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Browsing by Author "Edmundowicz, Steven A."

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Balloon-assisted peroral cholangioscopy by using an 8.8-mm gastroscope for the diagnosis of Mirizzi syndrome

Azar, Riad; Cote, Gregory A.; Edmundowicz, Steven A.; Jonnalagadda, Sreeni S. (2016-06-23)

A 50-year-old woman was referred for treatment of an obstructing gallstone in the common hepatic duct, found on MRCP (A). An ERCP was performed, revealing a 2.5-cm stone obstructing the common hepatic duct (B), with no ...
Carbon Dioxide (CO2) Insufflation during ERCP for the Reduction of Post-procedure Pain

Azar, Riad R.; Keswani, Rajesh N.; Hovis, Robert M.; Edmundowicz, Steven A.; Sadeddin, Esmat Z.; Jonnalagadda, Sreenivasa S.; Waldbaum, Lawrence; Maple, John T. (2016-10-10)

Background: Abdominal pain and nausea following ERCP are common, and may in part relate to bowel insufflation with air. CO2 insufflation during colonoscopy reduces post-procedural pain scores as compared with air. However, ...
Clinical Trends in the Utilization of Endoscopic Ultrasonography with Fine Needle Aspiration (EUS-FNA) in Esophageal Cancer

Azar, Riad R.; Peifer, Kevin J.; Meyers, Bryan; Edmundowicz, Steven A.; Early, Dayna S.; Janec, Eileen M. (2016-09-09)

Background: To assess the utilization of EUS-FNA for staging esophageal cancer and its impact on surgical resection. Methods: A 15 question survey was distributed via email to thoracic surgeons. This survey included questions ...
Compliance with surveillance recommendations for foregut subepithelial tumors is poor

Azar, Riad R.; Kushnir, Vladimir M.; Keswani, Rajesh N.; Hollander, Thomas G.; Kohlmeier, Cara; Mullady, Daniel K.; Murad, Faris M.; Komanduri, Srinadh; Edmundowicz, Steven A.; Early, Dayna S. (2016-09-28)

Background American Gastroenterological Association guidelines recommend performing EUS to characterize subepithelial lesions (SELs) discovered on upper endoscopy (EGD), followed by surveillance if no high-risk features ...
Conservative Therapy vs. Percutaneous Drainage of Bilomas in Patients Treated Endoscopically for Bile Leak After Laparoscopic Cholecystectomy

Azar, Riad R.; Merrill, Joseph; Cote, Gregory A.; Early, Dayna S.; Edmundowicz, Steven A.; Jonnalagadda, Sreenivasa (2016-09-19)

Background: Bile leaks are the most common complication of laparoscopic cholecystectomy (CCY), occurring in about 1% of all patients. Endoscopic therapy is effective with resolution of the leaks in 85-100% of patients with ...
Creation of a Prediction Tool (M-PACT) to Accurately Identify Premalignant and Malignant Cysts in Patients Undergoing Endoscopic Ultrasound (EUS) for Evaluation of Pancreatic Cystic Lesions

Azar, Riad R.; Gaddam, Srinivas; Keach, Joseph W.; Ge, Phillip S.; Mullady, Daniel; Fukami, Norio; Muthusamy, V. Raman; Edmundowicz, Steven A.; Shah, Raj J. (2016-09-28)
Deep Sedation in Advanced Endoscopy

Azar, Riad R.; Cote, Gregory A.; Hovis, Robert M.; Ansstas, Michael; Waldbaum, Lawrence; Edmundowicz, Steven A.; Mullady, Daniel; Jonnalagadda, Sreenivasa S. (2016-09-27)

Background: When administered by a trained professional, the safety and efficacy of propofol in advanced endoscopy is well described. While use of propofol requires advanced airway training, it is unclear how frequently ...
Detailed Analysis of Predictors for Surgicial Resection in Patients With Pancreatic Cystic Lesions Undergoing Endoscopic Ultrasound With and Without Fine Needle Aspiration

Azar, Riad R.; Ge, Phillip S.; Keach, Joseph W.; Gaddam, Srinivas; Mullady, Daniel; Fukami, Norio; Muthusamy, V. Raman; Edmundowicz, Steven A.; Shah, Raj J.; Murad, Faris (2016-10-07)
Development of a Prediction Model for Premalignant and Malignant Pancreatic Cystic Lesions Using Clinical and Endoscopic Ultrasound (EUS) Features

Azar, Riad R.; Gaddam, Srinivas; Mahendra, Disha; Early, Dayna S.; Mullady, Daniel; Murad, Faris; Hollander, Thomas G.; Edmundowicz, Steven A.; Wani, Sachin (2016-09-28)
Diagnosis and management of GI stromal tumors by EUS-FNA

Azar, Riad; Ha, Christina Y.; Shah, Rajesh; Chen, Jaijing; Edmundowicz, Steven A.; Early, Dayna S. (2016-06-20)

Background: There is no consensus regarding the best management strategy for diagnosing and treating GI stromal tumors (GISTs). Objective: Our purpose was to examine the practice patterns of endosonographers in diagnosing ...
Diagnostic Accuracy of Carcinoembryonic Antigen (CEA) in Cyst Fluid Analysis in Histologically Confirmed Pancreatic Cysts

