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Full-Text Articles in Gastroenterology

Changes In Vedolizumab Utilization Across Us Academic Centers And Community Practice Are Associated With Improved Effectiveness And Disease Outcomes., J. L. Koliani-Pace, S. Singh, M. Luo, R. Hirten, S. Aniwan, G. Kochhar, S. Chang, Y. Gao, A. Swaminath, P. S. Dulai, +25 Additional Authors Jan 2019

Changes In Vedolizumab Utilization Across Us Academic Centers And Community Practice Are Associated With Improved Effectiveness And Disease Outcomes., J. L. Koliani-Pace, S. Singh, M. Luo, R. Hirten, S. Aniwan, G. Kochhar, S. Chang, Y. Gao, A. Swaminath, P. S. Dulai, +25 Additional Authors

Journal Articles

BACKGROUND:Vedolizumab effectiveness estimates immediately after Food and Drug Administration (FDA) approval for ulcerative colitis (UC) and Crohn's disease (CD) are limited by use in refractory populations. We aimed to compare treatment patterns and outcomes of vedolizumab in 2 time frames after FDA approval. METHODS:We used 2 data sets for time trend analysis, an academic multicenter vedolizumab consortium (VICTORY) and the Truven MarketScan database, and 2 time periods, May 2014-June 2015 (Era 1) and July 2015-June 2017 (Era 2). VICTORY cumulative 12-month clinical remission, corticosteroid-free remission, and mucosal healing rates, and Truven 12-month hospitalization and surgery rates, were compared between Eras …


Gastrointestinal Bleeding In Patients With Acute Respiratory Distress Syndrome: A National Database Analysis., F. Siddiqui, M. Ahmed, S. Abbasi, A. Avula, A. H. Siddiqui, J. Philipose, H. M. Khan, T. M. Khan, L. Deeb, M. Chalhoub Jan 2019

Gastrointestinal Bleeding In Patients With Acute Respiratory Distress Syndrome: A National Database Analysis., F. Siddiqui, M. Ahmed, S. Abbasi, A. Avula, A. H. Siddiqui, J. Philipose, H. M. Khan, T. M. Khan, L. Deeb, M. Chalhoub

Journal Articles

Background:The goal of our study was to determine the impact of gastrointestinal bleeding (GIB) on in-hospital outcomes among acute respiratory distress syndrome (ARDS) patients, and subsequently determine the potential risk factors for the development of GIB. Methods:ARDS patients with and without GIB were identified using the National Inpatient Sample (2002 - 2012). Linear regression analysis was used to assess impact of GIB on in-hospital mortality, length of stay and total charges. Univariate logistic regression was used to determine associated odds ratios (OR) for causes of ARDS and common comorbid conditions. Results:We identified 149,190 ARDS patients. The incidence of GIB was …


Digital Cholangioscopy Can Detect Residual Biliary Stones Missed By Occlusion Cholangiogram In Ercp: A Prospective Tandem Study., D. V. Sejpal, A. J. Trindade, C. Lee, L. S. Miller, P. C. Benias, S. Inamdar, G. Singh, M. Stewart, B. J. George, A. K. Vegesna Jan 2019

Digital Cholangioscopy Can Detect Residual Biliary Stones Missed By Occlusion Cholangiogram In Ercp: A Prospective Tandem Study., D. V. Sejpal, A. J. Trindade, C. Lee, L. S. Miller, P. C. Benias, S. Inamdar, G. Singh, M. Stewart, B. J. George, A. K. Vegesna

Journal Articles

Background and study aims  After stone removal in endoscopic retrograde cholangiopancreatography (ERCP), an occlusion cholangiogram (OC) is performed to confirm bile duct clearance. OC can miss residual stones that can lead to recurrent biliary symptoms. The aim of this study was to assess if digital peroral cholangioscopy (POC) increased the diagnostic yield of residual biliary stones that are missed with OC. Patients and methods  Patients having ERCP performed for choledocholithiasis were enrolled into the study only if they had one of the following criteria: dilated bile duct ≥ 12 mm and/or if lithotripsy was being performed. An OC was performed …


