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372 results on '"Gangwani, Manesh"'

7. Relationships of hospitalization outcomes and timing to endoscopy in non-variceal upper gastrointestinal bleeding: A nationwide analysis

Author

Weissman, Simcha, Aziz, Muhammad, Bangolo, Ayrton I, Ehrlich, Dean, Forlemu, Arnold, Willie, Anthony, Gangwani, Manesh K, Waqar, Danish, Terefe, Hannah, Singh, Amritpal, Gonzalez, Diego MC, Sajja, Jayadev, Emiroglu, Fatma L, Dinko, Nicholas, Mohamed, Ahmed, Fallorina, Mark A, Kosoy, David, Shenoy, Ankita, Nanavati, Anvit, Feuerstein, Joseph D, and Tabibian, James H

Subjects
Patient Safety, Health Services, Clinical Research, Good Health and Well Being, Upper gastrointestinal bleeding, Esophagogastroduodenoscopy, Outcomes, Mortality, Anticoagulation
Abstract

BackgroundThe optimal timing of esophagogastroduodenoscopy (EGD) and the impact of clinico-demographic factors on hospitalization outcomes in non-variceal upper gastrointestinal bleeding (NVUGIB) remains an area of active research.AimTo identify independent predictors of outcomes in patients with NVUGIB, with a particular focus on EGD timing, anticoagulation (AC) status, and demographic features.MethodsA retrospective analysis of adult patients with NVUGIB from 2009 to 2014 was performed using validated ICD-9 codes from the National Inpatient Sample database. Patients were stratified by EGD timing relative to hospital admission (≤ 24 h, 24-48 h, 48-72 h, and > 72 h) and then by AC status (yes/no). The primary outcome was all-cause inpatient mortality. Secondary outcomes included healthcare usage.ResultsOf the 1082516 patients admitted for NVUGIB, 553186 (51.1%) underwent EGD. The mean time to EGD was 52.8 h. Early (< 24 h from admission) EGD was associated with significantly decreased mortality, less frequent intensive care unit admission, shorter length of hospital stays, lower hospital costs, and an increased likelihood of discharge to home (all with P < 0.001). AC status was not associated with mortality among patients who underwent early EGD (aOR 0.88, P = 0.193). Male sex (OR 1.30) and Hispanic (OR 1.10) or Asian (aOR 1.38) race were also independent predictors of adverse hospitalization outcomes in NVUGIB.ConclusionBased on this large, nationwide study, early EGD in NVUGIB is associated with lower mortality and decreased healthcare usage, irrespective of AC status. These findings may help guide clinical management and would benefit from prospective validation.

Published
2023

10. The overall quality of evidence of recommendations surrounding nutrition and diet in inflammatory bowel disease

Author

Weissman, Simcha, Fung, Brian M., Bangolo, Ayrton, Rashid, Atif, Khan, Badar F., Tirumala, Aditya K. Gudimella, Nagpaul, Sneha, Cornwell, Samuel, Karamthoti, Praveena, Murugan, Vignesh, Taranichi, Ihsan S., Kalinin, Maksim, Wishart, Annetta, Khalaf, Ibtihal, Kodali, Naga A., Aluri, Pruthvi S. C., Kejela, Yabets, Abdul, Rub, Jacob, Feba M., Manoharasetty, Advaith, Sethi, Aparna, Nadimpallli, Preethi M., Ballestas, Natalia P., Venkatraman, Aarushi, Chirumamilla, Avinash, Nagesh, Vignesh K., Gangwani, Manesh K., Issokson, Kelly, Aziz, Muhammad, Swaminath, Arun, and Feuerstein, Joseph D.

