Guru V. Trikudanathan

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Surgical resection is considered the standard of care in the management of symptomatic insulinoma. In this video, we describe the successful management of a symptomatic insulinoma by using linear array endoscopic ultrasound (EUS)-guided ethanol ablation in a poor surgical candidate. EUS-guided ethanol ablation of insulinoma offers a safer, effective, and(More)
A 62-year-old black woman was admitted with a 4-day history of nausea and feculent vomiting, a 22-kg weight loss over 6 months, and with hemoglobin of 7.9 g/dL on admission. CT showed asymmetric hypodense, mural thickening of the hepatic flexure with pericolic fat stranding, and an associated loss of interference with the duodenal sweep, suggestive of(More)
Classical interferon-α has been shown to be associated with the development of a variety of autoimmune disorders. A 34-year-old white woman with chronic hepatitis C virus infection who was treated with pegylated interferon α-2a and ribavirin, developed Grave's disease and autoimmune hepatitis (AIH) at 32 and 44 weeks, respectively, following initiation of(More)
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