Publications by authors named "Arthur DeCross"

Article Synopsis
  • The case study discusses three patients with tubulointerstitial nephritis (TIN) linked to inflammatory bowel disease (IBD), showcasing the complexities in identifying the underlying causes of their kidney injuries.
  • In Case #1, a 58-year-old male with Crohn's disease experienced acute kidney injury after transitioning medications, with a biopsy suggesting possible drug-induced hypersensitivity or a manifestation of IBD.
  • Cases #2 and #3 involved a female with ulcerative colitis and a male who had latent TB, both developing TIN under various treatments, highlighting that kidney injury could stem from either IBD itself or their medications.
View Article and Find Full Text PDF
Article Synopsis
  • - Opioid use in patients with inflammatory bowel disease (IBD) is linked to higher mortality and decreased quality of life, highlighting the need for better pain management strategies in the emergency department (ED).
  • - A study analyzed adult IBD patients presenting to the ED over two time periods, implementing a multimodal quality improvement intervention, including an evidence-based pain guideline and clinician education.
  • - Results showed a significant drop in opioid prescriptions from 78% to 45% and a reduction in average opioid dosage after the intervention, demonstrating more effective pain management without over-relying on opioids.
View Article and Find Full Text PDF

Background: Several studies determined that autoimmune hemolytic anemia (AIHA) is a rare extraintestinal IBD manifestation, related to the underlying disease activity. However, evidence linking biologic therapy to AIHA is sparse.

Methods: This article reviews the evidence on the association of these clinical phenomena.

View Article and Find Full Text PDF

Background: Late-onset posttransplant lymphoproliferative disorder (PTLD) after orthotopic heart transplantation is rare. . We present a rare diagnosis of small bowel stricture caused by healed lymphomatous ulcers in a patient with orthotopic heart transplantation and PTLD diagnosed 25 years after initial transplantation.

View Article and Find Full Text PDF

Background And Aims: Split-dose bowel preparation is associated with improved mucosal visualization and patient tolerance, becoming a standard of care. However, quality measures data associated with this preparation are limited. At our academic tertiary-care facility, we aim to study the effect of changing from single- to split-dose preparation on colonoscopy quality measures.

View Article and Find Full Text PDF

Objective: The aim of this study was to determine whether the effects of prolonged therapy (≥1 year) with anti-tumor necrosis factor (TNF) agents were sustained on the health-related quality of life (HRQoL) in patients with inflammatory bowel disease (IBD).

Methods: A cross-sectional survey of patients with IBD who were treated with anti-TNF agents was performed. Results of the validated HRQoL measures (inflammatory bowel disease questionnaire [IBDQ], EuroQoL-5 dimensions [EQ-5D], health status visual analogue scale [VAS] and the Zung self-rating depression scale) were recorded and compared between patients treated with anti-TNF agents for <1 year and ≥1 year.

View Article and Find Full Text PDF

Objective: Acute dysphagia/odynophagia developed in a 79-year-old female patient secondary to what we believe was a caustic injury to a large Zenker's diverticulum (ZD) in the setting of long-term alendronate use. She reported severe dysphagia and odynophagia of 1-week duration. She had experienced a similar episode 10 months earlier that had resolved after stopping alendronate temporarily.

View Article and Find Full Text PDF