Endoscopic resection of a gastric GI stromal tumor using the helix-snaring technique.

Video 1Endoscopic resection of a gastric GI stromal tumor using the helix-snaring technique.

Brazilian national bariatric registry - pilot study.

Introduction: Brazil is a world leader in bariatric surgery. However, the actual number of surgeries performed in the country is still unknown. It is necessary to implement an instrument to monitor the quality of care provided.

A Great Heist: Subclavian Steal Syndrome Causing Posterior Transient Ischemic Attack and Stroke.

Introduction Subclavian steal syndrome is a phenomenon of arterial flow reversal secondary to occlusive disease in proximal subclavian arteries, occasionally resulting in neurologic sequelae. Case Presentation The authors present the case of a 67-year-old man with stroke risk factors and a history of receiving head and neck radiation therapy who developed subclavian steal physiology leading to a transient ischemic attack and posterior circulation stroke. He was medically optimized without substantial progression or recurrence of disease.

Successful Use of Glycoprotein IIb/IIIa Inhibitor Involving Severely Ill COVID-19 Patient.

This case report describes a successful outcome involving a patient with severe COVID-19 viral pneumonia utilizing a novel therapeutic approach with the glycoprotein IIb/IIIa inhibitor, eptifibatide.

Interventions to improve the psychological well-being of healthcare workers in disasters, pandemics, and mass casualty events.

Objectives: This information paper will describe the current research and recommendations for improving healthcare worker's (HCW) mental health. Individual and organizational goals will be outlined with items broken up into the time frames of predisaster, during a disaster, and post-disaster.

Methods: A team of subject matter experts reviewed the current literature utilizing a search of PubMed, Google Scholar, relevant article reference lists, and subject matter interviews.

Roles of preoperative and early postoperative electrodiagnosis in brachial plexus injury patients undergoing nerve transfer operations: retrospective feasibility study.

Objective: The purpose of this retrospective observational study was to assess the feasibility of electrodiagnostic parameters, perioperatively, and to discover optimal values as prognostic factors for patients with brachial plexus injury undergoing nerve transfer operations.

Methods: We retrospectively reviewed the records of 11 patients who underwent nerve transfer surgery. The patients underwent perioperative electrodiagnosis (EDX) before and approximately 6 months after surgery.

Real-world disease activity and sociodemographic, clinical and treatment characteristics of moderate-to-severe inflammatory bowel disease in Brazil.

Background: Understanding the treatment landscape of inflammatory bowel diseases (IBD) is essential for improving disease management and patient outcomes. Brazil is the largest Latin American country, and it presents socioeconomic and health care differences across its geographical regions. This country has the highest increase in IBD incidence and prevalence in Latin America, but information about the clinical and treatment characteristics of IBD is scarce.

Revisional endoscopic sleeve gastroplasty of laparoscopic sleeve gastrectomy: an international, multicenter study.

Background And Aims: Laparoscopic sleeve gastrectomy (LSG) facilitates significant and durable weight loss; however, weight recidivism and need for revisional surgery occur in a subset of patients. Reduction of a dilated LSG using the revisional endoscopic sleeve gastroplasty (R-ESG) approach is an appealing and minimally invasive alternative to surgical revision that is congruent with obesity as a chronic relapsing disease model. In this study, we examine the safety and efficacy of the technique in a large multicenter international cohort.

LFP-Net: A deep learning framework to recognize human behavioral activities using brain STN-LFP signals.

Background: Recognition of human behavioral activities using local field potential (LFP) signals recorded from the Subthalamic Nuclei (STN) has applications in developing the next generation of deep brain stimulation (DBS) systems. DBS therapy is often used for patients with Parkinson's disease (PD) when medication cannot effectively tackle patients' motor symptoms. A DBS system capable of adaptively adjusting its parameters based on patients' activities may optimize therapy while reducing the stimulation side effects and improving the battery life.

SHORT-TERM RESULTS OF MINIMALLY INVASIVE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE BY RADIOFREQUENCY (STRETTA): FIRST BRAZILIAN SERIES OF CASES.

Background: New endoscopic treatments for gastroesophageal reflux (GERD) are developed every year and are indicated in cases that are refractory to conventional therapies as well as after surgical treatment failure.

Objective: To present the first cases of endoscopic therapy for GERD performed in Brazil.

Methods: Use of radiofrequency with the Stretta procedure in symptomatic volunteers diagnosed with GERD.

LONG-TERM POSTOPERATIVE ENDOSCOPIC FINDINGS AFTER GASTRIC BYPASS PROCEDURE: a co-occurrence analysis.

Background: A multitude of endoscopic findings post-gastric bypass procedures have been previously reported in the literature, but to our knowledge, no present rules exist that could guide clinicians regarding which findings should be actively sought, once an initial finding is identified.

