X
    ISSN (online) 1473-5687
    ISSN 0954-691X
    DOI 10.1097/MEG.0000000000002694
    Database MEDical Literature Analysis and Retrieval System OnLINE

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