Learn More
The introduction of laparoscopic cholecystectomy (LC) in the late 1980s was accompanied an increase in common bile duct (CBD) injuries. This retrospective analysis of 2,005 cholecystectomies performed at a single institution investigates the factors that have contributed to a record of zero CBD injuries in 1,674 consecutive LC. The medical records of 1,285(More)
Due to unacceptable increases in intra- and postoperative complications and associated morbidity, cirrhosis of the liver is often considered to be a contraindication for laparoscopic cholecystectomy (LC). However, recent advances have now made it increasingly possible for experienced surgeons to perform LC on this high-risk population. The aim of this study(More)
BACKGROUND & AIMS Patients with cirrhosis develop abnormal hematologic indices (HI) from multiple factors, including hypersplenism. We aimed to analyze the sequence of events and determine whether abnormal HI has prognostic significance. METHODS We analyzed a database of 213 subjects with compensated cirrhosis without esophageal varices. Subjects were(More)
Most gastric polyps have an asymptomatic presentation and are an incidental finding on upper endoscopy. Symptomatic presentations can range from an ulcerated polyp leading to anemia and occult bleed to complete gastric outlet obstruction. We report a case of an 89-year-old woman who presented with postprandial nausea and early satiety. Her upper endoscopy(More)
OBJECTIVES Eosinophilic esophagitis (EoE) is characterized clinically by dysphagia, chest pain, and food impaction, and morphologically by increased numbers of intraepithelial eosinophils and marked basal hyperplasia of the squamous mucosa. The consensus criteria for a diagnosis of EoE include the presence of ≥15 eosinophils/HPF in biopsies from both(More)
BACKGROUND The epidemiology of eosinophilic oesophagitis (EoE) in adults remains unclear. AIM To estimate the prevalence and incidence of EoE through a systematic review of published literature. METHODS We conducted systematic literature searches in PubMed in September 2009. Studies were excluded if they contained any participants below 18 years of age,(More)
Two distinct phases of the Distributed Problem Solving -DPSprocess are the definitional/preparatory (articulation) phase and the actual problem-solving (substantive) phase. We have developed a DPS architecture that unifies both of these problem-solving activities into a common framework, providing a new and dynamic paradigm for distributed problem solving.(More)
  • 1