Publications by authors named "Patel Harish"

Introduction: Dieulafoy lesion is one of the most under-recognized sources of gastrointestinal (GI) bleeding (GI), typically manifesting as acute upper gastrointestinal bleeding; endoscopy is usually the first diagnostic and therapeutic modality utilized to handle these lesions by employing a variety of procedures.

Case Report: This is a case of an 81-year-old female who was being assessed after experiencing repeated bouts of melena with hemoglobin drop. The patient had multiple comorbidities but no history of gastrointestinal bleeding.

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Background: Percutaneous Endoscopic Gastrostomy (PEG) tube insertion, a routine procedure for long-term enteral nutrition, serves as a crucial intervention for patients who are incapable of tolerating oral intake or meeting adequate nutritional requirements. PEG tube placement carries complications like bleeding and infection. Impact of PEG tubes on the 30-day and long-term mortality in HIV patients is unknown.

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() infection is a widespread global health issue with a varying prevalence influenced by geography, socioeconomic status, and demographics. In the U.S.

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Hepatopulmonary syndrome (HPS) is defined by abnormally dilated blood vessels and shunts within the lungs, leading to impaired oxygen exchange. This condition results from intricate interactions between the liver, the gastrointestinal system, and the lungs. This complex system primarily affects pulmonary endothelial, immunomodulatory, and respiratory epithelial cells.

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Introduction: The occurrence of acute respiratory failure as a result of esophageal bezoars is a rare phenomenon. We present a patient who failed initial endoscopic intervention. Successful resolution was achieved through a novel approach involving a combination of Creon and Coca-Cola.

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Article Synopsis
  • GLP-1 receptor agonists are commonly used in diabetes and obesity treatment, but their use may increase the risk of gastroparesis and aspiration during surgical or endoscopic procedures, leading to recent guidelines recommending their discontinuation before surgery.
  • A study at BronxCare Health System analyzed data from 306 patients, comparing those on clear liquid diets versus regular diets before endoscopic procedures, focusing on gastric residue and aspiration risks.
  • Results indicated that patients on clear liquid diets had significantly less gastric residue compared to those on regular diets, suggesting that a 24-hour liquid diet is safe before such procedures, with no reported complications.
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  • A case study discusses a 22-year-old woman diagnosed with pulmonary tuberculosis (TB) who also tested positive for non-tuberculous mycobacteria (NTM) after four months of TB treatment.
  • The patient's chest imaging showed scarring in the lungs, and following intensive TB treatment, she had to be referred to an infectious disease specialist due to an allergy to azithromycin, impacting her treatment options.
  • The coexistence of NTM raises important considerations in treatment, including differentiating between colonization and active disease, as well as addressing the risks of long treatment durations, drug toxicity, and costs.
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Gastrointestinal diseases are increasing in global prevalence. As a result, the contribution to both mortality and healthcare costs is increasing. While interventions utilizing scoping techniques or ultrasound are crucial to both the timely diagnosis and management of illness, a few limitations are associated with these techniques.

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Article Synopsis
  • * Steatosis, the initial stage of MAFLD, is closely associated with metabolic syndrome, highlighting the roles of insulin resistance, high-calorie diets, and lipid metabolism disturbances in liver fat accumulation.
  • * Liver fibrosis is a key predictor of MASH progression and liver cancer (HCC), necessitating targeted treatment strategies and improved surveillance due to various risk factors like age, gender, and lifestyle that contribute to HCC development.
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Stroke is an infarction of the central nervous system (brain, spinal cord, or retina) that results from a disruption in cerebral blood flow either due to ischemia or hemorrhage. Complications of acute stroke are common and include pneumonia, urinary tract infection, myocardial infarction, deep vein thrombosis, and pulmonary embolism, among several others, all of which increase the risk of poor clinical outcomes. Gastrointestinal bleeding is a well-known complication that can occur during the acute phase of stroke.

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Article Synopsis
  • Fecal microbiota transplantation (FMT) is a treatment method that helps restore healthy gut bacteria by transferring fecal microbiota from healthy donors to patients with imbalanced gut flora (dysbiosis).
  • FMT has become popular for treating recurrent Clostridium difficile infections (CDI) because of its high success rates and good safety profile.
  • There is growing interest in using FMT as a potential treatment for inflammatory bowel diseases (IBD), and recent advancements in its application for both CDI and IBD have been reviewed.
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Emphysematous gastritis (EG) is a rare and life-threatening condition characterized by gas-forming microorganisms causing gas to accumulate within the stomach wall. It has a high mortality rate and is associated with risk factors like gastroenteritis, alcohol use disorder, diabetes mellitus, renal failure, recent abdominal surgery, long-term corticosteroid use, and ingestion of corrosive agents. Diagnosis is challenging due to its rarity and nonspecific symptoms, including severe abdominal pain, coffee-ground emesis, fever, and signs of systemic infection.

