A cross-sectional analysis of trends in dermatology practice size in the United States from 2012 to 2020.

Physicians are trending towards practice consolidation nationally; however, changes in dermatology practice size remain to be assessed. The objective of this study was to analyze trends in dermatology practice size from 2012 to 2020 using a large-scale Medicare physician database. We performed a retrospective cross-sectional analysis using 2012 and 2020 data obtained from the Physician Compare Database.

Percutaneous Examination of the Bypassed Stomach.

Gastric partitioning procedures utilized in bariatric surgery, which completely segment or transect the stomach, have the disadvantage of preventing direct access to the excluded stomach for evaluation of possible pathologic changes or the management of such diseases as peptic ulcer. Retrograde endoscopy is not possible where the combined length of the efferent jejunal limb and proximal jejunum exceeds that of the excluded stomach, and their adaptation to allow direct percutaneous endoscopy are described.

Percutaneous transhepatic choledochoenterostomy in a patient with a biliary obstruction.

A needle guide was used to create a fistula from an obstructed common bile duct to the duodenum in a patient with a large tumor of the head of the pancreas. The tortuosity and severity of the stricture prevented the use of routine guide wire passage. A 5-F hyperalimentation catheter was also placed, in addition to the biliary drainage stent.