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| 1 | Rotational assisted endoscopic retrograde cholangiopancreatography in patients with reconstructive gastrointestinal surgical anatomy显示文摘AIM: To evaluate the success rates of performing therapy utilizing a rotational assisted enteroscopy device in endoscopic retrograde cholangiopancreatography(ERCP) in surgically altered anatomy patients. METHODS: Between June 1, 2009 and November 8, 2012, we performed 42 ERCPs with the use of rotational enteroscopy for patients with altered anatomy(39 with gastric bypass Roux-en-Y, 2 with Billroth Ⅱ gastrectomy, and 1 with hepaticojejunostomy associated with liver transplant). The indications for ERCP were: choledocholithiasis: 13 of 42(30.9%), biliary obstruction suggested on imaging: 20 of 42(47.6%), suspected sphincter of Oddi dysfunction: 4 of 42(9.5%), abnormal liver enzymes: 1 of 42(2.4%), ascending cholangitis: 2 of 42(4.8%), and bile leak: 2 of 42(4.8%). All procedures were completed with the Olympus SIF-Q180 enteroscope and the Endo-Ease Discovery SB overtube produced by Spirus Medical. RESULTS: Successful visualization of the major ampulla was accomplished in 32 of 42 procedures(76.2%). Cannulation of the bile duct was successful in 26 of 32 procedures reaching the major ampulla(81.3%). Successful therapeutic intervention was completed in 24 of 26 procedures in which the bileduct was cannulated(92.3%). The overall intention to treat success rate was 64.3%. In terms of cannulation success, the intention to treat success rate was 61.5%. Ten out of forty two patients(23.8%) required admission to the hospital after procedure for abdominal pain and nausea, and 3 of those 10 patients(7.1%) had a diagnosis of post-ERCP pancreatitis. The average hospital stay was 3 d.CONCLUSION: It is reasonable to consider an attempt at rotational assisted ERCP prior to a surgical intervention to alleviate biliary complications in patients with altered surgical anatomy. | Majed El Zouhairi James B Watson Svetang V Desai David K Swartz Alejandra Castillo-Roth Mahfuzul Haque Paul S Jowell Malcolm S Branch Rebecca A Burbridge | 2015 | World Journal of Gastrointestinal Endoscopy2015,7,3: | 10 |
| 2 | Kaempferia parviflora ethanol extract improves self-assessed sexual health in men:a pilot study显示文摘Background: Sexual health positively correlates with overall wellbeing. Existing therapeutics to enhance male sexual health are limited by factors that include responsiveness, adherence and adverse effects. As the population ages, safe and effective interventions that preserve male sexual function are needed.Published research suggests that various preparations of Kaempferia parviflora, a plant in the Zingiberaceae(ginger) family, support cardiovascular health and may ameliorate erectile function.Objective: The aim of this study was to examine the effects of KaempMax^(TM), an ethanol extract of the K. parviflora rhizome, on erectile function in healthy middle-aged and older men.Design, setting, participants and interventions: We conducted an open-label, one-arm study on 14 generally healthy males aged 50–68 years with self-reported mild erectile dysfunction, who were not using prescription treatments. Participants took 100 mg KaempMax^(TM)daily for 30 days.Main outcome measures: Evaluations were conducted at baseline and on the final study assessment.Primary efficacy analyses included the International Index of Erectile Function(IIEF); secondary efficacy analyses included the Global Assessment Question about erectile function.Results: Thirteen participants completed the 30-day study. Supplementation with KaempMax^(TM)resulted in statistically significant improvements in erectile function, intercourse satisfaction and total scores on the IIEF questionnaire. KaempMax^(TM)was well tolerated and exhibited an excellent safety profile.Conclusion: Our results suggest that KaempMax^(TM)may improve erectile function in healthy middle-aged and older men. While the effects were not as pronounced as what might be seen with prescription medication, most participants found them satisfactory. Additional, longer and placebo-controlled clinical trials will be needed.Trial registration: Clinicaltrials.gov identifier NCT03389867. | Richard A.Stein Kira Schmid Jowell Bolivar Andrew G.Swick Steven V.Joyal Steven P.Hirsh | 2018 | Journal of Integrative Medicine2018,16,4: | 4 |