Published
2023
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22. Controversies and Future Directions in Management of Acute Appendicitis: An Updated Comprehensive Review

Author

Dahiya, Dushyant Singh, primary, Akram, Hamzah, additional, Goyal, Aman, additional, Khan, Abdul Moiz, additional, Shahnoor, Syeda, additional, Hassan, Khawaja M., additional, Gangwani, Manesh Kumar, additional, Ali, Hassam, additional, Pinnam, Bhanu Siva Mohan, additional, Alsakarneh, Saqr, additional, Canakis, Andrew, additional, Sheikh, Abu Baker, additional, Chandan, Saurabh, additional, and Sohail, Amir Humza, additional

Published
2024
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23. Basic Principles and Role of Endoscopic Ultrasound in Diagnosis and Differentiation of Pancreatic Cancer from Other Pancreatic Lesions: A Comprehensive Review of Endoscopic Ultrasound for Pancreatic Cancer

Author

Dahiya, Dushyant Singh, primary, Shah, Yash R., additional, Ali, Hassam, additional, Chandan, Saurabh, additional, Gangwani, Manesh Kumar, additional, Canakis, Andrew, additional, Ramai, Daryl, additional, Hayat, Umar, additional, Pinnam, Bhanu Siva Mohan, additional, Iqbal, Amna, additional, Malik, Sheza, additional, Singh, Sahib, additional, Jaber, Fouad, additional, Alsakarneh, Saqr, additional, Mohamed, Islam, additional, Ali, Meer Akbar, additional, Al-Haddad, Mohammad, additional, and Inamdar, Sumant, additional

Published
2024
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26. Meta-Analysis of Endoscopic Full-Thickness Resection Versus Endoscopic Submucosal Dissection for Complex Colorectal Lesions

Author

Singh, Sahib, primary, Mohan, Babu P., additional, Vinayek, Rakesh, additional, Dutta, Sudhir, additional, Dahiya, Dushyant S., additional, Gangwani, Manesh K., additional, Suresh Kumar, Vishnu C., additional, Aswath, Ganesh, additional, Bhat, Ishfaq, additional, Inamdar, Sumant, additional, Sharma, Neil, additional, and Adler, Douglas G., additional

Published
2024
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29. Advancements in Early Detection and Screening Strategies for Pancreatic Cancer: From Genetic Susceptibility to Novel Biomarkers.

Author

Shah, Yash, Dahiya, Dushyant Singh, Tiwari, Angad, Kumar, Harendra, Gangwani, Manesh Kumar, Ali, Hassam, Hayat, Umar, Alsakarneh, Saqr, Singh, Sahib, Malik, Sheza, Sohail, Amir H., Chandan, Saurabh, Ali, Meer A., and Inamdar, Sumant

Subjects
EARLY detection of cancer, PANCREATIC cancer, MEDICAL screening, DISEASE risk factors, SURGICAL excision
Abstract

Pancreatic cancer is a rare but lethal cancer due to its biologically aggressive nature, advanced stage at the time of diagnosis, and poor response to oncologic therapies. The risk of pancreatic cancer is significantly higher to 5% in certain high-risk individuals with inherited genetic susceptibility. Screening for pancreatic cancer in these individuals from high-risk groups can help with the early detection of pancreatic cancer as well as the detection of precursor lesions leading to early surgical resection and improved overall outcomes. The advancements in radiological imaging as well as advanced endoscopic procedures has made a significant impact on the early diagnosis, surveillance, and staging of pancreatic cancer. There is also a significant advancement in the development of biomarkers for the early detection of pancreatic cancer, which has also led to the development of liquid biopsy, allowing for microRNA detection in serum and circulating tumor cells. Various societies and organizations have provided guidelines for pancreatic cancer screening and surveillance in high-risk individuals. In this review, we aim to discuss the hereditary risk factors for developing pancreatic cancer, summarize the screening recommendations by different societies, and discuss the development of novel biomarkers and areas for future research in pancreatic cancer screening for high-risk individuals. [ABSTRACT FROM AUTHOR]

Published
2024
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31. Endoscopic ultrasound-guided antegrade treatment versus balloon enteroscopy endoscopic retrograde cholangiopancreatography for choledocholithiasis in patients with Roux-en-Y gastric bypass: a systematic review and meta-analysis.

