Ellen Gutkin

S3915 Irbesartan-Induced Enteropathy: A Case Report Demonstrating Clinical and Histological Improvement With Medication Cessation

Joann P. Wongvravit, Jason A. Cohen, J. Mäurer, Jiankun Tong et autres

Introduction: There has been increasing evidence of an association between angiotensin II receptor blocker therapy and enteropathy. A majority of cases have been attributed to olmesartan. The incidence of irbesartan-associated enteropathy is currently unknown. Our case demonstrates irbesartan-associated enteropathy that was discovered …

S3088 Single Center Evaluation of Patient and Healthcare System Related Factors Influencing Inadequate Bowel Preparation Rates

Jason Ezra Cohen, Tina Pakala, Seunghyup Baek, Miri Kim et autres

INTRODUCTION: Colonoscopy is the most effective test for the detection and prevention of colorectal cancer. However, studies report 20 to 40 percent of colonoscopies have inadequate bowel preparation (IBP). Having high rates of IBP lead to challenges including those of quality, safety, …

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Quantification of Hemostatic Clip Usage in Treating Non-Variceal Gastrointestinal Bleeding

Tamara R. Brodsky, Samson Ferm, Akil Hassam, Michael Siu et autres

Introduction: Gastrointestinal (GI) bleeding accounts for over 300,000 hospitalizations yearly. Upper and lower GI bleeding management includes resuscitation, treatment with proton pump inhibition (for upper GI lesions), and endoscopic intervention for definitive therapy. One method of achieving hemostasis is mechanical tamponade of …

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Serum-Derived Bovine Immunoglobulin as Novel Adjunct in Complicated Clostridium difficile Colitis Treatment

Samson Ferm, Nims Varadi, Constantine Fisher, Ellen Gutkin

infection (CDI) is a well-known complication of antibiotic therapy. It is associated with significant morbidity, mortality, and cost in the hospital setting. The main symptoms include watery diarrhea, abdominal pain, and distension, but CDI can also present as toxic megacolon, bowel perforation …

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Antibiotic-Induced Staphylococcus aureus Enterocolitis: An Important Pathogen in Inflammatory Bowel Disease

Disha Shah, Constantine Fisher, Szuhuei Wilson, Ellen Gutkin

Introduction: Patients with Inflammatory Bowel Diseases (IBD) may be at increased risk for colitis secondary to Staphylococcus aureus, especially in the setting of a history of antibiotic therapy. Case Presentation: An 81 year-old female with Ulcerative Colitis (treated with Mesalamine), Coronary Artery …

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Treatment of Helicobacter pylori-Negative MALT Lymphoma with a Triple Therapy Regimen

Leigh Lurie, Ellen Gutkin

A 61 year old African American female with history of hypertension presented for evaluation of dyspepsia. She had symptoms for many years, and did not respond to proton pump inhibitors. She denied nausea, vomiting, and hematochezia. Her only medication was amlodipine. She …

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The Use of Octreotide in Refractory Gastrointestinal Bleeding Due to Crohnʼs Disease

Leigh Lurie, Ellen Gutkin

A 36 year male with history of Crohn's disease complicated by anal stricture and anorectal fistula presented to the emergency department with one day of severe rectal bleeding. His Crohn's disease was diagnosed at age six and he underwent a left hemicolectomy …

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A Parasitic Journey

Vinay Yalamanchi, Wallace Wang, Moshe Rubin, Ellen Gutkin

Introduction: A 42-year-old male presented with a 4-week history epigastric abdominal pain and intermittent non-bloody, non-bilious vomiting. History was notable for travel to Peru 2 months prior. Physical exam was remarkable for midepigastric tenderness. Laboratory results revealed a mild leukocytosis (12.82 K/uL …

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Mycobacterium avium Complex: An Emerging Pathogen in IBD and Non-IBD Diarrhea: Preliminary Results

Ellen Gutkin, Konika P. Bose, Sang Kim, Jean J. Luo et autres

Introduction: The pathogenesis of inflammatory bowel disease (IBD) has been postulated to be multifactorial: including immune dysregulation, gut bacteria, genetic predisposition, and infection. One possible infectious pathogen is Mycobacterium avium complex (MAI). MAI causes intestinal disease in other animal species with histological …

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Endoscopic Retroexion Treats Bleed within Duodenal Bulb

Konika P. Bose, Ellen Gutkin, Vinay Yalamanchi

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Fecal Immunochemical Testing for Colorectal Cancer Screening in Average Risk Individuals: Fit for Detecting Neoplasia?

Konika P. Bose, Ellen Gutkin, Sang Kim, Syed A. Hussain et autres

Purpose: Fecal immunochemical testing (FIT) is comprised of antibodies that detect the intact globin portion of human hemoglobin. FIT has an advantage over colonoscopy in its ease of use, and may increase patient compliance with colorectal cancer (CRC) screening. However, FIT is …

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Pillcam ESO® is more accurate than clinical scoring systems in risk stratifying emergency room patients with acute upper gastrointestinal bleeding

Ellen Gutkin, Albert Shalomov, Syed A. Hussain, Sang Ho Kim et autres

BACKGROUND: Upper gastrointestinal bleeding (UGIB) accounts for 400,000 hospital admissions in the US each year. Despite advances, mortality rates remain high and are estimated to be 5-10%. Early therapeutic endoscopy is widely recommended as a means of reducing morbidity and mortality. The …

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