Azar, Riad R.; Wani, Sachin; Mullady, Daniel; Early, Dayna S.; Gaddam, Srinivas; Keach, Joseph W.; Ge, Phillip S.; Fukami, Norio; Muthusamy, V. Raman; Edmundowicz, Steven A. (2016-09-29)
Diagnostic Accuracy of Endoscopic Ultrasound and Cyst Fluid Analysis in Histologically Confirmed Pancreatic Cysts

Azar, Riad R.; Mahendra, Disha; Gaddam, Srinivas; Early, Dayna S.; Mullady, Daniel; Murad, Faris; Jonnalagadda, Sreenivasa S.; Edmundowicz, Steven A.; Wani, Sachin (2016-09-21)
Difficult biliary cannulation

Azar, Riad; Cote, Gregory A.; Ansstas, Michael; Pawa, Rishi; Edmundowicz, Steven A.; Jonnalagadda, Sreenivasa (2016-06-21)

Background Successful cannulation of the common bile duct (CBD) remains the benchmark for ERCP. Use of a pancreatic duct (PD) stent to facilitate biliary cannulation has been described, although the majority of patients ...
Downstream Revenue Stream From Resource Intensive Small Bowel Endoscopies (Single Balloon Enteroscopy, Spiral Balloon Enteroscopy, and Wireless Capsule Endoscopy)

Azar, Riad R.; Nguyen, Yume; Murad, Faris; Mullady, Daniel; Early, Dayna S.; Edmundowicz, Steven A.; Jonnalagadda, Sreenivasa S. (2016-09-20)

Much of the recent advances in gastroenterology has focused on the small bowel. Reimbursement is generally poor considering the time, expertise, and equipment required. Our current billing system lags behind technology and ...
Efficacy of Endoscopic Mucosal Resection for Management of Small Duodenal Neuroendocrine Tumors

Azar, Riad R.; Shroff, Sagar R.; Kushnir, Vladimir M.; Wani, Sachin B.; Gupta, Neil; Jonnalagadda, Sreenivasa S.; Murad, Faris; Early, Dayna S.; Mullady, Daniel K.; Edmundowicz, Steven A. (2016-10-07)

Background: Endoscopic mucosal resection (EMR) for small (<20 mm) duodenal neuroendocrine tumors (NETs) remains controversial because of their rarity. Materials and Methods: This is a retrospective cohort study of ...
Endoscopic treatment of pancreatic fluid collections

Azar, Riad; Cote, Gregory A.; Ansstas, Michael; Edmundowicz, Steven A.; Jonnalagadda, Sreenivasa; Mullady, Daniel (2016-06-23)

Background: While successful drainage of pancreatic fluid collections (PFCs) with endoscopy is well described, the optimal algorithm for the endoscopic management of organized pancreatic necrosis (OPN) remains unclear. ...
Endoscopic Ultrasonography with Fine Needle Aspiration (EUS-FNA) for Esophageal Cancer Staging and Its Impact On Therapy

Azar, Riad R.; Peifer, Kevin; Edmundowicz, Steven A.; Early, Dayna S.; Meyers, Bryan (2016-09-23)

Background: To assess the utilization of EUS-FNA by thoracic surgeons and the perception of gastroenterologists who perform EUS-FNA for esophageal cancer staging and the impact of nodal involvement on therapeutic decisions, ...
Endoscopic Ultrasound Fine Needle Aspiration of Solid Pancreatic Lesions

Azar, Riad R.; Weaver, Michael; Regan, Kara; Early, Dayna S.; Edmundowicz, Steven A.; Murad, Faris; Mullady, Daniel; Kushnir, Vladimir M. (2016-10-07)

Endoscopic ultrasound fine needle aspiration (EUS-FNA) is used frequently to diagnose pancreatic lesions. Despite the utilization of this practice, the relationship of pancreatic lesion characteristics, EUS-FNA techniques ...
Endoscopic Ultrasound with Fine Needle Aspiration (EUS-FNA) An Accurate Modality in the Diagnosis of Recurrent Lung Cancer

Azar, Riad R.; Shah, Somal; Sikka, Sanjay; Paradowski, Theodore; Ringold, Daniel; Maple, John; Battafarano, Richard; Early, Dayna S.; Edmundowicz, Steven A. (2016-09-27)

Background: Despite surgical resection or chemo- radiation a significant percentage of patients with lung cancer develop recurrent disease. Although mediastinoscopy is a proven tool in the initial staging of patients, it ...
Endoscopic Ultrasound with Fine Needle Aspiration (EUS-FNA) Is Valuable in the Diagnosis of Side-Branch Intraductal Papillary Mucinous Neoplasia (SB-IPMN) of the Pancreas

Azar, Riad R.; Ringold, Daniel A.; Shroff, Puneet; Sikka, Sanjay; Maple, John; Jonnalagadda, Sreenivasa S.; Early, Dayna S.; Edmundowicz, Steven A. (2016-09-27)

Background: Pancreatic SB-IPMN often are discovered incidentally by imaging and mistaken for pseudocysts or other cystic neoplasia. Recent experience suggests that SB-IPMN may cause abdominal pain or pancreatitis and can ...

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