Author

Ahmed, Zohaib, Iqbal, Amna, Aziz, Muhammad, Iqbal, Fatima, Gangwani, Manesh Kumar, Sohail, Abdullah, Chaudhary, Ammad, Smith, Wade-Lee, Hayat, Umar, Singh, Shailendra, Mohan, Babu P., and Javaid, Toseef

Subjects
ENDOSCOPIC retrograde cholangiopancreatography, ENDOSCOPIC ultrasonography, ENTEROSCOPY, GALLSTONES, DATABASE searching, CONFIDENCE intervals, GASTRIC bypass
Abstract

Background The safety and technical success of endoscopic ultrasound-guided antegrade treatment (EUS-AG) compared to balloon enteroscopy-assisted endoscopic cholangiopancreatography (BE-ERCP) for choledocholithiasis in Roux-en-Y gastrectomy has not been well documented. We performed a systematic review and meta-analysis to assess the safety and efficacy of the 2 procedures. Methods A systematic search of multiple databases was undertaken through January 25, 2024, to identify relevant studies comparing the 2 procedures. Standard meta-analysis Methods were employed using a random-effects model. For each outcome, risk-ratio (RR), 95% confidence interval (CI), and P-values were generated. P<0.05 was considered significant. Heterogeneity was assessed using the I2 statistic. Results Three studies with 795 patients (95 in the EUS-AG group and 700 in the BE-ERCP group) were included. The technical success rate was similar between EUS-AG and BE-ERCP (RR 1.08, 95%CI 0.84-1.38; P=0.57; I2=56%). The overall rate of adverse effects was higher in the BE-ERCP group than in the EUS-AG group (RR 1.95, 95%CI 1.21-3.15; P=0.006; I2=0 %). Rates of clinical success, pancreatitis, perforation, and bile peritonitis were similar between the 2 procedure techniques. Conclusions Our analysis showed no distinct advantage in using one technique over the other for patients with Roux-en-Y anatomy in achieving technical and clinical success. However, the incidence of adverse effects was greater in the BE-ERCP group than in the EUS-AG group. [ABSTRACT FROM AUTHOR]

Published
2024
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32. Feasibility and safety of peroral endoscopic myotomy with fundoplication in patients with achalasia: a systematic review and meta-analysis.

Author

Kamal, Faisal, Khan, Muhammad Ali, Lee-Smith, Wade, Sharma, Sachit, Acharya, Ashu, Farooq, Umer, Ejaz, Zahid, Aziz, Muhammad, Gangwani, Manesh Kumar, Hayat, Umar, Kumar, Anand, Schlachterman, Alexander, Loren, David, and Kowalski, Thomas

Subjects
RANDOM effects model, ESOPHAGEAL achalasia, FOLLOW-up studies (Medicine), MYOTOMY, PATIENT safety, FUNDOPLICATION
Abstract

Background Achalasia can cause disabling symptoms that may substantially impair the quality of life. Peroral endoscopic myotomy (POEM) has shown promising Results in the management of achalasia. In this meta-analysis we have evaluated the feasibility and safety of single-session POEM with fundoplication (POEM+F) in patients with achalasia. Methods We reviewed several databases from inception to July 08, 2022, to identify studies evaluating the feasibility and/or safety of single-session POEM+F for patients with achalasia. Our outcomes of interest included the technical success of POEM+F, adverse events, esophagitis and wrap integrity on follow-up upper endoscopy, total procedure time, and fundoplication time. Pooled rates with 95% confidence intervals (CI) for outcomes were calculated using a random effect model. Heterogeneity was assessed using the I2 statistic. Results We included 4 studies with 90 patients. Pooled rates (95%CI) of technical success and adverse events were 92% (83-96%) and 5% (2-11%), respectively. Pooled rates (95%CI) of esophagitis and wrap integrity on follow-up upper endoscopy were 18% (11-30%) and 85% (43-98%) respectively. Pooled mean procedure time and fundoplication time were 113.2 (98.7-127.6) and 55.3 (43.7-66.8) min, respectively. Conclusions This meta-analysis demonstrates the feasibility and safety of POEM+F in patients with achalasia. More studies with long-term follow up are required to further validate these findings. [ABSTRACT FROM AUTHOR]

