Elliot B Tapper

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BACKGROUND & AIMS Hepatic elastography (HE) is a noninvasive technique that measures liver stiffness and is used to diagnose hepatic fibrosis. It can help patients who are thought to have early-stage disease avoid a staging liver biopsy, but only when confounding variables that increase liver stiffness are excluded. Chronic inflammation from hepatitis C(More)
The purpose of this study is to describe the outcomes of conservative management for patients with right posterior sectoral bile duct injury acquired during laparoscopic cholecystectomy. This retrospective, consecutive case series reviews seven patients with an isolated injury to the right posterior or right hepatic duct occurring during laparoscopic(More)
Given the increasing emphasis on measuring quality indicators such as adherence to practice guidelines, we sought to determine the factors and address the barriers affecting guideline adherence on an academic inpatient hepatology service. We performed a single-center, prospective observational study. Physicians were given a handheld checklist to complete(More)
BACKGROUND As ammonia metabolism is a complex multiorgan process, we sought to determine whether serum ammonia concentrations were associated with transplant-free survival in patients with acutely decompensated cirrhosis and acute-on-chronic liver failure (ACLF). METHODS We studied 494 consecutive patients hospitalized with cirrhosis between April 2007(More)
OPINION STATEMENT Hyponatremia may occur in patients with cirrhosis and ascites mainly due to water retention and an inability of the kidney to excrete free water. The main reason for this abnormality is related to the fact that these patients have portal hypertension and this leads to systemic vasodilation that in turn activates sodium-retaining and(More)
BACKGROUND Oesophageal food bolus impaction (OFBI) is a common gastrointestinal emergency. AIM To describe contemporary aetiologies of OFBI, and variables that may predict eosinophilic esophagitis (EoE) related OFBI as well as complications. METHODS Patients presenting to the Emergency Department between 2004 and 2014 with OFBI who underwent(More)
Alpha-1 antitrypsin (AAT) deficiency is often evaluated in patients with liver disease of unknown etiology. We aimed to describe the practice and yield of AAT testing at a large clinical laboratory. This is the retrospective cohort study of all patients with AAT measurements at one major clinical laboratory between 2003 and 2012. AAT was measured in 4,985(More)
OBJECTIVES:Anticoagulants carry a significant risk of gastrointestinal bleeding (GIB). Data regarding the safety of anticoagulation continuation/cessation after GIB are limited. We sought to determine the safety and risk of continuation of anticoagulation after GIB.METHODS:We conducted a prospective observational cohort study on consecutive patients(More)
BACKGROUND & AIMS Reducing or eliminating falls is a focus of patient safety programs as well as health policy. Falls are tied to hospital reimbursement. However, little is known about the risk of falls among hospitalized patients with cirrhosis or factors that affect risk of falling. METHODS We conducted a retrospective cohort study of inpatients with(More)