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OBJECTIVE:The management of Barrett's high-grade dysplasia (HGD) remains controversial. The aims of this study were to evaluate prospectively the outcome of unifocal HGD (uHGD) in patients with Barrett's esophagus, and to determine demographic and endoscopic features predictive of progression to multifocal HGD (mHGD) and/or(More)
OBJECTIVES Barrett's esophagus is associated with adenocarcinoma of the cardia and esophagus, regardless of its extent. The aim of this study was to compare the prevalence and incidence of dysplasia and adenocarcinoma in short segment and traditional long segment Barrett's esophagus. METHODS Seventy-four patients with short segment Barrett's and 78 with(More)
OBJECTIVES To prospectively determine the clinical features, associated esophageal endoscopic lesions, associated gastric intestinal metaplasia, and prevalence of dysplasia and adenocarcinoma of short segment Barrett's. METHODS All patients undergoing upper endoscopy over a 5-month period were scrutinized for endoscopic features suggestive of short(More)
The case described herein underscores the importance of early endoscopy when intramural gastric air is detected by radiography. Although gastric pneumatosis is an uncommon finding, when it is detected, clinicians must be aggressive in determining the underlying etiology so that appropriate interventions are initiated in a timely manner. In this case, the(More)
An 85-year-old man with unexplained hemorrhagic pseudoascites of four years' duration was discovered to have a primary omental leiomyosarcoma. Neoplasms arising in the greater omentum are rare. To date, only three primary omental leiomyosarcomas have been described. Clinical and pathologic findings of this case are presented and the topic of primary omental(More)
A 63-year-old man with the triad of chronic relapsing pancreatitis, disseminated fat necrosis with subcutaneous nodular panniculitis, and polyarthritis was found to have a pseudocyst which had eroded into the portal vein. These lesions were associated with markedly elevated serum pancreatic enzymes. Although recent immunological studies by others suggest a(More)
OBJECTIVES To determine prospectively the effect of aspirin, nonsteroidal anti-inflammatory drugs, H2-receptor antagonists, proton pump inhibitors, alcohol intake, race, age, history of Helicobacter pylori eradication attempts, and gastric biopsy location on CLOtest performance. METHODS Biopsy specimens were obtained from the antrum, greater curve, and(More)
An unusual case of recurrent cranial flap infection is described. The infection was traced to the growth of implanted skin in the galea associated with growth of hair and accumulation of keratinous debris in the subgaleal space. Factors governing the implantation of cutaneous elements and their subsequent fate are examined in detail in the light of(More)
Previous univariate analysis of 30 recurrent and 74 non-recurrent basal cell carcinomas identified 6 histologic parameters predictive of recurrence: distance to the closest resection margin, growth pattern, shape of cell groups, contour of invading edge, degree of peripheral palisading, and nuclear pleomorphism. Re-analysis of the data by multivariate(More)