Published
2024
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33. Impact of frailty on endoscopic retrograde cholangiopancreatography outcomes in nonagenarians: A United States national experience

Author

Basida, Sanket Dhirubhai, primary, Dahiya, Dushyant Singh, additional, Yousaf, Muhammad Nadeem, additional, Basida, Brinda, additional, Pinnam, Bhanu Siva Mohan, additional, Gangwani, Manesh Kumar, additional, Ali, Hassam, additional, Singh, Sahib, additional, Shah, Yash R, additional, Ahluwalia, Daksh, additional, Shah, Mihir Prakash, additional, Chandan, Saurabh, additional, Sharma, Neil R, additional, and Thakkar, Shyam, additional

Published
2024
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34. Role of fecal microbiota transplant in management of hepatic encephalopathy: Current trends and future directions

Author

Shah, Yash R, primary, Ali, Hassam, additional, Tiwari, Angad, additional, Guevara-Lazo, David, additional, Nombera-Aznaran, Natalia, additional, Pinnam, Bhanu Siva Mohan, additional, Gangwani, Manesh Kumar, additional, Gopakumar, Harishankar, additional, Sohail, Amir H, additional, Kanumilli, SriLakshmiDevi, additional, Calderon-Martinez, Ernesto, additional, Krishnamoorthy, Geetha, additional, Thakral, Nimish, additional, and Dahiya, Dushyant Singh, additional

Published
2024
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36. Early and Late Readmissions of Radiation Proctitis in the United States: Are We Getting Better?

Author

Dahiya, Dushyant Singh, primary, Pinnam, Bhanu Siva Mohan, additional, Ishaya, Michelle, additional, Chandan, Saurabh, additional, Gangwani, Manesh Kumar, additional, Singh, Sahib, additional, Ali, Hassam, additional, Sohail, Amir Humza, additional, Canakis, Andrew, additional, Ramai, Daryl, additional, Zelt, Christina, additional, Inamdar, Sumant, additional, Al-Haddad, Mohammad, additional, Rojas-DeLeon, Mariajose, additional, and Sharma, Neil R., additional

Published
2024
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40. Sarcopenia is a risk factor for post-transjugular intrahepatic portosystemic shunt hepatic encephalopathy and mortality: A systematic review and meta-analysis

Author

Ahmed, Zohaib, primary, Badal, Joyce, additional, Gangwani, Manesh Kumar, additional, Nawaz, Ahmad, additional, Badal, Bryan, additional, Arif, Syeda Faiza, additional, Farooq, Umer, additional, Kamal, Faisal, additional, Javaid, Toseef, additional, Aziz, Muhammad, additional, Lee-Smith, Wade, additional, Mahmood, Asif, additional, Merza, Nooraldin, additional, Kobeissy, Abdallah, additional, Nawras, Ali, additional, and Hassan, Mona, additional

Published
2023
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41. Gastrointestinal Variant of Lemierre's Syndrome: A Systematic Review and Comprehensive Analysis of 36 Case Reports

Author

Jaber, Fouad, primary, Alsakarneh, Saqr, additional, Alsharaeh, Tala, additional, Salahat, Ahmed-Jordan, additional, Elfert, Khaled, additional, Beran, Azizullah, additional, Gangwani, Manesh Kumar, additional, Abboud, Yazan, additional, Al-sayyed, Leen, additional, Madi, Mahmoud Y., additional, Jaber, Mohammad, additional, Dahiya, Dushyant Singh, additional, Numan, Laith, additional, and Duong, Nikki, additional

