Publications by authors named "Jahagirdar V"

Immune checkpoint inhibitors commonly cause gastrointestinal immune-related adverse effects. These patients also carry an increased risk of concomitant infections. This 66-year-old man with immune checkpoint inhibitor colitis was discovered to have concurrent and colitis.

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Background: Prostaglandin E1 (PGE1), or alprostadil, is a potent vasodilator that improves hepatic blood flow and reduces ischemia-reperfusion injury post-liver transplantation (LT). However, the benefits of PGE1 on renal function after LT have not yet been well described.

Aim: To assess the impact of PGE1 administration on renal function in patients who underwent liver or liver-kidney transplant.

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  • Alcohol-related liver disease (ALD) is a growing public health issue, especially among people under 55, leading to an increase in alcohol-attributable deaths that are projected to rise further by 2030.
  • Data from the CDC revealed a significant increase in mortality rates, particularly in the 25-34 age group, with rates climbing from 3.9 per 100,000 in 1999 to an expected 14.4 per 100,000 by 2030.
  • This upward trend highlights the urgent need for public health interventions to address and reduce ALD mortality rates in younger populations.
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Fundoplication is a durable, effective, and well-accepted treatment for gastroesophageal reflux disease. Nonetheless, troublesome postoperative symptoms do occasionally occur with management varying widely among centers. In an attempt to standardize definition and management of postfundoplication symptoms, a panel of international experts convened by the Guidelines Committee of the International Society for Diseases of the Esophagus devised a list of 33 statements across 5 domains through a Delphi approach, with at least 80% agreement to establish consensus.

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  • * The rise in obesity has increased cases of nonalcoholic fatty liver disease (NAFLD), which can lead to cirrhosis and subsequently elevate the risk of developing HCC.
  • * Screening for HCC is essential for early detection and improved survival rates, utilizing tests like α-fetoprotein (AFP) and abdominal ultrasounds, while being mindful that HCC can also occur in those without cirrhosis, potentially delaying diagnosis if not monitored properly.
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  • Acute necrotizing pancreatitis is a serious condition that challenges healthcare providers due to potential complications, with various necrosectomy procedures available but no clear consensus on the best timing for the operation.
  • A national study analyzed data from 2016-2019 to assess the effects of timely necrosectomy (within 48 hours) vs. delayed necrosectomy on patient outcomes, focusing on readmission rates, healthcare use, and mortality.
  • Results showed that early necrosectomy had lower readmission rates, reduced need for mechanical ventilation and septic shock, decreased in-hospital mortality, and resulted in lower healthcare costs and shorter hospital stays compared to delayed interventions.
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  • - Small cell lung cancer (SCLC) is highly aggressive and can metastasize to the pancreas, though this is uncommon; its symptoms can mimic those of primary pancreatic cancer.
  • - A case study details a 59-year-old woman whose SCLC was initially misdiagnosed as pancreatic cancer, presenting symptoms like jaundice and abdominal pain.
  • - The case emphasizes the importance of considering a range of diagnoses in unusual presentations and highlights the need for further research into the mechanisms of SCLC metastasis to improve diagnosis and treatment.
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Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality in India. This review explores the epidemiological trends and the landscape of systemic therapy for HCC in the Indian context, acknowledging the recent shift in etiology from viral hepatitis to lifestyle-associated factors. A comprehensive review of the literature was conducted, including data from the Global Cancer Observatory and the Indian Council of Medical Research, along with a critical analysis of various clinical trials.

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Objective: Social media (SM), with its addictive nature and the accompanying psychosocial challenges such as stress, anxiety, and depression, is the primary factor exacerbating mental health problems and adversely impacting individuals' wellbeing. Our study's goal was to determine how SM affects employees' psychosocial behaviours and assess the various factors that contributed to the employee's excessive use of SM.

Methods: A cross-sectional correlational analysis was conducted.

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Background: The aim of the study was to investigate the risk factors associated with the development of small bowel obstruction (SBO) in Crohn's disease (CD) after small bowel resection (SBR) that are not due to active/recurrent inflammation.

Methods: We conducted a retrospective cohort study of patients who had SBR for active or complicated CD. Abstracted data included demographics, phenotype, therapies for CD, endoscopic disease recurrence, and several surgical variables.

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  • Gastrointestinal bleeding (GIB) is frequent in patients with left ventricular assist devices (LVADs), but the best screening method before implantation is not well defined.
  • A study at Saint Luke's Hospital analyzed data from 167 LVAD patients, revealing that pre-implantation endoscopic evaluations showed a high occurrence of angiodysplasia but did not reduce overall GIB rates.
  • The findings support avoiding routine pre-LVAD endoscopic screening, advocating for individualized assessments based on each patient’s circumstances instead.
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Heat-shock proteins (HSPs), also known as stress proteins, are ubiquitously present in all forms of life. They play pivotal roles in protein folding and unfolding, the formation of multiprotein complexes, the transportation and sorting of proteins into their designated subcellular compartments, the regulation of the cell cycle, and signalling processes. These HSPs encompass HSP27, HSP40, HSP70, HSP60, and HSP90, each contributing to various cellular functions.

