A Rare Cause of Acute Pancreatitis in a Transgender Female.

Acute pancreatitis is defined as an acute inflammation of the pancreas and is most commonly caused by gallstones and alcohol followed by elevated triglycerides and medications. Estrogen as a cause of secondary hypertriglyceridemic pancreatitis is a rare but known phenomenon in females on hormonal therapy; however, it is not well described in the transgender female population. In this article, we present a case of a 31-year-old transgender female who developed acute, severe pancreatitis after a few months of using estrogen as transition therapy.

Over-the-scope clip placement is effective rescue therapy for severe acute upper gastrointestinal bleeding.

Background And Study Aim: The novel over-the-scope clip (OTSC) allows for excellent apposition of tissue, potentially permitting hemostasis to be achieved in various types of gastrointestinal lesions. This study aimed to evaluate the usefulness and safety of OTSCs for endoscopic hemostasis in patients with upper gastrointestinal bleeding in whom traditional endoscopic methods had failed.

Patients And Methods: A retrospective case series of all patients who underwent placement of an OTSC for severe recurrent upper gastrointestinal bleeding over a 14-month period was studied.

Formerly obese, now thin and confused: the utility of mnemonics in the approach to altered mental status.

Altered mental status represents a common cause for admission to general medicine services. Often a significant workup ensues to define an underlying etiology. When a history of bariatric surgery with small bowel resection precedes the presentation, the differential diagnosis expands.

Prospective assessment of out-of-pocket patient-related cost for ERCP at an urban tertiary care medical center.

Background: When calculating differences between interventions, direct cost comparisons are typically based on Medicare reimbursement rates. The additional out-of-pocket costs of the patient have been little studied in endoscopy.

Aim: To determine out-of-pocket costs for patients undergoing ERCP.