Objective: To identify co-occurrence patterns among endoscopic findings of patients having undergone past gastric bypass procedure.

Methods: Our registry involves all consecutive patients undergoing an upper endoscopic evaluation after a gastric bypass procedure.

Improving the process of informed consent for percutaneous coronary intervention: patient outcomes from the Patient Risk Information Services Manager (ePRISM) study.

Background: While the process of informed consent is designed to transfer knowledge of the risks and benefits of treatment and to engage patients in shared medical decision-making, this is poorly done in routine clinical care. We assessed the impact of a novel informed consent form for percutaneous coronary intervention (PCI) that is more simply written, includes images of the procedure, and embeds individualized estimates of outcomes on multiple domains of successful informed consent and shared decision-making.

Methods: We interviewed 590 PCI patients receiving traditional consent documents and 527 patients receiving novel ePRISM consents at 9 US centers and compared patients' perceptions, knowledge transfer, and engagement in medical decision-making.

Young men and the morning after: a missed opportunity for emergency contraception provision?

Objectives: Although adolescents and young adults of lower socioeconomic status (SES) are disproportionately affected by unintended pregnancies, research on experiences with emergency contraception (EC) in this population has lagged. Furthermore, it is unclear whether EC-related knowledge and behaviour varies between young men and women. This study investigated knowledge, attitudes and experiences with EC among low SES young men and women aged 18-25 years.

Sildenafil in patients with cardiovascular disease.

Cardiologists are seeing increasing numbers of patients with erectile dysfunction (ED), which frequently coexists with cardiovascular disease. The pharmacologic profile of the new class of phosphodiesterase (PDE) inhibitors-specifically PDE5 inhibitors-and their potential effects on hemodynamic variables have therefore become significant factors in therapeutic decision making. Most of the published data linking PDE5 inhibitor effects and cardiovascular disease relate to sildenafil, although >or=2 new agents are in various stages of development and clinical trials.

Outcome of 5,000 flexible sigmoidoscopies done by nurse endoscopists for colorectal screening in asymptomatic patients.

Objectives: There have been several studies to date establishing the efficacy of nurse endoscopists in colorectal screening. However, no such study has ever been conducted in Hawaii. Utilizing the large sample size of our study, we hope to further support endoscopy by nurses as both a safe and cost-effective means of screening for colon cancer.

The "virtual focus group": using the Internet to reach pregnant women on home bed rest.

Objective: The purpose of this qualitative study was threefold: to investigate the effectiveness of a 'virtual focus group" as a mechanism for collecting qualitative data, to explore the lived experience of pregnant women confined to home bed rest following a diagnosis of preterm labor, and to assess the value of the virtual focus group as an online peer support group for women on home bed rest.

Design: A qualitative, exploratory, descriptive investigation, carried out through the use of a virtual focus group, defined as an Internet-based research method that utilizes electronic mail (e-mail) to unite spatially and temporally separate participants in a text-based group discussion.

Setting: Data collection was conducted via the Internet and consisted of a series of sequential questions presented by the researchers to the participants via e-mail over a 4-week period.

New direction, same road.

New managers rely on solid competency to rise to new challenges.

What are those white patches on my patient's skin?

Vitiligo is a skin disease that affects 1% of the population. Vitiliginous skin does not contain pigment-producing cells called melanocytes. This leaves the appearance of white patches on the skin, which can either be generalized or localized.

Baseball and beer: an analysis of alcohol consumption patterns among male spectators at major-league sporting events.

Study Objective: Examination of alcohol consumption patterns of male spectators at two major-league baseball stadiums.

Methods: A prospective observational study was conducted at two stadiums over the course of three games at each venue. We approached 1,084 male spectators of drinking age in a consecutive fashion at two junctures: at the entrance gate and during the fifth inning inside the stadium's concourse.

Carbon dioxide laser surgery for snoring: results in 192 patients.

Laser-assisted uvulopalatoplasty has been introduced as an alternative to uvulopalatopharyngoplasty for treatment of snoring and potentially of obstructive sleep apnea syndrome. Between July 1994 and June 1996, 192 patients underwent 227 laser-assisted uvulopalatoplasty procedures. Loud habitual snoring was evaluated in 42 women (21.

Recycling stacked TRAM flaps for contralateral breast reconstruction.

The transverse rectus abdominis musculocutaneous (TRAM) flap is a reliable tool in breast reconstruction. However, the necessary transverse excision of abdominal tissue involves the use or sacrifice of both the ipsilateral and contralateral flaps at the time of reconstruction, thereby limiting future options for reconstruction of the opposite breast in the event of a second primary cancer. As illustrated by this patient report, stacked TRAM flaps can be unstacked should future contralateral breast reconstruction become necessary.