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  • - The study compared the adequacy of tissue samples for molecular testing in pancreatic cancer obtained through endoscopic ultrasound (EUS) fine-needle aspiration (FNA) and fine-needle biopsy (FNB) methods at Saint Luke's Hospital from 2018 to 2021.
  • - Out of 132 patients, FNB samples were significantly more adequate for molecular (71.4%) and genomic testing (46.4%) compared to FNA samples (32.1% and 23.8%, respectively).
  • - The number of passes needed for effective diagnosis was similar for both methods, but FNB proved to be more effective overall for achieving suitable samples for molecular testing, highlighting the importance of tumor surface area and cellular
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Neurocysticercosis is caused by , the larval stage of , commonly referred to as the pork tapeworm. These larvae form cysts in several organs, including the brain, spinal cord, and eye. Neurocysticercosis is recognized by the World Health Organization as a public health issue and stands as the foremost preventable cause of epilepsy worldwide.

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Liver transplantation (LT) is the definitive therapy for patients with end-stage liver disease, acute liver failure, acute-on-chronic liver failure, hepatocellular carcinoma, and metabolic liver diseases. The acceptance of LT in Asia has been gradually increasing and so is the expertise to perform LT. Preparing a patient with cirrhosis for LT is the most important aspect of a successful LT.

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Neuroendocrine neoplasms (NENs), also called neuroendocrine tumors (NETs), are relatively uncommon, heterogenous tumors primarily originating in the gastrointestinal tract. With the improvement in technology and increasing use of cross-sectional imaging and endoscopy, they are being discovered with increasing frequency. Although traditionally considered indolent tumors with good prognoses, some NENs exhibit aggressive behavior.

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Gastric glomus tumor is a rare mesenchymal tumor of the gastrointestinal tract, accounting for approximately 1% of all gastrointestinal soft tissue tumors. We describe a unique case of a 27-year-old female patient who presented with recurrent episodes of overt gastrointestinal bleeding requiring multiple blood transfusions. The patient was diagnosed with a gastric ulcer detected on esophagogastroduodenoscopy (EGD), which was grossly suggestive of an ulcerated gastrointestinal stromal tumor (GIST).

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  • - The study examines trends and outcomes related to acute pancreatitis (AP) in liver transplant (LT) patients in the US from 2007 to 2019, noting an increase in LT hospitalizations with AP from 305 to 610.
  • - It highlights demographic changes, showing an increase in Hispanic and Asian LT patients with AP while the percentage of Black patients decreased, alongside a growing comorbidity burden among these patients.
  • - Despite the rise in hospitalizations and complications like sepsis and acute kidney failure, there were no significant changes in inpatient mortality, length of stay, or total healthcare charges during the timeframe studied.
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Background: Peptic ulcer disease (PUD) is frequently seen in patients with liver cirrhosis. However, current literature lacks data on PUD in non-alcoholic fatty liver disease (NAFLD) hospitalizations.

Aim: To identify trends and clinical outcomes of PUD in NAFLD hospitalizations in the United States.

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Dysphagia is a common symptom in children with Down syndrome and is conventionally evaluated with imaging and endoscopy; high-resolution manometry is not routinely utilized. The aim of this study was to describe and correlate pharyngeal and esophageal manometry findings with contrast studies and endoscopy in patients with Down syndrome and dysphagia. Electronic medical records of patients with Down syndrome with dysphagia seen at our center between January 2008 and January 2022 were reviewed.

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  • The study evaluates the effectiveness of convolutional neural network (CNN) algorithms in diagnosing the severity of ulcerative colitis (UC) using endoscopic images, comparing two scoring systems: the Mayo Endoscopic Score (MES) and the Ulcerative Colitis Endoscopic Index of Severity (UCEIS).
  • A meta-analysis of 12 studies showed that CNN algorithms achieved a high accuracy of 91.5%, with notable sensitivity (82.8%) and specificity (92.4%) for assessing UC severity.
  • Results indicated that the UCEIS scoring system outperformed MES in terms of sensitivity and positive predictive value, emphasizing the need for further research to confirm these findings in clinical practice.
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Drug-induced liver injury (DILI) is one of the leading causes of death from acute liver failure (ALF) in the United States, accounting for approximately 13% of ALF cases in the United States. Selective androgen receptor modulators (SARMs) were first developed to increase muscle mass while avoiding the side effects of conventional androgenic steroids. Although not Food and Drug Administration (FDA) approved, they are widely available online and are consumed to enhance athletic performance.

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  • Alcoholic liver disease (ALD) is a major cause for liver transplants in the U.S., and the COVID-19 pandemic has potentially worsened the situation due to increased alcohol consumption.
  • A study compared ALD admissions before and during the pandemic across four hospitals, revealing a significant rise in admissions during the pandemic, especially among younger women.
  • The findings highlight concerning trends, particularly the rapid progression of ALD in women, underscoring the need for preventive health measures.
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Background infection (CDI) is one of the rising public health threats in the United States. It has imposed significant morbidity and mortality in the elderly population. However, the burden of the disease in the young population is unclear.

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