Mutational Load May Predict Risk Of Progression In Patients With Barrett's Oesophagus And Indefinite For Dysplasia: A Pilot Study, A. J. Trindade, M. J. Mckinley, M. Alshelleh, G. Levi, M. Stewart, K. J. Quinn, R. M. Thomas Jan 2019

Mutational Load May Predict Risk Of Progression In Patients With Barrett's Oesophagus And Indefinite For Dysplasia: A Pilot Study, A. J. Trindade, M. J. Mckinley, M. Alshelleh, G. Levi, M. Stewart, K. J. Quinn, R. M. Thomas

Journal Articles

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Background and aims Mutational load (ML) has been shown to help risk-stratify those that may progress from non-dysplastic Barrett's oesophagus (BE) to dysplastic disease. Management of patients with BE and indefinite for dysplasia (BE-IND) is challenging and risk stratification tools are lacking. The aim of this pilot study is to evaluate the utility of ML for risk stratification in patients with BE-IND. Methods This is a single-centre, retrospective pilot study evaluating ML quantification in patients with BE-IND. Histology at …


Pooled Analysis Of The Efficacy And Safety Of Video Capsule Endoscopy In Patients With Implantable Cardiac Devices, R. Tabet, N. Nassani, B. Karam, Y. Shammaa, P. Akhrass, L. Deeb Jan 2019

Pooled Analysis Of The Efficacy And Safety Of Video Capsule Endoscopy In Patients With Implantable Cardiac Devices, R. Tabet, N. Nassani, B. Karam, Y. Shammaa, P. Akhrass, L. Deeb

Journal Articles

© 2019 Rabih Tabet et al. Background. To date, video capsule endoscopy (VCE) is still contraindicated by the FDA and the main manufacturers of Cardiac Implantable Electronic Devices (CIED) in patients with CIED, given a theoretical electromagnetic interference and possible device malfunction. Objectives. The objective of this study was to assess the safety profile and efficacy of VCE in patients with implantable cardiac devices through analyzing the risk of mutual interference. Methods. A systematic review of PubMed, Web of Science, and Embase databases was conducted. Peer-reviewed original articles, published in the English language and containing "capsule endoscopy" AND "pacemaker", "defibrillator" …


Acute Esophageal Necrosis: A View In The Dark, H. Khan, M. Ahmed, M. Daoud, J. Philipose, S. Ahmed, L. Deeb Jan 2019

Acute Esophageal Necrosis: A View In The Dark, H. Khan, M. Ahmed, M. Daoud, J. Philipose, S. Ahmed, L. Deeb

Journal Articles

© 2019 The Author(s). Published by S. Karger AG, Basel. Acute esophageal necrosis (AEN), also known as Gurvits syndrome, black esophagus, or acute necrotizing esophagitis, is a rare clinical entity and an unusual reason for upper gastrointestinal bleeding. It is typically described in critically ill patients with multiple medical conditions, arising from a combination of ischemic insult to the esophageal mucosa due to low-flow vascular states, corrosive injury caused by reflux of acid and pepsin, and decreased function of the mucosal barrier systems and reparative mechanisms as occurs in malnourished and debilitated physical states. Patients with AEN tend to be …


Direct Oral Anticoagulants In Cirrhotic Patients: Current Evidence And Clinical Observations, S. Elhosseiny, H. Al Moussawi, J. M. Chalhoub, J. Lafferty, L. Deeb Jan 2019

Direct Oral Anticoagulants In Cirrhotic Patients: Current Evidence And Clinical Observations, S. Elhosseiny, H. Al Moussawi, J. M. Chalhoub, J. Lafferty, L. Deeb

