2,823 results match your criteria: "Cleveland Clinic FLorida[Affiliation]"

Endoscopic bariatric and metabolic therapies (EBMTs) are minimally invasive endoscopic procedures that have shown to demonstrate significant weight loss in people with obesity. While abundant data support their positive effect on weight loss, there remains a notable dearth of information regarding their effects on metabolic dysfunction-associated steatotic liver disease (MASLD). As rates of type 2 diabetes and obesity have grown worldwide, so has the rate of MASLD.

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Background: Clonal hematopoiesis of indeterminate potential (CHIP) is characterized by genetic alterations associated with hematologic neoplasms, posing clinical challenges in managing concurrent hematological malignancies. CHIP may complicate the treatment landscape due to its potential to influence disease progression and treatment response. We report a 73-year-old male with multiple myeloma (MM) harboring a CHIP PPM1D mutation, elucidating the complexities and therapeutic considerations in such cases.

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Background: Tumor deposits are a unique histologic feature of colorectal cancer that is associated with adverse survival outcomes. The present study aimed to assess the association between tumor deposits and liver and lung metastases and to describe the characteristics of colorectal cancer associated with tumor deposits.

Methods: The Surveillance, Epidemiology, End Results (SEER) database was screened between 2010 and 2020 for patients with colorectal adenocarcinoma who underwent radical resection with data on tumor deposits.

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Article Synopsis
  • Proton pump inhibitors (PPIs) are common medications for gastrointestinal issues, but recent studies indicate a possible link between long-term use and increased cardiovascular (CV) risks, raising clinical concerns.
  • This review examines the existing evidence on the potential CV risks associated with PPIs, analyzing mechanisms like drug interactions and electrolyte imbalances that might affect heart and blood vessel function.
  • Healthcare providers must weigh the risks and benefits for individual patients, considering alternative treatments for those at high risk of bleeding and seeking to understand the long-term impact of PPIs on cardiovascular health for future research.
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Background: Evidence regarding the effect of long-term exposure to particulate matter (PM) 2.5 and comorbid cancer and cardiovascular disease (CVD) mortality is limited.

Objectives: In this study, the author report the association between long-term exposure to PM 2.

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Background: Esophageal cancer remains a significant global health challenge. Several treatment modalities were explored in randomized controlled trials (RCTs) in recent decades. This study evaluates the robustness of RCTs focusing on esophageal cancer treatment using the fragility index (FI) and reverse fragility index (RFI).

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Background: The vast majority of colon cancers occur in pre-existing adenomas. Little is known about the impact of adenoma type on behavior and outcome of subsequent carcinomas. The present study aimed to assess characteristics, behavior, and outcome of colon adenocarcinoma based on histologic type of pre-existing adenoma.

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Importance: It is uncertain whether current measures of achievement during medical school predict exceptional performance during surgical residency. One surrogate of excellence during residency may be awards, especially those given for teaching and annual overall accomplishment.

Objective: Determine whether markers of superior performance during medical school documented in the Electronic Residency Application Service (ERAS) application and student record correlated with receiving awards during residency.

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Gelatinous transformation of bone marrow associated with ring sideroblasts: A diagnostic pitfall.

Ann Diagn Pathol

December 2024

Department of Anatomical and Clinical Pathology, University of Texas Medical Branch, Galveston, TX, USA; Department of Pathology & Laboratory Medicine, Cleveland Clinic Florida, Weston, FL, USA. Electronic address:

Article Synopsis
  • Gelatinous bone marrow transformation (GBMT) is a rare medical condition involving the atrophy of fat cells and the buildup of a gelatinous substance in the bone marrow, leading to decreased blood cell production (hypoplastic hematopoiesis).
  • A study reviewed bone marrow specimens from patients with a BMI of <18.5, revealing that 30% of those evaluated had GBMT associated with ring sideroblasts, a specific type of abnormal red blood cell.
  • Notably, one patient’s ring sideroblasts were linked to copper deficiency, highlighting that GBMT may be misdiagnosed as myelodysplastic syndrome without further investigation.
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Primary central nervous system (CNS) diffuse large B-cell lymphoma with MYC and BCL2 rearrangements is a very rare lymphoma subtype. Deep brain stimulation is an effective minimally invasive therapeutic option for the treatment of refractory movement disorders, as well as some psychiatric disorders and chronic pain syndromes. Herein, we report a case of CNS lymphoma, which developed around an electrode of a deep brain stimulation (DBS) device.

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The 2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) updated the indications for metabolic and bariatric surgery (MBS), replacing the previous guidelines established by the National Institutes of Health (NIH) over 30 years ago. The evidence supporting these updated guidelines has been strengthened to assist metabolic and bariatric surgeons, nutritionists, and other members of multidisciplinary teams (MDTs), as well as patients. This study aims to assess the level of evidence and the strength of recommendations compared to the previously published criteria.

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Article Synopsis
  • Osteoporosis (OP) is common among patients undergoing total hip arthroplasty (THA), with a prevalence of 56.9%, but only 15.3% had a DEXA scan prior to the procedure.
  • *Patients with OP faced increased risks of longer hospital stays, non-home discharges, more frequent 90-day readmissions, and a higher likelihood of needing reoperation within a year post-surgery.
  • *Higher T-scores from DEXA scans correlated with better outcomes in terms of shorter hospital stays and improved pain and function scores.
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A Gator in Every Pond: The Ever-present Risk of Right Ventricular Failure.

