Publications by authors named "Payton M Miller"
A New International Scheme for the Classification and Management of Clinical Outcomes Post-gastric Peroral Endoscopic Myotomy.
Clin Gastroenterol Hepatol
May 2025
Background & Aims: Gastric peroral endoscopic myotomy (G-POEM) is an emerging treatment for gastroparesis, but clinical outcomes can be inconsistent; hence, it is vital to enhance our management strategies for patients with clinical failure.
Methods: This was a multicenter retrospective review of patients who underwent G-POEM for refractory gastroparesis from September 2015 to November 2023. Clinical outcomes and management post-G-POEM were assessed and categorized into 4 types based on symptom improvement and gastric emptying metrics.
Background: Robotic surgery utilization has been increasing across surgical specialties; however, racial disparities in patient access to care and outcomes have been reported.
Objectives: In this study, we examined racial disparities in the utilization and outcomes of robotic bariatric surgery over an 8-year period.
Setting: Metabolic and Bariatric Surgery Accreditation Quality Improvement Program (MBSAQIP) centers of excellence across the United States.
Article Synopsis
- - The study aimed to define a "well-prepared foundational resident" in surgical training using the ACGME General Surgery Milestones as a guide.
- - Participants included faculty and residents who evaluated competence levels at the end of PGY1, leading to the identification of key competencies and scoring gaps between residents and faculty.
- - Results showed notable differences in scores for Practice-Based Learning and Interpersonal Communication between residents and faculty, ultimately leading to the establishment of clear competency standards within the residency program.
Hypoglossal and Glossopharyngeal Nerve Palsy After Anterior Cervical Decompression and Fusion: A Case Report.
JBJS Case Connect
January 2024
Case: A 69-year-old man underwent a C3-4 anterior cervical discectomy and fusion and developed postoperative hypoglossal and glossopharyngeal palsies that resolved with symptomatic treatment.
Conclusion: Cranial nerve palsy is a rare and possibly under-reported injury after higher-level cervical spine surgery. Conscientious positioning and awareness of these nerves during surgical exposure are crucial to minimizing cranial nerve palsies.