Journal Articles

© 2019 Sherif Elhosseiny et al. The introduction of Direct Oral Anticoagulants (DOACs) to the pharmaceutical market provided patients and clinicians with novel convenient and safe options of anticoagulation. The use of this class of medications is currently limited to venous thromboembolic therapy and prophylaxis, in addition to stroke prophylaxis in patients with nonvalvular atrial fibrillation. Despite their altered hemostasis, patients with cirrhosis are thought to be in a procoagulant state and thus prone to thrombus formation. Patients with cirrhosis might benefit from the convenience of DOACs; however, the medical literature includes limited data on the efficacy and safety of …


Devices For Endoscopic Hemostasis Of Nonvariceal Gi Bleeding (With Videos), M. A. Parsi, A. R. Schulman, H. R. Aslanian, M. S. Bhutani, K. Krishnan, D. R. Lichtenstein, J. Melson, U. Navaneethan, A. J. Trindade, J. T. Maple, +4 Additional Authors Jan 2019

Devices For Endoscopic Hemostasis Of Nonvariceal Gi Bleeding (With Videos), M. A. Parsi, A. R. Schulman, H. R. Aslanian, M. S. Bhutani, K. Krishnan, D. R. Lichtenstein, J. Melson, U. Navaneethan, A. J. Trindade, J. T. Maple, +4 Additional Authors

Journal Articles

© 2019 American Society for Gastrointestinal Endoscopy Background: Endoscopic intervention is often the first line of therapy for GI nonvariceal bleeding. Although some of the devices and techniques used for this purpose have been well studied, others are relatively new, with few available outcomes data. Methods: In this document, we review devices and techniques for endoscopic treatment of nonvariceal GI bleeding, the evidence regarding their efficacy and safety, and financial considerations for their use. Results: Devices used for endoscopic hemostasis in the GI tract can be classified into injection devices (needles), thermal devices (multipolar/bipolar probes, hemostatic forceps, heater probe, argon …


Endoscopic Identification Of Endoluminal Esophageal Landmarks For Radial And Longitudinal Orientation And Lesion Location, F. Emura, R. Gomez-Esquivel, C. Rodriguez-Reyes, P. Benias, J. Preciado, M. Wallace, L. Giraldo-Cadavid Jan 2019

Endoscopic Identification Of Endoluminal Esophageal Landmarks For Radial And Longitudinal Orientation And Lesion Location, F. Emura, R. Gomez-Esquivel, C. Rodriguez-Reyes, P. Benias, J. Preciado, M. Wallace, L. Giraldo-Cadavid

Journal Articles

© The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved. AIM To characterize esophageal endoluminal landmarks to permit radial and longitudinal esophageal orientation and accurate lesion location. METHODS Distance from the incisors and radial orientation were estimated for the main left bronchus and the left atrium landmarks in 207 consecutive patients using white light examination. A sub-study was also performed using white light followed by endoscopic ultrasound (EUS) in 25 consecutive patients to confirm the findings. The scope orientation throughout the exam was maintained at the natural axis, where the left esophageal quadrant corresponds to the area …


The Role Of Vitamin D In Elderly Inflammatory Bowel Disease Patients, D. Kagolanu, I. Levine, S. Katz Jan 2019

The Role Of Vitamin D In Elderly Inflammatory Bowel Disease Patients, D. Kagolanu, I. Levine, S. Katz

Journal Articles

© 2019 Gastro-Hep Communications Inc. All rights reserved. The role of vitamin D has long been discussed in many chronic diseases, and its significance in inflammatory bowel disease has recently gained attention. This article reviews vitamin D homeostasis, the involvement of vitamin D in the pathophysiol-ogy of inflammatory bowel disease, and vitamin D deficiency as a result of inflammatory bowel disease. In addition, this article explores the possibility of age, specifically in the elderly population, as a risk factor for developing vitamin D deficiency in patients with inflammatory bowel disease.


