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230 results on '"Changela, Kinesh"'

8. Impact of glycemic control on colonoscopy outcomes: bowel preparation and polyp detection

Author

Izzy, Manhal, Changela, Kinesh, Alhankawi, Dhuha, Haeri, Nami Safai, Shah, Sulay, Jibara, Ghalib, Anand, Sury, and Singhal, Shashideep

Subjects
colonoscopy, diabetes mellitus, bowel preparation, Original Article, Adenoma detection rate, glycosylated hemoglobin
Abstract

Background The negative effect of diabetes mellitus (DM) on the colonoscopy preparation has been previously established. Metabolic syndrome has been shown to increase risk for malignancy and possibly for premalignant lesions. This study aimed to investigate the impact of DM control on colonoscopy outcomes including bowel preparation and adenoma detection rate (ADR). Methods We included patients with DM who underwent colonoscopy in our hospital and had a documented glycated hemoglobin (HbA1C) within 3 months. Patients were categorized into three groups based on their HbA1C level. The clinical and endoscopic data were collected and analyzed. Results Our cohort included 352 DM patients. The mean age was 63.5 years. When patients were analyzed based on HBA1C, bowel preparation was poor in 46.7% of patients with good glycemic control, 52.1% of patients with fair control and 50% of patients with poor control. ADR was 24.3% in patients with good glycemic control, 20.2% in patients with fair glycemic control and 27.1% in patients with poor glycemic control. There was no statistically significant difference in the quality of preparation or adenoma detection amongst the groups. Conclusion The degree of glycemic control did not impact the quality of bowel preparation or ADR.

Published
2016

13. Endoscopic Ultrasound-Guided Radiofrequency Ablation of the Pancreatic Tumors: A Promising Tool in Management of Pancreatic Tumors

Author

Changela, Kinesh, Patil, Rashmee, Duddempudi, Sushil, and Gaduputi, Vinaya

Subjects
Article Subject
Abstract

Objective. Radiofrequency ablation is a well-established antitumor treatment and is recognized as one of the least invasive therapeutic modalities for pancreatic neoplasm. Endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) delivery can be used to treat both pancreatic cancer and asymptomatic premalignant pancreatic neoplasms and may serve as a less invasive alternative to surgical resection. This is an appealing option that may result in less morbidity and mortality. The aim of this review was to summarize and evaluate the clinical and technical effectiveness of EUS-guided RFA of pancreatic neoplasms. Methods. A through literature review was performed to identify the studies describing this novel technique. In this review article, we have summarized human case series. The indications, techniques, limitations, and complications reported are discussed. Results. A total of six studies were included. Overall, a 100% technical success rate was reported in human studies. Complications related to endoscopic ultrasound-guided radiofrequency ablation delivery have been described; however, few cases have presented life-threatening outcomes. Conclusion. We believe that this novel technique can be a safe and effective alternative approach in the management of selected patients.

Published
2016
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20. Gastric Emphysema: An Unique Image Report

Author

Linn, Sandar, primary, Lin, Kyawzaw, additional, Thu, Sai Si, additional, Parhar, Gaurav, additional, Changela, Kinesh, additional, Fuksbrumer, Moshe, additional, and Krishnaiah, Mahesh, additional

Published
2017
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35. Impact of Demographics and Socio-economic Status on Patientʼs Compliance to Perform Fecal Immunochemical Test (FIT): Experience from Urban-Minority Population

Author

Dhaliwal, Amaninder, primary, Provencher, LeighMae, additional, Changela, Kinesh, additional, Singh, AjayPal, additional, Deland, Owen, additional, Srialluri, Nityasree, additional, Prokop, Ingmar, additional, Peliska, Michael, additional, Gendy, Mina, additional, Malieckal, Anju, additional, and Shahin, George, additional

Published
2016
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37. Starvation-Induced Hepatocyte Damage

Author

Koya, Rachana, primary, Dhaliwal, Amaninder, additional, Changela, Kinesh, additional, Tejada, Juan, additional, Volfinzon, Leonid, additional, and Malieckal, Anju, additional

Published
2016
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