Marshall Sparberg

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BACKGROUND The published experience regarding the use of tacrolimus in Crohn's disease (CD) and ulcerative colitis (UC) refractory to more commonly used medical therapy has been fairly limited. Our objective was to describe our experience with its use in a cohort of patients which, to our knowledge, represents the largest North American cohort described to(More)
A patient with an unusual type of internal hernia was treated successfully. To our knowledge, this is the first reported case of a hernia emanating through the gastrohepatic ligament that resulted in gastric outlet obstruction. It is even more remarkable because, although the small bowel was the herniated viscus, the symptoms were due to obstruction of the(More)
C URRENT TREATMENT Of regional enteritis is far from satisfactory. Abdominal pain, diarrhea, fever, and weight loss, the most common symptoms of regional enteritis, often are not severe enough to warrant operation, yet are distressing problems. "Standard" medical therapy, including a bland diet, sedation, antispasm and antidiarrhea medication, and(More)
An intragastric grape phytobezoar occurred 1 month after hemigastrectomy, duodenostomy, and vagotomy. Bezoar formation was believed due to a combination of reduced proteolytic enzyme activity, faulty mixing, gastric stasis, and impaired mastication. Medical therapy with oral proteolytic enzymes and gastric lavage resulted in the complete disappearance of(More)