Advanced Imaging In Surveillance Of Barrett's Esophagus: Is The Juice Worth The Squeeze?, S. A. Cerrone, A. J. Trindade Jan 2019

Advanced Imaging In Surveillance Of Barrett's Esophagus: Is The Juice Worth The Squeeze?, S. A. Cerrone, A. J. Trindade

Journal Articles

No abstract provided.


Ileal Adenocarcinoma With Liver Metastasis In Patient With Crohn's Disease: A 9-Year Survival., J. P. Kothadia, D. H. Nagaraju, S. Katz, H. Bruckner, S. H. Itzkowitz, M. Schwartz Jan 2019

Ileal Adenocarcinoma With Liver Metastasis In Patient With Crohn's Disease: A 9-Year Survival., J. P. Kothadia, D. H. Nagaraju, S. Katz, H. Bruckner, S. H. Itzkowitz, M. Schwartz

Journal Articles

Small bowel adenocarcinoma is a rare but well-known complication of Crohn's disease. The diagnosis of small bowel adenocarcinoma remains difficult since its presentation is highly variable and mimics active or obstructive Crohn's disease. The diagnosis is often delayed and typically detected only at surgery in an advanced stage with a poor prognosis. We report a case of metastatic ileal adenocarcinoma in a patient with Crohn's disease with prolonged survival. Our case describes serial promising treatment options of these advanced malignancies and raises a possible role for checkpoint immunotherapy.


Structure And Distribution Of An Unrecognized Interstitium In Human Tissues, P. C. Benias, R. G. Wells, B. Sackey-Aboagye, H. Klavan, J. Reidy, D. Buonocore, M. Miranda, S. Kornacki, M. Wayne, N. D. Theise, +1 Additional Author Jan 2018

Structure And Distribution Of An Unrecognized Interstitium In Human Tissues, P. C. Benias, R. G. Wells, B. Sackey-Aboagye, H. Klavan, J. Reidy, D. Buonocore, M. Miranda, S. Kornacki, M. Wayne, N. D. Theise, +1 Additional Author

Journal Articles

© 2018 The Author(s). Confocal laser endomicroscopy (pCLE) provides real-time histologic imaging of human tissues at a depth of 60-70 μm during endoscopy. pCLE of the extrahepatic bile duct after fluorescein injection demonstrated a reticular pattern within fluorescein-filled sinuses that had no known anatomical correlate. Freezing biopsy tissue before fixation preserved the anatomy of this structure, demonstrating that it is part of the submucosa and a previously unappreciated fluid-filled interstitial space, draining to lymph nodes and supported by a complex network of thick collagen bundles. These bundles are intermittently lined on one side by fibroblast-like cells that stain with endothelial …


Author Correction To: Structure And Distribution Of An Unrecognized Interstitium In Human Tissues, P. C. Benias, R. G. Wells, B. Sackey-Aboagye, H. Klavan, J. Reidy, D. Buonocore, M. Miranda, S. Kornacki, M. Wayne, N. D. Theise, +1 Additional Author Jan 2018

Author Correction To: Structure And Distribution Of An Unrecognized Interstitium In Human Tissues, P. C. Benias, R. G. Wells, B. Sackey-Aboagye, H. Klavan, J. Reidy, D. Buonocore, M. Miranda, S. Kornacki, M. Wayne, N. D. Theise, +1 Additional Author

Journal Articles

© 2018 The Author(s). The Supplementary Figure file that accompanies this Article contains an error in Supplementary Figure S1, where the Small Intestine CD34 panel was duplicated from the Gallbladder CD34 panel. The correct Figure S1 appears below as Figure 1. (Figure Presented).


Development And Validation Of A Scoring System To Predict Outcomes Of Vedolizumab Treatment In Patients With Crohn's Disease, P. S. Dulai, B. S. Boland, S. Singh, K. Chaudrey, J. L. Koliani-Pace, G. Kochhar, M. P. Parikh, K. Sultan, A. Swaminath, C. Cao, +26 Additional Authors Jan 2018

Development And Validation Of A Scoring System To Predict Outcomes Of Vedolizumab Treatment In Patients With Crohn's Disease, P. S. Dulai, B. S. Boland, S. Singh, K. Chaudrey, J. L. Koliani-Pace, G. Kochhar, M. P. Parikh, K. Sultan, A. Swaminath, C. Cao, +26 Additional Authors

Journal Articles

No abstract provided.