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Ultrasound elastography is gaining attention for its diagnostic potential across various medical fields, and its physical properties make it valuable in modern clinical medicine. However, its specific attributes, especially in the context of recent medical advancements, remain relatively unexplored. This study aimed to identify instrument-specific characteristics and applications of real-time ultrasound elastography, shear wave elastography, and strain elastography, particularly within gastroenterology.

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Visceral artery pseudoaneurysms is a known vascular complication of pancreatitis that can lead to life-threatening hemorrhages with a high mortality rate if left untreated. We present a case of ruptured gastroduodenal artery pseudoaneurysm in a 68-year-old male with acute pancreatitis presenting with fatal gastrointestinal and retroperitoneal bleeding that was successfully managed with endovascular coil embolization of the involved vasculature. Patients with hemorrhagic pancreatitis or those presenting with unexplained retroperitoneal or gastrointestinal bleeding in the setting of pancreatitis with an unexplained drop in hematocrit or sudden expansion of pancreatic fluid collection should be screened in a timely manner for pseudoaneurysm using CT angiogram of the abdomen, which is the gold standard imaging modality to identify pseudoaneurysms.

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Esophagitis dissecans superficialis (EDS), formerly referred to as sloughing esophagitis, is a degenerative condition affecting the squamous epithelium. EDS is known to be a benign condition that resolves on its own. The exact etiology of EDS remains unclear, although associations with medications like bisphosphonates or nonsteroidal anti-inflammatory drugs, skin conditions, heavy smoking, and physical trauma have been reported.

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An annual physical examination within a primary care setting, including evaluation of liver enzymes and abnormal serology, is incidental and often asymptomatic. Fatty liver is the most common etiology for transaminitis. Hepatobiliary imaging studies, viral hepatitis serology, evaluation of metabolic liver disease, and alcohol consumption history should be performed for transaminitis evaluation.

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Esophageal diverticulum refers to a sac or protrusion formed by the epithelial-lined tissue of the esophagus. It can exist as either a true diverticulum involving all layers of the esophagus or a false diverticulum. Most cases of esophageal diverticula are acquired conditions that primarily affect older individuals.

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Breast cancers metastasize most commonly to the bone, brain, liver, and lungs, but rarely to the gastrointestinal tract. Although metastatic breast carcinomas in the stomach can be confused with primary gastric cancers due to their nonspecific presentation and rare incidence, it is important to differentiate the two since the treatment is different. Clinical suspicion is imperative for a prompt endoscopic evaluation and a definitive diagnosis that will lead to appropriate treatment.

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The present work experimentally analyses the flow behaviour near the T-shaped spur dike field with no seepage, 5%, and 10% downward seepage. Experiments were aimed at analysing the channel morphology with different discharges. According to the results, downward seepage movement causes significant modification in the channels bed elevation and the development of scour depth.

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Celiac disease is emerging as an autoimmune disorder with increasing prevalence and incidence. The mean age of presentation is also increasing with the passage of time. The delay in diagnosis is partly attributable to the asymptomatic state in which most patients present.

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Article Synopsis
  • - Neuroendocrine tumors (NETs) are rare cancers that release hormones, leading to unique symptoms, with small bowel neuroendocrine tumors (SBNET) being particularly hard to detect due to their variable presentation.
  • - A case is presented where a 31-year-old woman with nausea and severe abdominal pain was diagnosed with SBNET after initial tests failed to show abnormalities.
  • - This highlights the need for considering SBNET in young patients with vague abdominal symptoms and demonstrates the effectiveness of a collaborative approach in diagnosing and treating such complex cases.
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Colorectal lymphomas are very rare and are usually found in male patients between the fifth and seventh decade of life. Our patient was a 30-year-old male who presented with the complaint of epigastric pain and abdominal mass for the past three months. Physical examination was remarkable for soft solid abdominal mass extending from the right side of the abdomen toward the left side.

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Gastroparesis is associated with abnormal gastric motility characterized by delayed gastric emptying without any obvious mechanical gastric outlet obstruction or blockage. Gastroparesis is associated with significant morbidity and mortality. It is pertinent to make a timely diagnosis of gastroparesis so that prompt treatment can be initiated.

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Introduction Acute upper gastrointestinal bleeding (UGIB) is a medical emergency and a common cause of hospital admissions worldwide. It has traditionally been treated with resuscitation and endoscopic intervention as the first-line therapy. In this study, we assessed the adjunctive role of transcatheter arterial embolization (TAE) in patients with uncontrolled UGIB after an endoscopic intervention.

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Kikuchi-Fujimoto disease (KFD), also known as histiocytic necrotizing lymphadenitis, is a rare, benign, focal, self-limiting disease. We report a unique case of KFD in a patient with coexisting Crohn's disease. Our patient is a 23-year-old African American female with a past medical history significant for Crohn's disease who presented to the clinic because of a painless lump over the right side of the neck for the past 3 weeks.

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