Publications by authors named "Mohanad Awadalla"
Introduction: Endoscopic submucosal dissection (ESD) is a promising technique for early-stage gastrointestinal neoplasms; however, its use for periappendiceal lesions poses challenges because of anatomical complexities and the potential risk of appendicitis or perforation. As a result, these lesions are often managed surgically. This systematic review and meta-analysis evaluate the safety and efficacy of ESD for periappendiceal lesions.
View Article and Find Full Text PDFPurpose: Pseudoaneurysms (PSA) following endoscopic biliary stenting are a rare, potentially life-threatening adverse event. Incidence, diagnostic approach, treatment, and prevention of PSA remain unknown. In this comprehensive literature review, we aimed to evaluate the association of developing PSA following biliary stent placement.
View Article and Find Full Text PDFEndoscopic ultrasound (EUS)-guided liver biopsy is gaining popularity for liver parenchymal sampling due to its detailed visualization of liver anatomy, precision in sampling, and the ability to combine liver biopsy with other endoscopic goals. In this study, we present a case involving an anatomically complex, immunocompromised patient who underwent EUS-guided liver biopsy. While the samples were sufficient and progressed the management of her autoimmune hepatitis, her course was complicated by a multiloculated liver abscess.
View Article and Find Full Text PDFPurpose Of Review: Gastric vascular abnormalities are a well known cause of gastrointestinal bleeding. Due to their recurrent bleeding tendency and potential to cause life-threatening blood loss, gastric vascular abnormalities can result in significant morbidity and cost.
Recent Findings: There have been novel advances in medical and endoscopic management of gastric vascular lesions.
Objectives: Laparoscopic cholecystectomy (LC) following acute gallstone cholangitis reduces the recurrence of biliary symptoms; however, the timing of LC has not been determined yet. The aim of our study was to evaluate the impact of performing LC during admission on the 30-day readmission rate.
Methods: We conducted a retrospective cohort study of acute gallstone cholangitis patients who underwent endoscopic clearance (EC) of the bile duct through endoscopic retrograde cholangiopancreatography between April 2013 and May 2018.
Article Synopsis
- Chronic Obstructive Pulmonary Disease (COPD) is linked to a higher risk of atrial fibrillation (AF), and AF's impact on in-hospital outcomes among COPD patients is not fully understood.
- A study analyzed data from 1,377,795 patients with COPD exacerbations, revealing that 16.6% had AF, with AF patients experiencing higher mortality rates (2.4% vs. 1%), longer hospital stays, and increased healthcare costs.
- After adjusting for age and other risk factors, AF emerged as a significant independent predictor for worse outcomes in COPD patients, emphasizing the need for careful management in this population.
Updates on management of nonvariceal upper gastrointestinal bleeding.
Curr Opin Gastroenterol
November 2019
Article Synopsis
- Upper gastrointestinal bleeding (UGIB) is a serious and common issue affecting many individuals in the U.S. and globally.
- Recent advancements in treating UGIB include the FDA approval of Hemospray and the use of video capsule endoscopy for patient assessment.
- The introduction of new reversal agents for blood thinners further enhances the management of this potentially life-threatening condition.
Background: Delirium is associated with worse outcomes in critically ill patients. In the subset of patients with myocardial infarction (MI), the impact on clinical outcomes of delirium is not as well elucidated.
Hypothesis: Delirium is associated with increased mortality in patients hospitalized for MI.