Declining Use Of Combination Infliximab And Immunomodulator For Inflammatory Bowel Disease In The Community Setting., J. C. Berkowitz, J. Stein-Fishbein, S. Khan, R. Furie, K. S. Sultan Jan 2018

Declining Use Of Combination Infliximab And Immunomodulator For Inflammatory Bowel Disease In The Community Setting., J. C. Berkowitz, J. Stein-Fishbein, S. Khan, R. Furie, K. S. Sultan

Journal Articles

To describe trends of combination therapy (CT) of infliximab (IFX) and immunomodulator (IMM) for inflammatory bowel disease (IBD) in the community setting.A retrospective study was conducted of all IBD patients referred for IFX infusion to our community infusion center between 04/01/01 and 12/31/14. CT was defined as use of IFX with either azathioprine, 6-mercaptopurine, or methotrexate. We analyzed trends of CT usage overall, for Crohn's disease (CD) and ulcerative colitis (UC), and for the subgroups of induction patients. We also analyzed the trends of CT use in these groups over the study period, and compared the rates of CT use …


Safety Of Percutaneous Endoscopic Gastrostomy Tubes In Centenarian Patients, Z. A. Sobani, K. Tin, S. Guttmann, A. A. Abbasi, I. Mayer, Y. Tsirlin Jan 2018

Safety Of Percutaneous Endoscopic Gastrostomy Tubes In Centenarian Patients, Z. A. Sobani, K. Tin, S. Guttmann, A. A. Abbasi, I. Mayer, Y. Tsirlin

Journal Articles

© 2018 Korean Society of Gastrointestinal Endoscopy. Background/Aims: Percutaneous endoscopic gastrostomy (PEG) is a relatively safe procedure; however, no study has evaluated the safety of PEG tube placement in patients over the age of 100 years. Methods: We conducted a retrospective review of patient records for patients who underwent PEG tube placement. Thirty patients aged 100 years and older were identified and a random sample of 275 patients was selected for comparison. Results: The mean age of the patients was 80.6±16.2 years. No procedure-related deaths or major complications were identified; the overall inpatient mortality rate was 7.6%. Minor complications were …


Initial Experience With A Novel Resection And Plication (Rap) Method For Acid Reflux: A Pilot Study., P. C. Benias, L. D'Souza, G. Lan, C. Gluckman, S. Inamdar, A. J. Trindade, L. S. Miller, D. L. Carr-Locke Jan 2018

Initial Experience With A Novel Resection And Plication (Rap) Method For Acid Reflux: A Pilot Study., P. C. Benias, L. D'Souza, G. Lan, C. Gluckman, S. Inamdar, A. J. Trindade, L. S. Miller, D. L. Carr-Locke

Journal Articles

Current endoscopic therapies for gastroesophageal reflux disorder (GERD) are limited by technical complexity, and/or cost. We sought to evaluate the success of a novel resection and plication (RAP) anti-reflux procedure. RAP was performed on 10 patients with GERD refractory to proton pump inhibitor (PPI) therapy. RAP consists of semi-circumferential mucosectomy along with full-thickness plication of the lower esophageal sphincter (LES) and cardia. We assessed the technical success and safety as well as followed GERD-Health Related Quality of Life (GERD-HRQL) scores and medication usage.All patients underwent RAP without adverse events and were discharged on the same day. Only half of the …


The Comb Sign In Crohn's Ileocolitis, N. Adlakha, A. Swaminath Jan 2018

The Comb Sign In Crohn's Ileocolitis, N. Adlakha, A. Swaminath

Journal Articles

No abstract provided.


