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| 1 | Esophageal tuberculosis presenting with hematemesis显示文摘Esophageal tuberculosis is rare, constituting about 0.3% of gastrointestinal tuberculosis. It presents commonly with dysphagia, cough, chest pain in addition to fever and weight loss. Complications may include hemorrhage from the lesion, development of arterioesophageal fistula, esophagocutaneous fistula or tracheoesophageal fistula. There are very few reports of esophageal tuberculosis presenting with hematemesis due to ulceration. We report a patient with hematemesis that was due to the erosion of tuberculous subcarinal lymph nodes into the esophagus. A 15-year-old boy presented with hemetemesis as his only complaint. Esophagogastroduodenoscopy(EGD) revealed an eccentric ulcerative lesion involving 50% of circumference of the esophagus. Biopsy showed caseating epitheloid granulomas with lymphocytic infiltrates suggestive of tuberculosis. Computerised tomography of the thorax revealed thickening of the mid-esophagus with enlarged mediastinal lymph nodes in the subcarinal region compressing the esophagus along with moderate right sided pleural effusion. Patient was treated with anti-tuberculosis therapy(Rifampicin, Isoniazid, Pyrazinamide, Ethambutol) for 6 mo. Repeat EGD showed scarring and mucosal tags with complete resolution of the esophageal ulcer. | Samit S Jain Piyush O Somani Rajeshkumar C Mahey Dharmesh K Shah Qais Q Contractor Pravin M Rathi | 2013 | World Journal of Gastrointestinal Endoscopy2013,5,11: | 6 |
| 2 | BMP2 promotes differentia- tion of nitrergic and catecholaminergie enteric neurons through a Smadl-dependent pathway显示文摘 | Anitha M Shahnavaz N Qayed E | 2010 | Am J Physiol Gastrointest Liver Phys- iol2010,298,3: | 1 |
| 3 | Relative Defects in Mucosal Immunity Predict Acute Graft-Versus-Host Disease 显示文摘 | August KJ Chiang KY Qayed M | 2014 | Biol Blood Marrow Transplant2014,20,7: | 1 |
| 4 | Iri- ontecan as maintenance therapy in high-risk hepatoblastoma 显示文摘 | Qayed M Powell C Moran ER Hangen M Katzenstein HM | 2010 | Pediatr Blood Cancer2010,54,5: | 1 |
| 5 | BMP2 promotes differentiation of nitrergic and catecholaminergic enteric neurons through a Smad1-dependent pathway显示文摘 | Anitha M Shahnavaz N Qayed E | | 0,,03: | 1 |
| 6 | BMP2 promotes differentiation of nitrergic and catecholaminergic enteric neurons through a Smadl-dependent pathway显示文摘 | Anitha M Shahnavaz N Qayed E | | 0,,3: | 1 |
| 7 | Almutiple image encryption and water-marking by random phase matching显示文摘 | He M Z Qai L Z Liu Q | 2005 | Optics2005,247,712: | 1 |
| 8 | Colonoscopy procedural volume increases adenoma and polyp detection rates in gastroenterology trainees显示文摘AIM To investigate changes in polyp detection throughout fellowship training, and estimate colonoscopy volume required to achieve the adenoma detection rate(ADRs) and polyp detection rate(PDRs) of attending gastroenterologists.METHODS We reviewed colonoscopies from July 1, 2009 to June 30, 2014. Fellows' procedural logs were used to retrieve colonoscopy procedural volumes, and these were treated as the time variable. Findings from screening colonoscopies were used to calculate colonoscopy outcomes for each fellow for the prior 50 colonoscopies at each time point. ADR and PDR were plotted against colonoscopy procedural volumes to produce individual longitudinal graphs. Repeated measures linear mixed effects models were used to study the change of ADR and PDR with increasing procedural volume.RESULTS During the study period, 12 fellows completed full three years of training and were included in the analysis. The average ADR and PDR were, respectively, 31.5% and 41.9% for all fellows, and 28.9% and 38.2% for attendings alone. There was a statistically significant increase in ADR with increasing procedural volume(1.8%/100 colonoscopies, P = 0.002). Similarly, PDR increased 2.8%/100 colonoscopies(P = 0.0001), while there was no significant change in advanced ADR(0.04%/100 colonoscopies, P = 0.92). The ADR increase was limited to the right side of the colon, while the PDR increased in both the right and left colon. The adenoma per colon and polyp per colon also increased throughout training. Fellows reached the attendings' ADR and PDR after 265 and 292 colonoscopies, respectively.CONCLUSION We found that the ADR and PDR increase with increasing colonoscopy volume throughout fellowship. Our findings support recent recommendations of ≥ 275 colonoscopies for colonoscopy credentialing. | Emad Qayed Ravi Vora Sara Levy Roberd M Bostick | 2017 | World Journal of Gastrointestinal Endoscopy2017,9,11: | 1 |
| 9 | BMP2 promotes differentiation of nitrergic and catecholaminergic enteric neurons through a Smadl-dependent pathway显示文摘 | Anitha M Shahnavaz N Qayed E | 2010 | Am J Physiol Gastrointest Liver Physiol2010,298,3: | 1 |
| 10 | Irinotecan as maintenance therapy in high-risk hepatoblastoma显示文摘 | Qayed M Powell C Morgan ER | 2010 | Pediatr Blood Cancer2010,54,5: | 1 |
| 11 | Gastrointestinal bleeding from Brunner gland hamartoma显示文摘 | Qayed E Wehbi M Rutherford R | 2011 | Clin Gastroenterol Hepatol2011,9,1: | 1 |
| 12 | Association of trainee participation with adenoma and polyp detection rates显示文摘AIM To investigate whether adenoma and polyp detection rates(ADR and PDR, respectively) in screening colonoscopies performed in the presence of fellows differ from those performed by attending physicians alone. METHODS We performed a retrospective review of all patients who underwent a screening colonoscopy at Grady Memorial Hospital between July 1, 2009 and June 30, 2015. Patients with a history of colon polyps or cancer and those with poor colon preparation or failed cecal intubation were excluded from the analysis. Associations of fellowship training level with the ADR and PDR relative to attendings alone were assessed using unconditional multivariable logistic regression. Models were adjusted for sex, age, race, and colon preparationquality. RESULTS A total of 7503 colonoscopies met the inclusion criteria and were included in the analysis. The mean age of the study patients was 58.2 years; 63.1% were women and 88.2% were African American. The ADR was higher in the fellow participation group overall compared to that in the attending group: 34.5% vs 30.7%(P = 0.001), and for third year fellows it was 35.4% vs 30.7%(a OR = 1.23, 95%CI: 1.09-1.39). The higher ADR in the fellow participation group was evident for both the right and left side of the colon. For the PDR the corresponding figures were 44.5% vs 40.1%(P = 0.0003) and 45.7% vs 40.1%(a OR = 1.25, 95%CI: 1.12-1.41). The ADR and PDR increased with increasing fellow training level(P for trend < 0.05).CONCLUSION There is a stepwise increase in ADR and PDR across the years of gastroenterology training. Fellow participation is associated with higher adenoma and polyp detection. | Emad Qayed Lauren Shea Stephan Goebel Roberd M Bostick | 2017 | World Journal of Gastrointestinal Endoscopy2017,9,5: | 0 |