Amit Bhatt

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We present a 42-year-old man with a 1-month history of painless jaundice, dark urine, clay-colored stools, and a 13.5-kg weight loss. Laboratory tests revealed elevated liver enzymes and CA19-9. Imaging showed dilation of both the intra- and extrahepatic bile ducts, narrowing of the bile duct at the junction of the common bile duct and common hepatic duct,(More)
Per-oral endoscopic myotomy (POEM) was developed less than a decade ago for the treatment of achalasia. Its minimally invasive approach and the favorable short-term outcome have led to rapid adoption of the technique throughout the world. As with any new technique, there will be adverse events, and it is important that effective treatments for these adverse(More)
A 41-year-old man with a history of metastatic medullary thyroid cancer presented with stridor, odynophagia, and dyspha-gia, worsening abruptly over the past 2 days. He had a moderate degree of dysphagia even at baseline secondary to a radiation-induced esophageal stricture, and previously had multiple esophagogastroduodenoscopies (EGDs) with dila-tion,(More)
The highest cancer risks in familial adenomatous polyposis (FAP) include colorectal, duodenal, and thyroid for which surveillance is recommended. Nearly all patients with FAP have gastric fundic gland polyposis (FGP), but gastric cancers are rarely reported with a similar incidence as the general population. We describe a recent, sudden increase in the(More)
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