Bouveret's Syndrome: Literature Review., F. G. Haddad, W. Mansour, L. Deeb Jan 2018

Bouveret's Syndrome: Literature Review., F. G. Haddad, W. Mansour, L. Deeb

Journal Articles

It was in 1896 that Bouveret's syndrome acquired its name after the French physician Leon Bouveret, who published two case reports in Revue de Medecin. Bouveret's syndrome describes gastric outlet obstruction secondary to an impacted gallstone. The gallstone reaches the small bowel through a bilioenteric fistula as a consequence of chronic inflammation and adherence between the biliary system and the bowels which increase the intraluminal pressure and leads to secondary wall ischemia and wall perforation with gallstone passage into the bowel. Bouveret's syndrome's prevalence is highest among elderly women. Despite the rarity of Bouveret's syndrome, it can cause notable morbidity …


Hepatitis C Infection Patterns At A Tertiary Care Center In New York: A Cross-Sectional Study., A. Mahgoub, T. El Imad, H. Al Moussawi, D. Daneshvar, F. G. Haddad, J. Saabiye, G. Abdelsayed, S. Andrawes, L. Deeb Jan 2018

Hepatitis C Infection Patterns At A Tertiary Care Center In New York: A Cross-Sectional Study., A. Mahgoub, T. El Imad, H. Al Moussawi, D. Daneshvar, F. G. Haddad, J. Saabiye, G. Abdelsayed, S. Andrawes, L. Deeb

Journal Articles

Introduction In the United States, 2.7 to 3.9 million patients are infected with the hepatitis C virus (HCV) with 3,500 new cases reported yearly. According to the Centers for Disease Control and Prevention, HCV was the underlying or contributing cause of death of 19,659 patients in 2014. These facts underscore the need for a better understanding of the scope of this disease. Our epidemiologic study aimed at analyzing the pattern of occurrence of HCV infection at Staten Island University Hospital (SIUH) by evaluating the characteristics of newly infected patients with hepatitis C in 2014. The identified features served to better …


Athlete's Hepatitis In A Young Healthy Marathon Runner, H. Khan, J. Phillipose, M. Ahmed, L. Deeb Jan 2018

Athlete's Hepatitis In A Young Healthy Marathon Runner, H. Khan, J. Phillipose, M. Ahmed, L. Deeb

Journal Articles

© 2018 The Author(s). Published by S. Karger AG, Basel. Athlete's hepatitis is an uncommon clinical condition characterized by a significant ischemic insult to the liver. The most likely pathogenesis is decreased blood supply to the liver resulting in significant hypoxic hepatocyte injury. We report a case of a 48-year-old healthy young male who presented with athlete's hepatitis confirmed by liver biopsy after a 14-mile marathon run. To our knowledge, this is the second case of athlete's ischemic hepatitis reported in the literature. It is a diagnosis worth considering in patients involved in extreme exercise programs.


Mesalamine Associated Bradycardia., M. Krzyzak, A. Gupta, E. Antonov, S. M. Mulrooney Jan 2018

Mesalamine Associated Bradycardia., M. Krzyzak, A. Gupta, E. Antonov, S. M. Mulrooney

Journal Articles

A 38-year-old female presented with an acute flare of ulcerative colitis. She was started on prednisone and mesalamine. Within 24 hours of initiating mesalamine, she developed sinus bradycardia. After holding mesalamine, the heart rate returned to normal within five days. Our case illustrates the third described case, to our knowledge, of severe sinus bradycardia secondary to mesalamine.


From Bouveret's Syndrome To Gallstone Ileus: The Journey Of A Migrating Stone!, F. G. Haddad, W. Mansour, J. Mansour, L. Deeb Jan 2018

From Bouveret's Syndrome To Gallstone Ileus: The Journey Of A Migrating Stone!, F. G. Haddad, W. Mansour, J. Mansour, L. Deeb

Journal Articles

Bouveret's syndrome, first described in 1896, is an unusual cause of gastric outlet obstruction secondary to large gallstone impaction in the proximal duodenum after migration through a cholecystoduodenal fistula. Stone migration has been previously described after endoscopic or surgical fragmentation. However, this is the first reported case, in our knowledge, where the stone migrated after oral contrast administration a few days after the onset of symptoms, causing a distal gallstone ileus.