Published
2023
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42. Comparing EUS-directed Transgastric ERCP (EDGE) Versus Laparoscopic-Assisted ERCP Versus Enteroscopic ERCP

Author

Gangwani, Manesh K., primary, Aziz, Muhammad, additional, Haghbin, Hossein, additional, Iqbal, Amna, additional, Dillard, Julia, additional, Dahiya, Dushyant S., additional, Ali, Hassam, additional, Hayat, Umar, additional, Khuder, Sadik, additional, Lee-Smith, Wade, additional, Nawras, Yusuf, additional, Kamal, Faisal, additional, Inamdar, Sumant, additional, Alastal, Yaseen, additional, Thosani, Nirav, additional, and Adler, Douglas, additional

Published
2023
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43. The impact of COVID-19 on hospitalizations that underwent endoscopic retrograde cholangiopancreatography in the United States

Author

Dahiya, Dushyant Singh, primary, Pinnam, Bhanu Siva Mohan, additional, Chandan, Saurabh, additional, Gangwani, Manesh Kumar, additional, Ali, Hassam, additional, Deliwala, Smit, additional, Bapaye, Jay, additional, Aziz, Muhammad, additional, Merza, Nooraldin, additional, Inamdar, Sumant, additional, Al-Haddad, Mohammad, additional, and Sharma, Neil, additional

Published
2023
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44. S1392 Gender Disparities in Index and Early (30-Day) Liver Transplant Readmissions: Where Do We Stand?

Author

Soni, Aakriti, primary, Yekula, Anuroop, additional, Dahiya, Dushyant Singh., additional, Singh, Yuvaraj, additional, Ali, Hassam, additional, Chandan, Saurabh, additional, Gangwani, Manesh Kumar, additional, Aziz, Muhammad, additional, Bapaye, Jay, additional, Mohan, Babu, additional, Inamdar, Sumant, additional, Sanaka, Madhusudhan R., additional, Thakral, Nimish, additional, and Abraham, George M., additional

Published
2023
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45. S1271 Comparing Endoscopic Suture vs Over-the-Scope Clips vs No Intervention in Preventing Esophageal Stent Migration: A Network Meta-Analysis

Author

Gangwani, Manesh Kumar, primary, Haghbin, Hossein, additional, Ahmed, Zohaib, additional, Aziz, Abeer, additional, Aziz, Muhammad, additional, Lee-Smith, Wade M., additional, Dahiya, Dushyant Singh, additional, Nawras, Yusuf, additional, Kamal, Faisal, additional, Inamdar, Sumant, additional, Alastal, Yaseen, additional, and Adler, Douglas G., additional

Published
2023
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47. S400 Comparing Adenoma Detection Rate (ADR) in Single vs Dual Observer vs Artificial Intelligence-Assisted Colonoscopy: A Network Analysis of Randomized Controlled Trials

Author

Gangwani, Manesh Kumar, primary, Haghbin, Hossein, additional, Ishtiaq, Rizwan, additional, Dahiya, Dushyant Singh., additional, Hayat, Umar, additional, Lee-Smith, Wade M., additional, Rani, Anooja, additional, Nawras, Yusuf, additional, Aziz, Muhammad, additional, Javaid, Toseef, additional, and Hart, Benjamin, additional

Published
2023
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49. S1240 Clinical Outcomes and Predictors of 30-Day Readmissions of Endoscopic Retrograde Cholangiopancreatography in the United States

Author

Dahiya, Dushyant Singh, primary, Mohan Pinnam, Bhanu Siva, additional, Chandan, Saurabh, additional, Gangwani, Manesh Kumar, additional, Ali, Hassam, additional, Ahluwalia, Daksh, additional, Gopakumar, Harishankar, additional, Aziz, Muhammad, additional, Pan, Chun-Wei, additional, Bapaye, Jay, additional, Al-Haddad, Mohammad, additional, and Sharma, Neil, additional

Published
2023
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