J Card Fail

October 2024

Section Head, Advanced Heart Failure, Transplant and Mechanical Circulatory Support, Cleveland Clinic Florida, Weston, Florida. Electronic address:

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Neovascular age-related macular degeneration (nAMD) can lead to significant vision impairment through the growth of abnormal neovascular membranes in the choroid. Despite advancements with current anti-vascular endothelial growth factor (VEGF) therapies, challenges such as frequent injections, inadequate response, and patient-related concerns persist. Emerging therapeutics aim to reduce vision-loss through a variety of mechanisms.

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Article Synopsis
  • Obesity significantly increases the risk of idiopathic intracranial hypertension (IIH), and this study investigates how bariatric surgery impacts clinical outcomes for patients with both conditions.
  • The study analyzed data from 97 predominantly female patients (median age 46.7) who underwent various types of bariatric surgery, leading to a median weight loss of 24% and notable improvements in IIH symptoms, including headaches and visual issues.
  • Results showed a significant reduction in mean lumbar opening pressure and a decrease in the usage of medications for IIH post-surgery, indicating that bariatric surgery can effectively alleviate IIH symptoms in obese patients.
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Aim: Anastomotic stricture occurs in up to 30% of colorectal resections; however, evidence on risk factors and preventive measures remains scarce. This study aimed to identify technical factors responsible for increasing the risk for colorectal and coloanal anastomotic strictures.

Method: This was a retrospective cohort study of patients with anastomotic stricture who underwent resection and/or redo anastomosis between January 1, 2011 and August 1, 2021 in a tertiary referral centre.

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The global cardio-oncology registry.

Clin Adv Hematol Oncol

October 2024

Cardio-Oncology Leadership Council, American College of Cardiology, Washington, D.C.

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Article Synopsis
  • - A 34-year-old Middle Eastern woman suffered from atypical symptoms of Type II Necrotizing Soft Tissue Infection (NSTI), which made the diagnosis difficult and prolonged her illness.
  • - After a delay in diagnosis, she underwent multiple surgical debridement procedures along with antibiotic and pain management therapy, eventually leading to her successful discharge.
  • - The case highlights the challenges of diagnosing Type II NSTI due to vague symptoms and emphasizes the importance of thorough history-taking and frequent physical exams to reduce risks associated with late identification.
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Complications and failure after Kock continent ileostomy: A systematic review and meta-analysis.

Tech Coloproctol

October 2024

Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA.

Article Synopsis
  • - A systematic review of studies on Kock pouch (KP) complications found a high overall complication prevalence of 60.4%, with 46.6% requiring revision and 12.9% experiencing failure.
  • - Data were collected from 19 studies involving 2042 patients, determining that risk factors for complications included a higher body mass index (BMI) and prior ileoanal pouch anastomosis, but these did not correlate with pouch failure.
  • - The findings emphasize that the KP is a complex procedure best performed by skilled surgeons, as many patients still prefer to keep their KP despite complications.
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Article Synopsis
  • The study analyzes advances in restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) for ulcerative colitis (UC) patients, comparing laparoscopic minimally invasive surgery (MIS) to traditional open surgery from 2005 to 2019.
  • Data from 6,184 patients showed that MIS significantly reduced the risk of complications and superficial surgical site infections (SSI) compared to open surgery across all time periods studied.
  • Results indicated a lower overall morbidity risk with MIS, particularly notable in the early phase of the study, highlighting the ongoing benefits of minimally invasive techniques in surgical practice for UC.
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No randomized trial has directly compared daratumumab and lenalidomide (D-R) maintenance with standard-of-care lenalidomide (R) alone after transplant. Herein, we report the primary results of the phase 3 AURIGA study evaluating D-R vs R maintenance in patients with newly diagnosed multiple myeloma (NDMM) who had very good or better partial response, were minimal residual disease (MRD)-positive (10-5) and anti-CD38-naïve after transplant. Two hundred patients were randomly assigned (1:1) to D-R (n = 99) or R (n = 101) maintenance for up to 36 cycles.

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Current and Emerging Immunotherapies for Systemic AL Amyloidosis.

Discov Med

September 2024

Department of Hematology-Oncology, Myeloma and Amyloidosis Program, Maroone Cancer Center, Cleveland Clinic Florida, Weston, FL 33331, USA.

Article Synopsis
  • Systemic light-chain (AL) amyloidosis is a rare condition caused by misfolded immunoglobulin light chains that accumulate in organs, leading to dysfunction and failure, especially when the heart is involved.* -
  • Treatment primarily focuses on eliminating the abnormal plasma cell growth, with the current first-line therapy being a combination of four drugs known as DaraCyborD; some patients may require stem cell transplants if this approach is insufficient.* -
  • Recent advancements include the use of monoclonal antibodies, like CAEL 101 and Birtamimab, aimed at breaking down amyloid deposits in affected organs, currently being tested in phase 3 trials for patients with significant cardiac involvement.*
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