Update On Relative Value Units And The Cognitive Physician Visit, S. Katz, E. Petrilak Jan 2018

Update On Relative Value Units And The Cognitive Physician Visit, S. Katz, E. Petrilak

Journal Articles

No abstract provided.


Use Of Volumetric Laser Endomicroscopy For Determining Candidates For Endoscopic Therapy In Superficial Esophageal Squamous Cell Carcinoma, A. J. Trindade, P. C. Benias, S. Inamdar, C. Fan, A. Sethi, N. Fukami, A. Kahn, M. Kahaleh, D. Sejpal, A. Rishi, +1 Additional Author Jan 2018

Use Of Volumetric Laser Endomicroscopy For Determining Candidates For Endoscopic Therapy In Superficial Esophageal Squamous Cell Carcinoma, A. J. Trindade, P. C. Benias, S. Inamdar, C. Fan, A. Sethi, N. Fukami, A. Kahn, M. Kahaleh, D. Sejpal, A. Rishi, +1 Additional Author

Journal Articles

No abstract provided.


An Elderly Patient's Complete Response To Steroid Therapy For Collagenous Gastritis, H. Lim, B. Y. Wong, D. Elkowitz, K. Sultan Jan 2018

An Elderly Patient's Complete Response To Steroid Therapy For Collagenous Gastritis, H. Lim, B. Y. Wong, D. Elkowitz, K. Sultan

Journal Articles

No abstract provided.


Severe De Novo Ulcerative Colitis Following Ixekizumab Therapy, J. Philipose, M. Ahmed, P. S. Idiculla, S. M. Mulrooney, V. V. Gumaste Jan 2018

Severe De Novo Ulcerative Colitis Following Ixekizumab Therapy, J. Philipose, M. Ahmed, P. S. Idiculla, S. M. Mulrooney, V. V. Gumaste

Journal Articles

© 2018 The Author(s). Published by S. Karger AG, Basel. Ixekizumab is a selective monoclonal antibody targeting interleukin-17A, approved for the treatment of chronic plaque psoriasis. It has rarely been associated with inflammatory bowel disease (IBD) in randomized trials only. We report a unique case of severe new-onset ulcerative colitis in a young male complicated by cytomegalovirus infection who was on ixekizumab therapy for plaque psoriasis. We recommend that clinicians should exercise caution before prescribing ixekizumab as it seems to induce and exacerbate IBD.


Same-Session Placement Of Multiple Lumen-Apposing Metal Stents To Provide Effective Drainage Of Extensive Walled-Off Pancreatic Necrosis, D. V. Sejpal, G. M. Grimaldi, P. C. Benias, A. J. Trindade, C. W. Lee Jan 2018

Same-Session Placement Of Multiple Lumen-Apposing Metal Stents To Provide Effective Drainage Of Extensive Walled-Off Pancreatic Necrosis, D. V. Sejpal, G. M. Grimaldi, P. C. Benias, A. J. Trindade, C. W. Lee

Journal Articles

No abstract provided.


Effects Of Vedolizumab Therapy On Extraintestinal Manifestations In Inflammatory Bowel Disease, M. Fleisher, J. Marsal, S. D. Lee, L. E. Frado, A. Parian, B. I. Korelitz, B. G. Feagan Jan 2018

Effects Of Vedolizumab Therapy On Extraintestinal Manifestations In Inflammatory Bowel Disease, M. Fleisher, J. Marsal, S. D. Lee, L. E. Frado, A. Parian, B. I. Korelitz, B. G. Feagan

Journal Articles

No abstract provided.