Publications by authors named "Megan Q Chan"
Article Synopsis
- The study evaluated why patients with Barrett's esophagus (BE) and high-grade dysplasia (HGD) or carcinoma in situ (CIS) may not follow recommended surveillance guidelines within three years after treatment.* -
- Only about 27% of HGD patients and 41% of CIS patients adhered to surveillance during the first year after treatment, but adherence improved in later years.* -
- Lower surveillance adherence in the first year was linked to reduced detection of recurrence, indicating a need for further research on why patients struggle with adherence and how to improve it.*
Background And Aims: In addition to managing malignant obstruction, esophageal stents (ESs) have evolved to address various benign etiologies of dysphagia. We sought to evaluate national trends and changes in practice of ES placement for both benign and malignant etiologies in hospitalized patients with dysphagia.
Methods: The National Inpatient Sample (2003-2013) was used to include all adult inpatients (≥18 years of age) with endoscopy-guided ES placement for a symptom of dysphagia.
Purpose Of Review: With a globally aging population, dysphagia is a growing health concern among elderly. Increasing reflux disease has contributed to an increased prevalence of dysphagia from peptic strictures and esophageal cancer. Dysphagia can lead to malnutrition and aspiration pneumonia, causing considerable morbidity and mortality.
View Article and Find Full Text PDFBackground And Aims: Previous studies have validated EUS-guided needle-based confocal laser endomicroscopy (nCLE) diagnosis of intraductal papillary mucinous neoplasms (IPMNs). We sought to derive EUS-guided nCLE criteria for differentiating IPMNs with high-grade dysplasia/adenocarcinoma (HGD-Ca) from those with low/intermediate-grade dysplasia (LGD).
Methods: We performed a post hoc analysis of consecutive IPMNs with a definitive diagnosis from a prospective study evaluating EUS-guided nCLE in the diagnosis of pancreatic cysts.
Objective: To evaluate the efficacy of adhesive tape for temporary management of inturned upper eyelid eyelashes.
Methods: In a prospective, consecutive, comparative, nonrandomized, interventional case series, 50 patients (100 eyes) had inturned eyelashes with at least 1 of 3 symptoms: foreign body sensation, itchiness, and tearing. Transpore tape was applied to the right upper eyelid of each patient; the left eye was used as a control.