Search

Your search keyword '"Smit Deliwala"' showing total 24 results
Start Over Author "Smit Deliwala" Journal american journal of gastroenterology
24 results on '"Smit Deliwala"'

11. S2177 Ibuprofen Impaction: No Pill Is Too Small

Author

Nikita Theophilus, Lalida Kunaprayoon, Smit Deliwala, Mamoon M Elbedawi, Harini Lakshman, Murtaza Hussain, Anoosha Ponnapalli, Thulasi Beere, Grigoriy E. Gurvits, and Sherry Demian

Subjects
medicine.medical_specialty, Acute esophageal necrosis, Gastric volvulus, Hepatology, business.industry, Stomach, Gastroenterology, Cameron lesions, Paraesophageal Hiatal Hernia, medicine.disease, digestive system diseases, Surgery, Hiatal hernia, medicine.anatomical_structure, medicine, GERD, Esophagus, business
Abstract

Introduction: Acute esophageal necrosis (AEN) is an emerging cause of gastrointestinal bleeding with an increasing incidence over the past two decades. It appears as a circumferential necrotic lesion encircling the distal esophagus with various proximal extensions. It is most commonly associated with exacerbations of medical co-morbidities such as diabetes, renal failure, coronary disease;however cases of AEN due to mechanical alteration in gut anatomy are exceedingly rare and its prognosis is less defined. We present a unique constellation of AEN, Cameron ulcers (CU), and gastric volvulus from a large paraesophageal hiatal hernia. Case Description/Methods: A 77-year-old female began experiencing abdominal pain and repeated emesis. She had a history of COPD, GERD, episodes of bleeding ulcers, hiatal hernia, malnutrition, and recently COVID-19. She was hemodynamically stable, ill-appearing with tenderness to abdominal palpation and a negative stool guaiac. BP 106/48 mm/Hg, HR 107, requiring oxygen. Investigations revealed WBC 18.5 k/uL, Hgb 9.8 g/dL, and acute renal failure. A CT abdomen revealed complete herniation of the stomach into the posterior mediastinum, dilated esophagus, organoaxial gastric volvulus, and gastric distension [Figure 1 - Pane A-C]. IV fluids, pantoprazole 80 mg, and ondansetron 4 mg were given. An EGD revealed a large hiatal hernia, Cameron ulcers (CU), and necrotic ulceration along the mid-to-lower third of the esophagus. The patient deferred surgical intervention and was discharged home on hospice. Discussion: These constellations represent a common underlying pathophysiologic mechanism that stems from large hiatal hernias and their effect on surrounding structures in our case, precipitated by a paraesophageal hiatal hernia that became too large causing acute gastric volvulus. In severe presentations, the stomach may herniate into the posterior mediastinum known as an upside-down stomach requiring surgery while CU represents trauma to the mucosa from the hernia sliding. In our patient, lower esophagus blood flow traversing through the lesser gastric curvature may have been compromised during gastric necrosis. Simultaneously, sudden gastric stunning from acute outlet obstruction can lead to prolonged acidic bathing of the esophageal mucosa. Often the esophagus can compensate for this by increasing blood flow, however, this is compromised in low-flow states. Limitations of our study include lack of follow-up. A systematic review of all cases of AEN and gastric volvulus are in Table 1.

Published
2021
Full Text
View/download PDF

14. S2178 Black Esophagus, Upside-Down Stomach and Cameron Lesions: Complications of a Large Hiatal Hernia

Author

Harini Lakshman, Grigoriy E. Gurvits, Anoosha Ponnapalli, Lalida Kunaprayoon, Thulasi Beere, Nikita Theophilus, Smit Deliwala, Sherry Demian, Mamoon M Elbedawi, and Murtaza Hussain

Subjects
medicine.medical_specialty, medicine.anatomical_structure, Hepatology, business.industry, Gastroenterology, medicine, Cameron lesions, Upside down stomach, Esophagus, medicine.disease, business, Large hiatal hernia, Surgery
Published
2021
Full Text
View/download PDF

16. S236 Snare Tip Soft Coagulation (STSC) After Endoscopic Mucosal Resection (EMR) of Large (>20 mm) Non Pedunculated Colorectal Polyps - A Systematic Review and Meta-Analysis of Outcomes

Author

Gursimran Kochhar, Smit Deliwala, Babu P. Mohan, Mohamed I. A. Othman, Peter V. Draganov, Lena L. Kassab, Daryl Ramai, Saurabh Chandan, and Antonio Facciorusso

Subjects
medicine.medical_specialty, Hepatology, business.industry, Meta-analysis, Gastroenterology, Coagulation (water treatment), Medicine, Endoscopic mucosal resection, Radiology, business
Published
2021
Full Text
View/download PDF