| 3 | ERCP-Related Perforations: Risk Factors and Management显示文摘 | R. Enns M. Eloubeidi K. Mergener P. Jowell M. Branch T. Pappas J. Baillie | 2002 | Endoscopy2002,,04: | 2 |
| 4 | Pancreatic FNA in 1000 cases:a comparison of imaging modalities显示文摘 | Volmar KE Vollmer RT Jowell PS | 2005 | Gastrointest Endosc2005,61,7: | 1 |
| 5 | Staging of esophageal cancer by EUS:staging accuracy revisited显示文摘 | Shimpi RA George J Jowel P | | 0,,03: | 1 |
| 6 | 显示文摘 | Cohn JA Bornstein JD Jowell PS | 2000 | Med Clin North Am2000,84,: | 1 |
| 7 | Cystic fibrosis gene mutations and pancreatitis risk: Relation to epithelial ion transport and trypsin inhibitor gene mutations显示文摘 | Peadar G. Noone Zhaoqing Zhou Lawrence M. Silverman Paul S. Jowell Michael R. Knowles Jonathan A. Cohn | 2001 | Gastroenterology2001,,6: | 1 |
| 8 | Staging of pancreatic cancer before and after neoadjuvant chemoradiation显示文摘 | Rebekah R. White M.D. Erik K. Paulson M.D. Kelly S. Freed M.D. May T. Keogan M.D. Herbert I. Hurwitz M.D. Catherine Lee M.D. Michael A. Morse M.D. Marcia R. Gottfried M.D. John Baillie M.D. Malcolm S. Branch M.D. Paul S. Jowell M.D. Kevin M. McGrath M.D. | 2001 | Journal of Gastrointestinal Surgery2001,,6: | 1 |
| 9 | Significance of Histological Response to Preoperative Chemoradiotherapy for Pancreatic Cancer显示文摘 | Rebekah R. White MD H. Bill Xie MD PhD Marcia R. Gottfried MD Brian G. Czito MD Herbert I. Hurwitz MD Michael A. Morse MD Gerald C. Blobe MD PhD Erik K. Paulson MD John Baillie MB ChB M. Stanley Branch MD Paul S. Jowell MB ChB Bryan M. Clary MD Theodo | 2005 | Annals of Surgical Oncology2005,,3: | 1 |
| 10 | Pancreatic FNA in 1000 cases:a comparison of imaging modalities显示文摘 | VOLMAR K E VOLLMER RT JOWELL P S | 2005 | Gastrointest Endosc2005,61,7: | 1 |
| 11 | Pancreatic FNA in 1000 cases:a comparison of imaging modalities显示文摘 | Volmar KE Vollmer RT Jowell PS | | 0,,: | 1 |
| 12 | For patients with predicted low risk for choledocholithiasis undergoing laparoscopic cholecystectomy, selective intraoperative cholangiography and postoperative endoscopic retrograde cholangiopancreatography is an effective strategy to limit unnecessary p显示文摘 | Michael F. Byrne Mark T. McLoughlin Robert M. Mitchell Henning Gerke K. Kim Theodore N. Pappas M. S. Branch Paul S. Jowell John Baillie | 2009 | Surgical Endoscopy2009,,9: | 1 |
| 13 | Simple pancreatic cysts: CT and en-dosongraphie appearance 显示文摘 | Bergin D Ho L M Jowell P S | 2002 | AIR2002,178,11: | 1 |
| 14 | Idiopathic pancreatitis related to CFTR: complex inheritance and identification of a modifier gene显示文摘 | Cohn JA Noone PG Jowell PS | 2002 | J Investig Med2002,50,5: | 1 |
| 15 | Staging of esophageal cancer by EUS:staging accuracy revisited显示文摘 | Shimpi RA GerogeJ Jowell P | 2007 | Gastrointest Endosc2007,66,3: | 1 |
| 16 | EUS-guided FNA of pancreatic metastases: a multicenter experience 显示文摘 | DeWitt J Jowell P Lebane J | 2005 | Gastrointes Endose2005,61,6: | 1 |
| 17 | Neoadjuvant Chemoradiation for Localized Adenocarcinoma of the Pancreas显示文摘 | Rebekah R. White MD Herbert I. Hurwitz MD Michael A. Morse MD Catherine Lee MD Mitchell S. Anscher MD Erik K. Paulson MD Marcia R. Gottfried MD John Baillie MB ChB Malcolm S. Branch MD Paul S. Jowell MB ChB Kevin M. McGrath MD Bryan M. Clary MD Theodore | 2001 | Annals of Surgical Oncology2001,,10: | 1 |
| 18 | EUS-guided FNA of pancreatic metastases:a multicenter experience显示文摘 | DeWitt J Jowell P Leblanc J | 2005 | Gastrointest Endosc2005,61,6: | 1 |
| 19 | EUS-guided fine needle aspiration of the liver: Indications, yield, and safety based on an international survey of 167 cases显示文摘 | Jorgen tenBerge Brenda J. Hoffman Robert H. Hawes Conny van Enckevort Marc Giovannini Richard A. Erickson Marc F. Catalano Roberto Fogel Shawn Mallery Douglas O. Faigel Angelo P. Ferrari Irving Waxman Larent Palazzo Tamir Ben-Menachem Paul S. Jowell Kevin | 2002 | Gastrointestinal Endoscopy2002,,7: | 1 |
| 20 | Gastrointestinal imaging:Endoscopic ultrasound显示文摘 | JOWELL PS | 2002 | Gastroenterology2002,122,: | 1 |