18. S0599 Hemostatic Powder vs Standard Treatment for Management of Gastrointestinal Bleeding: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Author

Bhaumik Brahmbhatt, Smit Deliwala, Thulasi Beere, Anita Yelangi, Pujan Kandel, Deep Patel, Thair Dawood, Victoria Gomez, Lalida Kunaprayoon, Harini Lakshman, Ghassan Bachuwa, Sherry Demian, and Saurabh Chawla

Subjects
Gastrointestinal bleeding, medicine.medical_specialty, Hepatology, business.industry, HEMOSTATIC POWDER, Standard treatment, Gastroenterology, medicine.disease, law.invention, Randomized controlled trial, law, Meta-analysis, Internal medicine, Medicine, business
Published
2020
Full Text
View/download PDF

19. S1318 Pseudomelanosis of the Small Bowel: A Systematic Review

Author

Harini Lakshman, Anoosha Ponnapalli, Areeg Bala, Michele Obeid, Thulasi Beere, Murtaza Hussain, Smit Deliwala, Grigoriy E. Gurvits, Lalida Kunaprayoon, and Brandon T. Wiggins

Subjects
medicine.medical_specialty, Hepatology, Pseudomelanosis, business.industry, Gastroenterology, Medicine, business, Dermatology
Published
2020
Full Text
View/download PDF

20. S0606 Interventions for Stress Ulcer Prophylaxis (SUP) – Proton Pump Inhibitors vs Histamine 2 Receptor Antagonists: An Updated Meta-Analysis

Author

Saurabh Chawla, Shane Jones, Ghassan Bachuwa, Harini Lakshman, Brianna Leon, Smit Deliwala, Minh Thu An, Kewan Hamid, Srikanth Malladi, and Maria Santana

Subjects
Hepatology, business.industry, Stress ulcer, Meta-analysis, Gastroenterology, medicine, Histamine-2 Receptor, Pharmacology, medicine.disease, business
Published
2020
Full Text
View/download PDF

21. S1893 Black Esophagus (Acute Esophageal Necrosis) and Diabetes Mellitus: Is It Time to Reconsider Their Association?

Author

Smit Deliwala, Murtaza Hussain, Harini Lakshman, Anoosha Ponnapalli, Michele Obeid, Brandon T. Wiggins, Grigoriy E. Gurvits, Thulasi Beere, Lalida Kunaprayoon, and Areeg Bala

Subjects
medicine.medical_specialty, Acute esophageal necrosis, medicine.anatomical_structure, Hepatology, business.industry, Diabetes mellitus, Internal medicine, Gastroenterology, medicine, Esophagus, medicine.disease, business
Published
2020
Full Text
View/download PDF

22. S2889 Pseudomelanosis Duodeni in Consecutive Endoscopies: An Indirect Marker of Long-Standing Kidney Disease?

Author

Anoosha Ponnapalli, Michele Obeid, Murtaza Hussain, Thulasi Beere, Areeg Bala, Lalida Kunaprayoon, Smit Deliwala, Grigoriy E. Gurvits, Brandon T. Wiggins, and Harini Lakshman

Subjects
medicine.medical_specialty, Hepatology, Pseudomelanosis, business.industry, Internal medicine, Gastroenterology, Medicine, business, medicine.disease, Kidney disease
Published
2020
Full Text
View/download PDF

23. S0391 Black Esophagus Trends Across American College of Gastroenterology (ACG) Scientific Meetings Over a Decade: 2010–2020

Author

Michele Obeid, Areeg Bala, Murtaza Hussain, Harini Lakshman, Smit Deliwala, Anoosha Ponnapalli, Brandon T. Wiggins, Lalida Kunaprayoon, Thulasi Beere, and Grigoriy E. Gurvits

Subjects
medicine.medical_specialty, medicine.anatomical_structure, Hepatology, business.industry, Family medicine, Gastroenterology, Medicine, Esophagus, business
Published
2020
Full Text
View/download PDF

24. S0527 Artificial Intelligence (AI)-Guided vs Routine Colonoscopy for Colorectal Polyps: A Meta-Analysis of Recent Randomized Controlled Trials

Author

Ghassan Bachuwa, Saurabh Chawla, Grigoriy E. Gurvits, Harini Lakshman, Pujan Kandel, Adiraj Singh, Srikanth Malladi, Kewan Hamid, Smit Deliwala, Yazan Zayed, and Mahmoud Barbarawi

Subjects
medicine.medical_specialty, Hepatology, medicine.diagnostic_test, Randomized controlled trial, law, business.industry, Meta-analysis, Internal medicine, Gastroenterology, medicine, Colonoscopy, business, law.invention
Published
2020
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results